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Student Scholarship Application

The document contains details of a scholarship application, including applicant personal details, address details, income details, caste details, education qualifications, and course details. It also includes questions asked as part of the application.
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© © All Rights Reserved
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0% found this document useful (0 votes)
38 views5 pages

Student Scholarship Application

The document contains details of a scholarship application, including applicant personal details, address details, income details, caste details, education qualifications, and course details. It also includes questions asked as part of the application.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Applicant Details
Applicant Photo
ApplicationID :2324DHR1001378698

Application ID Scheme Name


2324DHR1001378698 Rajarshi Chhatrapati Shahu
Maharaj Shikshan Shulkh
Shishyavrutti Scheme

Department Name Applied Date


Directorate of Higher Education 29/04/2024

Personal Details
ApplicationID :2324DHR1001378698

Full Name Mobile Number. Email ID


Pritam Sunil Kadam xxxxxx0216
Date Of Birth
2005

Gender Age Religion


Male 19 Hindu

Marital Status Applicant Full Name (As Per Parent's/Guardian Mobile No


Unmarried SSC Marksheet/ L.C.) xxxxxx1190
KADAM PRITAM SUNIL
Dependent Type
-

Permanent address Details


ApplicationID :2324DHR1001378698

Address State District


,,,Shirsatwadi,413114 Maharashtra Pune

Taluka Village Pincode


Indapur SIRSATWADI 413114

IsCorrespondence Address
same as Permanent?
Yes

Correspondence Address Details


ApplicationID :2324DHR1001378698
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Address State District


,,,Shirsatwadi,413114 Maharashtra Pune

Taluka Village Pincode


Indapur SIRSATWADI 413114

Income Details
ApplicationID :2324DHR1001378698

Do you have Income Certificate? Does your Certificate have a Family Annual Income
Yes Barcode? 60000.00
No
Income Certificate No
42005295709

Issuing Authority Date of Issue


Tahsildar 11/04/2024

Domicile Details
ApplicationID :2324DHR1001378698

Are you Domicile of Do you have Domicile Relationship Type


Maharashtra? Certificate? Self
Yes Yes
Domicile Certificate No.
42005282306

Does your Certificate have a Applicant Name Issuing Authority


Barcode? PRITAM SUNIL KADAM Tahsildar
No
Date of Issue
01/04/2024

Caste Details
ApplicationID :2324DHR1001378698

Caste Category
General

Personal Eligibility Details


ApplicationID :2324DHR1001378698

Are you Salaried? Disability of any Type?


No No

Parent's/Guardian's Details
ApplicationID :2324DHR1001378698

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Is Father Alive? Father Name Is Father Salaried?


Yes SUNIL ABASO KADAM No

Is Mother Alive? Mother Name Is Mother Salaried?


Yes SUSHMA SUNIL KADAM No

Past Qualification Details


ApplicationID :2324DHR1001378698

Qualification Level Stream Completed


H.S.C. (12 Std) Science Completed

Institute State Institute District Institute Taluka


Maharashtra Pune Indapur

College Name / School Name Course Name Board/University


NANDIKESHWAR VID. 12th Science MAHARASHTRA STATE BOARD
JUNKSHAN OF SECONDARY AND HIGHER
SECONDARY EDUCATION

Mode Admission Year Passing Year


Regular 2022 2023

Result Percentage Attempts


Passed 67.17 1

Is Gap? Qualification Level Stream


No S.S.C. (10 Std) SSC

Completed Institute State Institute District


Completed Maharashtra Pune

Institute Taluka College Name / School Name Course Name


Indapur SSC

Board/University Mode Admission Year


MAHARASHTRA STATE BOARD Regular 2020
OF SECONDARY AND HIGHER
SECONDARY EDUCATION
Passing Year Result
2021 Passed

Percentage Attempts Is Gap?


53.40 1 No

Current Course Details


ApplicationID :2324DHR1001378698

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Admission Year In Current Institute State Institute District


Course Maharashtra Pune
2023
Institute Taluka Qualification Level
Indapur Under Graduate Course

Stream College Name/school Name Course Name


Science Arts, Science and Commerce B.Sc.
College Indapur
Admission Type
-

Application Admission ID/CAP Year Of Study Completed Or Continue


ID/CLAT Admit Card No First Year Pursuing
-
Admission Date Admission Year in
27/06/23 College/Institute
-

Percentage Result Fees Paid


- - 0.00

Course Type Admission Through Open Or Gap Year


Aided Reserved Category? 0
General
Mode
Regular

Gap Reason CET / Merit Percentage / CLAT


Score
0

Hostel Details
ApplicationID :2324DHR1001378698

Hosteller / Day Scholor Type


Day Scholar

Additional Question
ApplicationID :2324DHR1001378698

Question Answer
your number of beneficiary in 1 Question
family ? Upload undertaking form for
Same year not more than two
beneficiaries in family / if twins

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Answer
Question Answer
HJDGFH.jpeg
Do you avail any scholarship / No
stipend ?

Question Answer
Is this a Renewal Application? No

Benefits
ApplicationID :2324DHR1001378698

Tution Fee

1050.00
Exam Fee

1020.00

I / We agree to the terms and conditions of this scholarship. All information given in this application is valid to
best of my knowledge. I /We am /are punishable with penalties / punishments if any of the above mentioned
details is false as per the Indian Penal Code, 199 and 200. The decision given by the competent authority will be
final and will be accepted by me. If any surplus amount is received from the scholarship due to any reasons,
then I / We will return the amount at the earliest. I / We will be responsible for taking action against me / my
child against falsehood. I / We promise that we will take the scholarship / education fees as per the terms and
conditions of the concerned scheme. All the documents that I have linked to the application have been received
from the competent authority / authorities and the documents are valid and have been received by following the
required legal procedures. There is no modification / correction / alteration performed on them. I hereby certify
that the information provided is true and they are not false or fake. I am fully responsible for the false or fake
surveillance of the attached documents, and I am fully aware that I will be entitled to the penalty imposed by the
Indian Penal Code, 199 and 200.

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