Applicant Details
Applicant Photo
ApplicationID :2425MNT1000210629
Application ID Scheme Name
2425MNT1000210629 Scholarship for students of minority
communities pursuing Higher and
Professional courses(DTE)
Department Name Applied Date
Minority Development Department 22/10/2024
Personal Details
ApplicationID :2425MNT1000210629
Full Name Mobile Number. Email ID
Sayyed Mohammad Shad Mohammad xxxxxx7334
Shafeeque
Date Of Birth
xx/xx/2005
Gender Age Religion
Male 19 Muslim
Marital Status Applicant Full Name (As Per SSC Marksheet/ Parent's/Guardian Mobile No
Unmarried L.C.) xxxxxx5034
Sayed Mohammad Shad Mohammad
Shafeeque
Dependent Type
-
Permanent address Details
ApplicationID :2425MNT1000210629
Address State District
,,,Faizpur,425503 Maharashtra Jalgaon
Taluka Village Pincode
Yawal Marul 425503
IsCorrespondence Address same as
Permanent?
Yes
Correspondence Address Details
ApplicationID :2425MNT1000210629
Address State District
,,,,425503 Maharashtra Jalgaon
Taluka Village Pincode
Yawal Marul 425503
Income Details
ApplicationID :2425MNT1000210629
Do you have Income Certificate? Does your Certificate have a Barcode? Family Annual Income
Yes No 40000.00
Income Certificate No Issuing Authority Date of Issue
39611132961 Sub-Divisional Officer/ Dy. Collector 12/09/2024
Domicile Details
ApplicationID :2425MNT1000210629
Are you Domicile of Maharashtra? Do you have Domicile Certificate? Relationship Type
Yes Yes Self
Domicile Certificate No. Does your Certificate have a Barcode? Applicant Name
39611088770 No Sayed Mohammad Shad Mohammad
Shafeeque
Issuing Authority Date of Issue
Executive magistrate 18/10/2021
Caste Details
ApplicationID :2425MNT1000210629
Caste Category
General
Personal Eligibility Details
ApplicationID :2425MNT1000210629
Are you Salaried? Disability of any Type?
No No
Parent's/Guardian's Details
ApplicationID :2425MNT1000210629
Is Father Alive? Father Name Is Father Salaried?
Yes Sayed Mohammad Shafique Nawaz Ali Yes
Father Occupation Is Mother Alive? Mother Name
Labour Yes Sayed Gul Fishan Mohammad Shafeeque
Is Mother Salaried?
No
Past Qualification Details
ApplicationID :2425MNT1000210629
Qualification Level Stream Completed
S.S.C. (10 Std) SSC Completed
Institute State Institute District Institute Taluka
Maharashtra Jalgaon Yawal
College Name / School Name Course Name Board/University
SSC MAHARASHTRA STATE BOARD OF
SECONDARY AND HIGHER SECONDARY
EDUCATION
Mode Admission Year Passing Year
Regular 2020 2021
Result Percentage Attempts
Passed 90.00 1
Is Gap? Qualification Level Stream
No H.S.C. (12 Std) Science
Completed Institute State Institute District
Completed Maharashtra Jalgaon
Institute Taluka College Name / School Name Course Name
Yawal MOULANA AZAD URDU SCH FAIZPUR 12th Science
Board/University Mode Admission Year
MAHARASHTRA STATE BOARD OF Regular 2022
SECONDARY AND HIGHER SECONDARY
EDUCATION
Passing Year Result
2023 Passed
Percentage Attempts Is Gap?
70.83 1 No
Current Course Details
ApplicationID :2425MNT1000210629
Admission Year In Current Course Institute State Institute District
2023 Maharashtra Nandurbar
Institute Taluka Qualification Level Stream
Akkalkuwa Diploma Course Engineering
College Name/school Name Course Name Admission Type
Jamiya Islamiya Ishatul Olu's Jamiya Post S.S.C. Diploma in Engineering Through CAP/Govt. Quota
Polytechnic, Akkalkuwa (Polytechnics) - Computer Engineering
Application Admission ID/CAP ID/CLAT Admit
Card No
DSD23106573
Year Of Study Completed Or Continue Admission Date
Direct Second Year Completed -
Admission Year in College/Institute Percentage Result
2023 63.07 Passed
Fees Paid Course Type Admission Through Open Or Reserved
UnAided Category?
General
Gap Year Mode Gap Reason
0 Regular
CET / Merit Percentage / CLAT Score
70.83
Admission Year In Current Course Institute State Institute District
2023 Maharashtra Nandurbar
Institute Taluka Qualification Level Stream
Akkalkuwa Diploma Course Engineering
College Name/school Name Course Name Admission Type
Jamiya Islamiya Ishatul Olu's Jamiya Post S.S.C. Diploma in Engineering Through CAP/Govt. Quota
Polytechnic, Akkalkuwa (Polytechnics) - Computer Engineering
Application Admission ID/CAP ID/CLAT Admit
Card No
DSD23106573
Year Of Study Completed Or Continue Admission Date
Third Year Pursuing 15/07/24
Admission Year in College/Institute Percentage Result
- - -
Fees Paid Course Type Admission Through Open Or Reserved
25000.00 UnAided Category?
General
Gap Year Mode Gap Reason
0 Regular
CET / Merit Percentage / CLAT Score
70.83
Hostel Details
ApplicationID :2425MNT1000210629
Hosteller / Day Scholor Type Hostel Type Hostel Name
Hosteller Non Govt. Boys Hostel
Is Hostel Aided? Hostel Address Is Mess Available ?
Molgi Road Akkalkuwa Yes
Rent Per Month State District
2000.00 Maharashtra Nandurbar
Additional Question
ApplicationID :2425MNT1000210629
Question Answer
Application ID of previous year scholarship 2324MNT1000159949 Question
Upload Minority/Income Self Declaration
form
Answer
Question Answer
Diclaration.jpg
Do you avail any scholarship / stipend ? No
Question
Is admitted under EWS seat?
Answer
Question Answer
No
Is this a Renewal Application ? Yes
Benefits
ApplicationID :2425MNT1000210629
Tution Fee
45454.00
Exam Fee
0.00
Maximum Sanctioned Amount
50000.00
Applicable Fee Amount
45454.00
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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