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The document contains an application for the Government of India Post-Matric Scholarship submitted by Aniket Sunil Gavhane, detailing his personal, educational, and financial information. Aniket is a 21-year-old male from Jalgaon, Maharashtra, pursuing a Diploma in Civil Engineering. The application includes various certificates and declarations affirming the accuracy of the provided information and the applicant's agreement to the scholarship terms.

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0% found this document useful (0 votes)
18 views5 pages

S Coller Ship

The document contains an application for the Government of India Post-Matric Scholarship submitted by Aniket Sunil Gavhane, detailing his personal, educational, and financial information. Aniket is a 21-year-old male from Jalgaon, Maharashtra, pursuing a Diploma in Civil Engineering. The application includes various certificates and declarations affirming the accuracy of the provided information and the applicant's agreement to the scholarship terms.

Uploaded by

gavhaneaniket79
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Applicant Details

Applicant Photo
ApplicationID :2324SJS1003008076

Application ID Scheme Name


2324SJS1003008076 Government of India Post-
Matric Scholarship

Department Name Applied Date


Social Justice and Special 29/02/2024
Assistance Department

Personal Details
ApplicationID :2324SJS1003008076

Full Name Mobile Number. Email ID


Aniket Sunil Gavhane xxxxxx8607 g****4@gmail.com

Date Of Birth Gender Age


xx/xx/2003 Male 21

Religion Marital Status Applicant Full Name (As Per


Hindu Unmarried SSC Marksheet/ L.C.)
Aniket Sunil Gavhane

Parent's/Guardian Mobile No Dependent Type


xxxxxx2757 -

Permanent address Details


ApplicationID :2324SJS1003008076

Address State District


,Galwade Road,Near Pratap Maharashtra Jalgaon
Mill Gate,,425401
Taluka Village
Amalner Rular

Pincode IsCorrespondence Address


425401 same as Permanent?
Yes

Correspondence Address Details


ApplicationID :2324SJS1003008076

Address State District


,Galwade Road,Near Pratap Maharashtra Jalgaon
Mill Gate,Amalner,425401
Taluka Village Pincode
Amalner Amalner Rular 425401

Income Details
ApplicationID :2324SJS1003008076

Do you have Income Does your Certificate have a Family Annual Income
Certificate? Barcode? 50000.00
Yes No
Income Certificate No
39691249362

Issuing Authority Date of Issue


Tahsildar 12/05/2023

Domicile Details
ApplicationID :2324SJS1003008076

Are you Domicile of Do you have Domicile Relationship Type


Maharashtra? Certificate? Self
Yes Yes
Domicile Certificate No.
39691192792

Does your Certificate have a Applicant Name Issuing Authority


Barcode? Aniket Sunil Gavhane Tahsildar
No
Date of Issue
11/08/2021

Caste Details
ApplicationID :2324SJS1003008076

Do you have Caste Certificate? Caste Category Does your Certificate have a
Yes (SC) Scheduled Caste Barcode?
No

Caste Certificate Number Issuing District Applicant Name


39691206359 Jalgaon Aniket Sunil Gavhane

Issuing Authority
Sub Divisional Officer(SDO)

Personal Eligibility Details


ApplicationID :2324SJS1003008076

Are you Salaried? Disability of any Type?


No No
Parent's/Guardian's Details
ApplicationID :2324SJS1003008076

Is Father Alive? Father Name Is Father Salaried?


Yes Sunil Shravan Gavhane Yes

Father Occupation Is Mother Alive? Mother Name


Service Yes Anita Sunil Gavhane

Is Mother Salaried?
No

Past Qualification Details


ApplicationID :2324SJS1003008076

Qualification Level Stream Completed


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

Institute State Institute District Institute Taluka


Maharashtra Jalgaon Amalner

College Name / School Name Course Name Board/University


JAY YOGESHWAR SEC SCH. 12th Science MAHARASHTRA STATE BOARD
AMALNER OF SECONDARY AND HIGHER
SECONDARY EDUCATION

Mode Admission Year Passing Year


Regular 2020 2021

Result Percentage Attempts


Passed 77.67 1

Is Gap? Qualification Level Stream


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

Completed Institute State Institute District


Completed Maharashtra Jalgaon

Institute Taluka College Name / School Name Course Name


Amalner SSC

Board/University Mode Admission Year


MAHARASHTRA STATE BOARD Regular 2018
OF SECONDARY AND HIGHER
SECONDARY EDUCATION
Passing Year Result
2019 Passed

Percentage Attempts Is Gap?


49.80 1 No
Current Course Details
ApplicationID :2324SJS1003008076

Admission Year In Current Institute State Institute District


Course Maharashtra Jalgaon
2023
Institute Taluka Qualification Level
Chopda Diploma Course

Stream College Name/school Name Course Name


Engineering Mgts Mandal's Post S.S.C. Diploma in
Sharadchandrika Suresh Patil Engineering (Polytechnics) -
Institute Of Civil Engineering
Technology(Polytechnic),
Chopda
Admission Type
Through CAP/Govt. Quota

Application Admission ID/CAP Year Of Study Completed Or Continue


ID/CLAT Admit Card No Direct Second Year Pursuing
DSD23162355
Admission Date Admission Year in
08/08/23 College/Institute
-

Percentage Result Fees Paid


- - 1830.00

Course Type Admission Through Open Or Gap Year


UnAided Reserved Category? 0
(SC) Scheduled Caste
Mode
Regular

Gap Reason CET / Merit Percentage / CLAT


Score
77.67

Hostel Details
ApplicationID :2324SJS1003008076

Hosteller / Day Scholor Type


Day Scholar

Additional Question
ApplicationID :2324SJS1003008076

Question Answer
Upload TC / LC LC.pdf Question
Upload Self Declaration ( If
Applicable)
Answer
Question Answer
merged.pdf
Is this a Renewal Application? No

Benefits
ApplicationID :2324SJS1003008076

Tution Fee

33637.00
Development Fee

3363.00
Exam Fee

1200.00
Number of Months for which
benefit is allotted

10.00

Maintenance Allowance per


month

250.00

Total Maintenance Allowance

2500.00

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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