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Scholarship Form

The document contains an application for the Post-Matric Tuition Fee and Examination Fee (Freeship) for Crishi Navneet Pawar, a 22-year-old female from Maharashtra. It includes personal details, income information, domicile and caste certificates, past qualifications, current course details, and benefits requested. The application confirms the validity of the information provided and acknowledges penalties for falsehood.

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networksraj006
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0% found this document useful (0 votes)
57 views6 pages

Scholarship Form

The document contains an application for the Post-Matric Tuition Fee and Examination Fee (Freeship) for Crishi Navneet Pawar, a 22-year-old female from Maharashtra. It includes personal details, income information, domicile and caste certificates, past qualifications, current course details, and benefits requested. The application confirms the validity of the information provided and acknowledges penalties for falsehood.

Uploaded by

networksraj006
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

05/05/2025, 15:09 about:blank

Applicant Photo
ApplicationID :2425SJF1000399255
Application ID Scheme Name
2425SJF1000399255 Post-Matric Tuition Fee and
Examination Fee (Freeship)

Department Name Applied Date


Social Justice and Special 11/02/2025
Assistance Department

Personal Details
ApplicationID :2425SJF1000399255
Full Name Mobile Number. Email ID
Crishi Navneet Pawar xxxxxx0045 v****2@gmail.com

Date Of Birth Gender Age


xx/xx/2002 Female 22

Religion Marital Status Applicant Full Name (As Per


Buddhist Unmarried SSC Marksheet/ L.C.)
CRISHI NAVNEET PAWAR

Parent's/Guardian Mobile No Dependent Type


xxxxxx7690 -

Permanent address Details


ApplicationID :2425SJF1000399255
Address State District
Shree Sadguru Maharashtra Thane
Apartment,C/05, Talmajala,
Dativali Road,Shree Sadguru
Taluka Village
Near Phase-2,Diwa,400612
Thane DIVA

Pincode IsCorrespondence Address


400612 same as Permanent?
No

Correspondence Address Details


ApplicationID :2425SJF1000399255
Address State District
ROOM NO 203, Siddhivinayak Maharashtra Thane
Garden, A2 , Diva Shil Road,
DIVA(E) THANE 400612
Taluka Village
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Thane DIVA

Pincode IsCorrespondence Address


400612 same as Permanent?
No

Income Details
ApplicationID :2425SJF1000399255
Do you have Income Does your Certificate have a Family Annual Income
Certificate? Barcode? 496250.00
Yes No
Income Certificate No
41656986166

Issuing Authority Date of Issue


Tahsildar 31/05/2024

Domicile Details
ApplicationID :2425SJF1000399255
Are you Domicile of Do you have Domicile Relationship Type
Maharashtra? Certificate? Self
Yes Yes
Domicile Certificate No.
41656742038

Does your Certificate have a Applicant Name Issuing Authority


Barcode? CRISHI NAVNEET PAWAR Tahsildar
No
Date of Issue
10/11/2022

Caste Details
ApplicationID :2425SJF1000399255
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


G-378/2012 Mumbai Suburban CRISHI NAVNEET PAWAR

Issuing Authority
Sub-Divisional Officer/ Dy.
Collector

Personal Eligibility Details


ApplicationID :2425SJF1000399255
Are you Salaried? Disability of any Type?
No No
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Parent's/Guardian's Details
ApplicationID :2425SJF1000399255
Is Father Alive? Father Name Is Father Salaried?
Yes NAVNEET SHIVARAM PAWAR No

Is Mother Alive? Mother Name Is Mother Salaried?


Yes SHILPA NAVNEET PAWAR No

Past Qualification Details


ApplicationID :2425SJF1000399255
Qualification Level Stream Completed
H.S.C. (12 Std) Science Completed

Institute State Institute District Institute Taluka


Maharashtra Mumbai Suburban Mumbai Suburban

College Name / School Name Course Name Board/University


SMT S. T. MEHTA WOMENS JR. 12th Science MAHARASHTRA STATE BOARD
COLLEGE GHATKOPAR (W) OF SECONDARY AND HIGHER
SECONDARY EDUCATION

Mode Admission Year Passing Year


Regular 2018 2020

Result Percentage Attempts


Passed 62.46 2

Is Gap? Qualification Level Stream


Yes Under Graduate Course Science

Completed Institute State Institute District


Completed Maharashtra Mumbai City

Institute Taluka College Name / School Name Course Name


Mumbai City Siddharth College of Arts, B.Sc.
Science and Commerce, Fort,
Mumbai
Board/University
MUMBAI UNIVERSITY

Mode Admission Year Passing Year


Regular 2021 2024

Result Percentage Attempts


Passed 74.97 1

Is Gap? Qualification Level Stream


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

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Completed Institute State Institute District


Completed Maharashtra Thane

Institute Taluka College Name / School Name Course Name


Thane SSC

Board/University Mode Admission Year


MAHARASHTRA STATE BOARD Regular 2017
OF SECONDARY AND HIGHER
SECONDARY EDUCATION
Passing Year Result
2018 Passed

Percentage Attempts Is Gap?


81.00 1 No

Current Course Details


ApplicationID :2425SJF1000399255
Admission Year In Current Institute State Institute District
Course Maharashtra Mumbai City
2024
Institute Taluka Qualification Level
Mumbai City Post Graduate Course

Stream College Name/school Name Course Name


Science RAMNARAIN RUIA M.Sc. (Organic Chemistry)
AUTONOMOUS COLLEGE
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
10/06/24 College/Institute
-

Percentage Result Fees Paid


- - 13691.00

Course Type Admission Through Open Or Gap Year


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

Gap Reason CET / Merit Percentage / CLAT


Score
0
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Hostel Details
ApplicationID :2425SJF1000399255
Hosteller / Day Scholor Type
Day Scholar

Additional Question
ApplicationID :2425SJF1000399255
Question Answer
Is this a Renewal Application? No

Benefits
ApplicationID :2425SJF1000399255
Tution Fee

25000.00
Development Fee

700.00
Exam Fee

5506.00
Admission Fee

500.00
Session Fee

0.00
Laboratory Fee

30000.00
Semester Fee

0.00
Library Fee

1000.00
Gymkhana Fee

400.00
Study Tour

0.00
Enrollment Fee

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1000.00

Other Fee

1436.00
Project Fee

0.00

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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