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Applicant Details: Applicant Photo Applicationid:2122Sjs1002147815

The document appears to be an application for the Government of India Post-Matric Scholarship scheme. It contains personal details of the applicant Pratibha Parshuram Chabukswar, including name, date of birth, gender, religion, marital status, addresses, mobile numbers, email, annual family income, caste certificate details, and educational qualification details. The applicant is a 22-year old unmarried Hindu female from Solapur, Maharashtra with an annual family income of Rs. 60,000 and has completed a certificate course in drafting, diploma in mechanical engineering and is seeking scholarship support.

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vinayak tiwari
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0% found this document useful (0 votes)
58 views

Applicant Details: Applicant Photo Applicationid:2122Sjs1002147815

The document appears to be an application for the Government of India Post-Matric Scholarship scheme. It contains personal details of the applicant Pratibha Parshuram Chabukswar, including name, date of birth, gender, religion, marital status, addresses, mobile numbers, email, annual family income, caste certificate details, and educational qualification details. The applicant is a 22-year old unmarried Hindu female from Solapur, Maharashtra with an annual family income of Rs. 60,000 and has completed a certificate course in drafting, diploma in mechanical engineering and is seeking scholarship support.

Uploaded by

vinayak tiwari
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
You are on page 1/ 8

2/14/22, 7:59 PM

Applicant Details
Applicant Photo
ApplicationID :2122SJS1002147815

Application ID Scheme Name


2122SJS1002147815 Government of India Post-

Matric Scholarship

Department Name Applied Date


Social Justice and Special 14/02/2022
Assistance Department

Personal Details
ApplicationID :2122SJS1002147815

Full Name Mobile Number. Email ID


Pratibha Parshuram xxxxxx2226

Chabukswar

Date Of Birth
xx/xx/1999

Gender Age Religion


Female 22 Hindu

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


Unmarried SSC Marksheet/ L.C.) xxxxxx2220
Chabukswar Pratibha

Parshuram
Dependent Type

Permanent address Details


ApplicationID :2122SJS1002147815

Address State District


,,,Zilla Nayalaya Solapur,413003 Maharashtra Solapur

Taluka Village Pincode


Solapur North
413003

IsCorrespondence Address
same as Permanent?
Yes

Correspondence Address Details


ApplicationID :2122SJS1002147815
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2/14/22, 7:59 PM

Address State District


,,,Zilla Nayalaya Solapur,413003 MAHARASHTRA Solapur

Taluka Village Pincode


Solapur North
413003

Income Details
ApplicationID :2122SJS1002147815

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

Income Certificate No
42475287689

Issuing Authority Date of Issue


Nayab Tahsildar 11/02/2022

Domicile Details
ApplicationID :2122SJS1002147815

Are you Domicile of Do you have Domicile Relationship Type


Maharashtra? Certificate? Self
Yes Yes

Domicile Certificate No.


4247007694

Does your Certificate have a Applicant Name Issuing Authority


Barcode? Chabukswar Pratibha Tahsildar
No Parshuram

Date of Issue
29/05/2015

Caste Details
ApplicationID :2122SJS1002147815

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


156/2015 Solapur Chabukswar Pratibha

Parshuram

Issuing Authority
Sub Divisional Officer(SDO)

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Personal Eligibility Details


ApplicationID :2122SJS1002147815

Are you Salaried? Disability of any Type?


No No

Parent's/Guardian's Details
ApplicationID :2122SJS1002147815

Is Father Alive? Father Name Is Father Salaried?


Yes PARSHURAM BHIMRAO Yes
CHABUKSWAR

Father Occupation
Others

Is Mother Alive? Mother Name Is Mother Salaried?


Yes VANDANA PARSHURAM No
CHABUKSWAR

Past Qualification Details


ApplicationID :2122SJS1002147815

Qualification Level Stream Completed


Certificate Course Engineering Completed

Institute State Institute District Institute Taluka


Maharashtra Solapur Solapur North

College Name / School Name Course Name Board/University


DRAUGHTSMAN MUMBAI UNIVERSITY
(MECHANICAL)

Mode
Regular

Admission Year Passing Year Result


2016 2017 Passed

Percentage Attempts Is Gap?


66.61 1 No

Qualification Level Stream Completed


Certificate Course Engineering Completed

Institute State Institute District Institute Taluka


Maharashtra Solapur Solapur North

College Name / School Name Course Name Board/University


MUMBAI UNIVERSITY
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DRAUGHTSMAN (

MECHANICAL)
Mode

Regular

Admission Year Passing Year Result


2017 2018 Passed

Percentage Attempts Is Gap?


69.42 1 No

Qualification Level Stream Completed


Diploma Course Engineering Completed

Institute State Institute District Institute Taluka


Maharashtra Solapur Solapur North

College Name / School Name Course Name Board/University


Shikshan Prasarak Mandal's Post S.S.C. Diploma in MAHARASHTRA STATE BOARD
Polytechnic,Solapur Engineering (Polytechnics) - OF TECHNICAL EDUCATION,
Mechanical Engineering MUMBAI

Mode Admission Year Passing Year


Regular 2018 2020

Result Percentage Attempts


Passed 86.51 1

Is Gap? Qualification Level Stream


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

Completed Institute State Institute District


Completed Maharashtra Solapur

Institute Taluka College Name / School Name Course Name


Solapur North
SSC

Board/University Mode Admission Year


MAHARASHTRA STATE BOARD Regular 2014
OF SECONDARY AND HIGHER

SECONDARY EDUCATION
Passing Year Result
2015 Passed

Percentage Attempts Is Gap?


57.80 1 No

Current Course Details


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ApplicationID :2122SJS1002147815

Admission Year In Current Institute State Institute District


Course Maharashtra Thane
2020

Institute Taluka Qualification Level


Thane Under Graduate Course

Stream College Name/school Name Course Name


Engineering N.Y.S.S.'s Datta Meghe College Bachelor of Engineering (B. E.)
of Engineering, Airoli, Navi - Mechanical Engineering
Mumbai

Admission Type
Through CAP/Govt. Quota

Application Admission ID/CAP Year Of Study Completed Or Continue


ID/CLAT Admit Card No Direct Second Year Completed
DSE20162391

Admission Date Admission Year in


- College/Institute

2020

Percentage Result Fees Paid


68.2 Passed

Course Type
UnAided

Admission Through Open Or Gap Year Mode


Reserved Category? 0 Regular
(SC) Scheduled Caste

Gap Reason CET / Merit Percentage / CLAT



Score
86.19

Admission Year In Current Institute State Institute District


Course Maharashtra Thane
2020

Institute Taluka Qualification Level


Thane Under Graduate Course

Stream College Name/school Name Course Name


Engineering N.Y.S.S.'s Datta Meghe College Bachelor of Engineering (B. E.)
of Engineering, Airoli, Navi - Mechanical Engineering
Mumbai

Admission Type
Through CAP/Govt. Quota

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Application Admission ID/CAP Year Of Study Completed Or Continue


ID/CLAT Admit Card No Third Year Pursuing
DSE20162391

Admission Date Admission Year in


10/07/21 College/Institute

-

Percentage Result Fees Paid


- - 12706.00

Course Type Admission Through Open Or Gap Year


UnAided Reserved Category? 0
(SC) Scheduled Caste

Mode
Regular

Gap Reason CET / Merit Percentage / CLAT


Score
86.19

Hostel Details
ApplicationID :2122SJS1002147815

Hosteller / Day Scholor Type


Day Scholar

Additional Question
ApplicationID :2122SJS1002147815

Question Answer
Is this a Renewal Application? No Question

Upload Self Declaration ( If
Applicable)

Answer
Question Answer
Upload TC / LC 988.jpg

Benefits
ApplicationID :2122SJS1002147815

Tution Fee

85202.00
Development Fee

9798.00

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2/14/22, 7:59 PM

Exam Fee

2034.00
Admission Fee

0.00
Session Fee

0.00
Laboratory Fee

0.00
Semester Fee

0.00
Library Fee

0.00
Gymkhana Fee

0.00
Study Tour

0.00
Enrollment Fee

0.00
Other Fee

0.00
Project Fee

0.00
Number of Months for which
benefit is allotted

10.00

Maintenance Allowance per


month

550.00

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Total Maintenance Allowance


5500.00

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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