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Scholarship Form

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Harsh dubey
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0% found this document useful (0 votes)
18 views

Scholarship Form

Uploaded by

Harsh dubey
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 :2425DTR1001881922

Application ID Scheme Name


2425DTR1001881922 Rajarshi Chhatrapati Shahu
Maharaj Shikshan Shulkh
Shishyavrutti Yojna(EBC)

Department Name Applied Date


Directorate of Technical 23/09/2024
Education

Personal Details
ApplicationID :2425DTR1001881922

Full Name Mobile Number. Email ID


Harsh Vishnu Dubey xxxxxx6927 m****[email protected]

Date Of Birth Gender Age


xx/xx/2005 Male 18

Religion Marital Status Applicant Full Name (As Per


Hindu Unmarried SSC Marksheet/ L.C.)
Dubey Harsh Vishnu

Parent's/Guardian Mobile No Dependent Type


xxxxxx4027 -

Permanent address Details


ApplicationID :2425DTR1001881922

Address State District


,,mohta mill quarter,,442301 Maharashtra Wardha

Taluka Village Pincode


Hinganghat 442301

IsCorrespondence Address
same as Permanent?
Yes

Correspondence Address Details


ApplicationID :2425DTR1001881922
Address State District
,,mohta mill quarter,,442301 Maharashtra Wardha

Taluka Village Pincode


Hinganghat Hinganghat 442301

Income Details
ApplicationID :2425DTR1001881922

Do you have Income Certificate? Does your Certificate have a Family Annual Income
Yes Barcode? 30000.00
No
Income Certificate No
40324486778

Issuing Authority Date of Issue


Tahsildar 01/08/2023

Domicile Details
ApplicationID :2425DTR1001881922

Are you Domicile of Do you have Domicile Relationship Type


Maharashtra? Certificate? Self
Yes Yes
Domicile Certificate No.
40354921652

Does your Certificate have a Applicant Name Issuing Authority


Barcode? Dubey Harsh Vishnu Tahsildar
No
Date of Issue
30/11/2021

Caste Details
ApplicationID :2425DTR1001881922

Caste Category
General

Personal Eligibility Details


ApplicationID :2425DTR1001881922

Are you Salaried? Disability of any Type?


No No

Parent's/Guardian's Details
ApplicationID :2425DTR1001881922
Is Father Alive? Father Name Is Father Salaried?
Yes Vishnu prasad dube No

Is Mother Alive? Mother Name Is Mother Salaried?


Yes Sarika No

Past Qualification Details


ApplicationID :2425DTR1001881922

Qualification Level Stream Completed


S.S.C. (10 Std) SSC Completed

Institute State Institute District Institute Taluka


Maharashtra Wardha Hinganghat

College Name / School Name Course Name Board/University


SSC CBSE

Mode Admission Year Passing Year


Regular 2021 2022

Result Percentage Attempts


Passed 55.00 1

Is Gap?
No

Current Course Details


ApplicationID :2425DTR1001881922

Admission Year In Current Institute State Institute District


Course Maharashtra Nagpur
2022
Institute Taluka Qualification Level
Nagpur (Rural) Diploma Course

Stream College Name/school Name Course Name


Engineering Wainganga College of Post S.S.C. Diploma in
Engineering and Management, Engineering (Polytechnics) -
Dongargaon, Nagpur Computer Science and
Engineering

Admission Type Application Admission ID/CAP Year Of Study


Through CAP/Govt. Quota ID/CLAT Admit Card No First Year
DEN22226591
Completed Or Continue
Completed
Admission Date Admission Year in
- College/Institute
2022

Percentage Result Fees Paid


75 Passed With ATKT
Course Type
UnAided

Admission Through Open Or Gap Year Mode


Reserved Category? 0 Regular
General
Gap Reason CET / Merit Percentage / CLAT
Score
44

Admission Year In Current Institute State Institute District


Course Maharashtra Nagpur
2022
Institute Taluka Qualification Level
Nagpur (Rural) Diploma Course

Stream College Name/school Name Course Name


Engineering Wainganga College of Post S.S.C. Diploma in
Engineering and Management, Engineering (Polytechnics) -
Dongargaon, Nagpur Computer Science and
Engineering

Admission Type Application Admission ID/CAP Year Of Study


Through CAP/Govt. Quota ID/CLAT Admit Card No Second Year
DEN22226591
Completed Or Continue
Completed

Admission Date Admission Year in Percentage


- College/Institute 78
2023
Result
Passed

Fees Paid Course Type Admission Through Open Or


UnAided Reserved Category?
General

Gap Year Mode Gap Reason


0 Regular
CET / Merit Percentage / CLAT
Score
44

Admission Year In Current Institute State Institute District


Course Maharashtra Nagpur
2022
Institute Taluka Qualification Level
Nagpur (Rural) Diploma Course

Stream College Name/school Name Course Name


Engineering Wainganga College of Post S.S.C. Diploma in
Engineering and Management, Engineering (Polytechnics) -
Dongargaon, Nagpur Computer Science and
Engineering

Admission Type Application Admission ID/CAP Year Of Study


Through CAP/Govt. Quota ID/CLAT Admit Card No Third Year
DEN22226591
Completed Or Continue
Pursuing

Admission Date Admission Year in Percentage


25/04/24 College/Institute -
-
Result
-

Fees Paid Course Type Admission Through Open Or


0.00 UnAided Reserved Category?
General

Gap Year Mode Gap Reason


0 Regular
CET / Merit Percentage / CLAT
Score
44

Hostel Details
ApplicationID :2425DTR1001881922

Hosteller / Day Scholor Type


Day Scholar

Additional Question
ApplicationID :2425DTR1001881922
Question Answer
your number of beneficiary in 1 Question
family ? Enter previous year application
ID

Answer
Question Answer
2324DTR1001457542
Upload undertaking form that DD.jpg
same year not more than two
beneficiary in family

Question
Do you avail any scholarship /
stipend ?

Answer
Question Answer
No
Is taking benefit of TFWS No
(Tuition Fee Waiver Scheme)?

Question Answer
Is admitted under EWS seat? No Question
Is this a Renewal Application?

Answer
Yes

Benefits
ApplicationID :2425DTR1001881922

Tution Fee

41182.00
50% Tution Fee

20591.00
Exam Fee

1200.00
50% of Exam Fee

600.00

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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