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Applicant Details
Applicant Photo
ApplicationID :1920VJB1000109808

Application ID Scheme Name

1920VJB1000109808 Tuition Fees and Examination
Fees to OBC Students

Department Name Applied Date

OBC, SEBC, VJNT & SBC 06/10/2019
Welfare Department

Personal Details
ApplicationID :1920VJB1000109808

Full Name Mobile Number. Email ID

Paurnima Anant Jadhav xxxxxx2163 j****4@gmail.com

Date Of Birth Gender Age

xx/xx/2002 Female 17

Religion Marital Status Applicant Full Name (As Per

Hindu Unmarried SSC Marksheet/ L.C.)
JADHAV PAURNIMA ANANT

Parent's/Guardian Mobile No Dependent Type

xxxxxx5064 -

Permanent address Details

ApplicationID :1920VJB1000109808

Address State District

N-42 AB-2/8/7,Lokmanya Maharashtra Nashik
Nagar,,Cidco Colony,422009
Taluka Village
Nashik NASHIK

Pincode IsCorrespondence Address same

422009 as Permanent?
Yes

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Correspondence Address Details

ApplicationID :1920VJB1000109808

Address State District

N-42 AB-2/8/7,Lokmanya MAHARASHTRA Nashik
Nagar,,Cidco Colony,422009
Taluka Village
Nashik NASHIK

Pincode
422009

Income Details
ApplicationID :1920VJB1000109808

Do you have Income Certificate? Does your Certificate have a Family Annual Income
Yes Barcode? 28356.00
No
Income Certificate No
41521423126

Issuing Authority Date of Issue

Nayab Tahsildar 06/05/2019

Domicile Details
ApplicationID :1920VJB1000109808

Are you Domicile of Do you have Domicile Relationship Type

Maharashtra? Certificate? Self
Yes Yes
Domicile Certificate No.
41521280989

Does your Certificate have a Applicant Name Issuing Authority

Barcode? JADHAV PAURNIMA ANANT Tahsildar
No
Date of Issue
24/06/2018

Caste Details
ApplicationID :1920VJB1000109808

Do you have Caste Certificate? Caste Category Does your Certificate have a
Yes (OBC) Other Backward Class Barcode?
No

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Caste Certificate Number Issuing District Applicant Name

41521249468 Nashik JADHAV PAURNIMA ANANT

Issuing Authority
Sub Divisional Officer(SDO)

Personal Eligibility Details

ApplicationID :1920VJB1000109808

Are you Salaried? Disability of any Type?

No No

Parent's/Guardian's Details
ApplicationID :1920VJB1000109808

Is Father Alive? Father Name Is Father Salaried?

Yes ANANT EKNATH JADHAV No

Is Mother Alive? Mother Name Is Mother Salaried?

Yes SARALA ANANT JADHAV No

Past Qualification Details

ApplicationID :1920VJB1000109808

Qualification Level Stream Completed

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

Institute State Institute District Institute Taluka

MAHARASHTRA Nashik Nashik

College Name / School Name Course Name Board/University

SSC MAHARASHTRA STATE
BOARD OF SECONDARY
AND HIGHER SECONDARY
EDUCATION

Mode Admission Year Passing Year

Regular 2017 2018

Result Percentage Attempts

Passed 85.40 1

Is Gap?
No

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Current Course Details

ApplicationID :1920VJB1000109808

Admission Year In Current Institute State Institute District

Course MAHARASHTRA Nashik
2019
Institute Taluka Qualification Level
Nashik H.S.C. (12 Std)

Stream College Name/school Name Course Name

Commerce K R T Arts B H Commerca and 12th Commerce
A M Science College Nashik
Admission Type
-

Application Admission ID/CAP Year Of Study Completed Or Continue

ID First Year Pursuing
-
Admission Date Admission Year in
15/05/19 College/Institute
-

Percentage Result Fees Paid

- - 0.00

Course Type Admission Through Open Or Gap Year

Aided Reserved Category? 0
(OBC) Other Backward Class
Mode
Regular

Gap Reason CET / Merit Percentage

0

Hostel Details
ApplicationID :1920VJB1000109808

Hosteller / Day Scholor Type

Day Scholar

Additional Question
ApplicationID :1920VJB1000109808

Question Answer
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Ration card for identify number ration card.jpg Question

of children’s in family Declaration certificate of
parents/guardians about number
of children beneficiaries

Answer
declaration.jpg Question Answer
Leaving Certificate lc.jpg

Question
CAP Allotment Letter (For
Professional Courses)

Answer
allot.jpg Question Answer
Cast Validity Certificate (For
Professional Courses As Per GR
Dated 31st July 2008) Exempted
Professional courses to be Question
identified Is this a Renewal Application?

Answer
No

Benefits
ApplicationID :1920VJB1000109808

Tution Fee

0.00
Exam 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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