Devanand Form

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Applicant Details

Applicant Photo
ApplicationID :2425STI1000085089
Application ID Scheme Name
2425STI1000085089 Stipend of Rs. 500 per month
for trainees in Craftsman
Training Scheme in Govt ITI

Department Name Applied Date


Skill Development, 21/11/2024
Employement And
Entrepreneursh

Personal Details
ApplicationID :2425STI1000085089
Full Name Mobile Number. Email ID
Devanad Vishvanath Varne xxxxxx2280
Date Of Birth
xx/xx/2006

Gender Age Religion


Male 18 Hindu

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


Unmarried SSC Marksheet/ L.C.) xxxxxx6196
Devanand Vishwantath Warane
Dependent Type
-

Permanent address Details


ApplicationID :2425STI1000085089
Address State District
,,,Dhansal,445215 Maharashtra Yavatmal

Taluka Village Pincode


Pusad Karla 445215

IsCorrespondence Address
same as Permanent?
Yes

Correspondence Address Details


ApplicationID :2425STI1000085089
Address State District
,,,Dhansal,445215 Maharashtra Yavatmal

Taluka Village Pincode


Pusad Karla 445215

Income Details
ApplicationID :2425STI1000085089
Do you have Income Certificate? Does your Certificate have a Family Annual Income
Yes Barcode? 30000.00
No
Income Certificate No
408521143167

Issuing Authority Date of Issue


Tahsildar 29/06/2024

Domicile Details
ApplicationID :2425STI1000085089
Are you Domicile of Do you have Domicile Relationship Type
Maharashtra? Certificate? Self
Yes Yes
Domicile Certificate No.
408521144070

Does your Certificate have a Applicant Name Issuing Authority


Barcode? Devanand Vishwantath Warane Tahsildar
No
Date of Issue
30/06/2024

Caste Details
ApplicationID :2425STI1000085089
Do you have Caste Certificate? Caste Category Does your Certificate have a
Yes (OBC) Other Backward Class Barcode?
No

Caste Certificate Number Issuing District Applicant Name


408521007017 Yavatmal Devanand Vishwantath Warane

Issuing Authority
Sub Divisional Officer(SDO)

Personal Eligibility Details


ApplicationID :2425STI1000085089
Are you Salaried? Disability of any Type?
No No

Parent's/Guardian's Details
ApplicationID :2425STI1000085089
Is Father Alive? Father Name Is Father Salaried?
Yes Vishwanath Ranganath Warane No

Is Mother Alive? Mother Name Is Mother Salaried?


Yes Shobha Vishwanath Warane No

Past Qualification Details


ApplicationID :2425STI1000085089
Qualification Level Stream Completed
S.S.C. (10 Std) SSC Completed

Institute State Institute District Institute Taluka


Maharashtra Yavatmal Pusad

College Name / School Name Course Name Board/University


SSC MAHARASHTRA STATE BOARD
OF SECONDARY AND HIGHER
SECONDARY EDUCATION

Mode Admission Year Passing Year


Regular 2021 2022

Result Percentage Attempts


Passed 80.80 1

Is Gap?
No

Current Course Details


ApplicationID :2425STI1000085089
Admission Year In Current Institute State Institute District
Course Maharashtra Yavatmal
2024
Institute Taluka Qualification Level
Pusad Vocational Course

Stream College Name/school Name Course Name


Non Engineering Group Govt ITI, Pusad, Dist: Yavatmal
Computer Operator and
Programming Assistant-ITI-
(IMC)

Admission Type Application Admission ID/CAP Year Of Study


- ID/CLAT Admit Card No First Year
-
Completed Or Continue
Pursuing

Admission Date Admission Year in Percentage


02/08/24 College/Institute -
-
Result
-

Fees Paid Course Type Admission Through Open Or


950.00 Aided Reserved Category?
(OBC) Other Backward Class

Gap Year Mode Gap Reason


0 Regular
CET / Merit Percentage / CLAT
Score
0

Hostel Details
ApplicationID :2425STI1000085089
Hosteller / Day Scholor Type
Day Scholar

Additional Question
ApplicationID :2425STI1000085089
Question Answer
Your number of beneficiary in 1 Question
family ? Upload Non Creamy Layer
Certificate

Answer
Question Answer
11zon_JPG-to-PDF (6).pdf
Upload undertaking form for 11zon_JPG-to-PDF (9).pdf
Same year not more than two
beneficiaries in family / if twins

Question
Select budget head
Answer
Question Answer
DVET -CTS- MINORITY - PLAN
Is this a Renewal Application? No
-2235A534

Question Answer
Are you suspended or found No Question
non-eligible for the All India Have you left the Govt ITI?
Trade Test (AITT)?

Answer
No Question
Are you a trainee in Private ITI?

Answer
No

Benefits
ApplicationID :2425STI1000085089
Amount per month

500.00
Number of Months for which
benefit is allotted

12.00

Total Amount

6000.00

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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