Applicant Details

Applicant Photo
ApplicationID :2425VJB1000865484
Application ID Scheme Name
2425VJB1000865484 Tuition Fees and Examination
Fees to OBC Students

Department Name Applied Date

OBC, SEBC, VJNT & SBC 30/10/2024
Welfare Department

Personal Details
ApplicationID :2425VJB1000865484
Full Name Mobile Number. Email ID
Harshal Sanjay Patil xxxxxx7414 h****[email protected]

Date Of Birth Gender Age

xx/xx/2007 Male 17

Religion Marital Status Applicant Full Name (As Per

Hindu Unmarried SSC Marksheet/ L.C.)
Patil Harshal Sanjay

Parent's/Guardian Mobile No Dependent Type

xxxxxx6728 -

Permanent address Details

ApplicationID :2425VJB1000865484
Address State District
,,,Muktainagar,425306 Maharashtra Jalgaon

Taluka Village Pincode

Muktainagar (Edlabad) Taroda 425306

IsCorrespondence Address
same as Permanent?
Yes

Correspondence Address Details

ApplicationID :2425VJB1000865484
Address State District
,,,Muktainagar,425306 Maharashtra Jalgaon

Taluka Village Pincode

Muktainagar (Edlabad) Taroda 425306

Income Details
ApplicationID :2425VJB1000865484
Do you have Income Certificate? Does your Certificate have a Family Annual Income
Yes Barcode? 674765.00
No
Income Certificate No
39631124893

Issuing Authority Date of Issue

Tahsildar 17/05/2024

Domicile Details
ApplicationID :2425VJB1000865484
Are you Domicile of Do you have Domicile Relationship Type
Maharashtra? Certificate? Self
Yes Yes
Domicile Certificate No.
39631124976

Does your Certificate have a Applicant Name Issuing Authority

Barcode? Harshal Sanjay Patil Tahsildar
No
Date of Issue
17/05/2024

Caste Details
ApplicationID :2425VJB1000865484
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

200 Jalgaon Harshal Sanjay Patil

Issuing Authority
Sub Divisional Officer(SDO)

Personal Eligibility Details

ApplicationID :2425VJB1000865484
Are you Salaried? Disability of any Type?
No No

Parent's/Guardian's Details
ApplicationID :2425VJB1000865484
Is Father Alive? Father Name Is Father Salaried?
Yes Sanjay Ukha Patil Yes

Father Occupation Is Mother Alive? Mother Name

Service Yes Manda Sanjay Patil

Is Mother Salaried?
No

Past Qualification Details

ApplicationID :2425VJB1000865484
Qualification Level Stream Completed
S.S.C. (10 Std) SSC Completed

Institute State Institute District Institute Taluka

Maharashtra Akola Akola

College Name / School Name Course Name Board/University

SSC MAHARASHTRA STATE BOARD
OF SECONDARY AND HIGHER
SECONDARY EDUCATION

Mode Admission Year Passing Year

Regular 2023 2024

Result Percentage Attempts

Passed 77.20 1

Is Gap?
No

Current Course Details

ApplicationID :2425VJB1000865484
Admission Year In Current Institute State Institute District
Course Maharashtra Akola
2024
Institute Taluka Qualification Level
Akola F.Y.J.C. (11 Std)
 Stream
Science

College Name/school Name Course Name Admission Type

KHANDELWAL DNYAN MANDIR 11th Science -
CON
Application Admission ID/CAP Year Of Study
ID/CLAT Admit Card No First Year
-
Completed Or Continue
Pursuing

Admission Date Admission Year in Percentage

27/06/24 College/Institute -
-
Result
-

Fees Paid Course Type Admission Through Open Or

0.00 UnAided Reserved Category?
(OBC) Other Backward Class

Gap Year Mode Gap Reason

0 Regular
CET / Merit Percentage / CLAT
Score
0

Hostel Details
ApplicationID :2425VJB1000865484
Hosteller / Day Scholor Type
Day Scholar

Additional Question
ApplicationID :2425VJB1000865484
Question Answer
Cast Validity Certificate (For caste_compressed.pdf Question
Professional Courses As Per GR CAP Allotment Letter (For
Dated 31st July 2008) Exempted Professional Courses)
Professional courses to be
identified
Answer
harshal Question
bonafide_compressed.pdf Declaration certificate of
parents/guardians about
number of children
beneficiaries
 Answer
harshal Question
declare_compressed.pdf Leaving Certificate

Answer
Question Answer
harshal
Ration card for identify number Harshal ration card.pdf
leaving_compressed.pdf
of children’s in family

Question Answer
Is this a Renewal Application? No

Benefits
ApplicationID :2425VJB1000865484
Tution Fee

192.00
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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