Applicant Details

Applicant Photo
ApplicationID :1819DTR1000287566

Application ID Scheme Name

1819DTR1000287566 Rajarshi Chhatrapati Shahu
Maharaj Shikshan Shulkh
Shishyavrutti Yojna(EBC)

Department Name Applied Date

Directorate of Technical 27/11/2018
Education

Personal Details
ApplicationID :1819DTR1000287566

Full Name Mobile Number. Email ID

Sandesh Shrikant Jain 8888277987 sandeshjain511@gmail.com

Date Of Birth Gender Age

20/07/2000 Male 18

Religion Marital Status Applicant Full Name (As Per

Jain Unmarried SSC Marksheet/ L.C.)
SANDESH SHRIKANT JAIN

Parent's/Guardian Mobile No Dependent Type

9421702706 -

Permanent address Details

ApplicationID :1819DTR1000287566

Address State District

,,NEAR OSWAL Maharashtra Nagpur
BHAVAN,,440002
Taluka Village
NAGPUR

Pincode IsCorrespondence Address

440002 same as Permanent?
No

Correspondence Address Details

ApplicationID :1819DTR1000287566
Address State District
OSWAL BHAWAN HOUSE NO MAHARASHTRA Nagpur
1051 BHAJI MANDI ITWARI
Taluka Village
Nagpur (Urban) NAGPUR

Pincode IsCorrespondence Address

440002 same as Permanent?
No

Income Details
ApplicationID :1819DTR1000287566

Do you have Income Certificate? Does your Certificate have a Family Annual Income
Yes Barcode? 266000.00
No
Income Certificate No
21281 MRC-81/2018-19

Issuing Authority Date of Issue

Nayab Tahsildar 31/10/2018

Domicile Details
ApplicationID :1819DTR1000287566

Are you Domicile of Do you have Domicile Relationship Type

Maharashtra? Certificate? Self
Yes Yes
Domicile Certificate No.
730297112062018/MRC-

Does your Certificate have a Applicant Name Issuing Authority

Barcode? SANDESH SHRIKANT JAIN Sub-Divisional Officer/ Dy.
No Collector

Date of Issue
12/06/2018

Caste Details
ApplicationID :1819DTR1000287566

Caste Category
General

Personal Eligibility Details

ApplicationID :1819DTR1000287566

Are you Salaried? Disability of any Type?

No No

Parent's/Guardian's Details
ApplicationID :1819DTR1000287566

Is Father Alive? Father Name Is Father Salaried?

Yes SHRIKANT DARBARILAL JAIN No

Is Mother Alive? Mother Name Is Mother Salaried?

Yes SHIKHA SHRIKANT JAIN No

Past Qualification Details

ApplicationID :1819DTR1000287566

Qualification Level Stream Completed

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

Institute State Institute District Institute Taluka

MAHARASHTRA Nagpur Nagpur (Urban)

College Name / School Name Course Name Board/University

SSC CBSE

Mode Admission Year Passing Year

Regular 2015 2016

Result Percentage Attempts

Passed 75.40 1

Is Gap? Qualification Level Stream

No H.S.C. (12 Std) Science

Completed Institute State Institute District

Completed MAHARASHTRA Nagpur

Institute Taluka College Name / School Name Course Name

Nagpur (Urban) PRERNA CONVENT 12th Science

Board/University Mode Admission Year

MAHARASHTRA STATE BOARD Regular 2017
OF SECONDARY AND HIGHER
SECONDARY EDUCATION
Passing Year Result
2018 Passed

Percentage Attempts Is Gap?

63.69 1 No
Current Course Details
ApplicationID :1819DTR1000287566

Admission Year In Current Institute State Institute District

Course MAHARASHTRA Nagpur
2018
Institute Taluka Qualification Level
Nagpur (Urban) Under Graduate Course

Stream College Name/school Name Course Name

Engineering Shri Ramdeobaba College of Bachelor of Engineering (B. E.)
Engineering and Management, - Civil Engineering
Nagpur
Admission Type
Through CAP/Govt. Quota

Application Admission ID/CAP Year Of Study Completed Or Continue

ID First Year Pursuing
EN18133855
Admission Date Admission Year in
19/07/18 College/Institute
-

Percentage Result Fees Paid

- - 143900.00

Course Type Admission Through Open Or Gap Year

UnAided Reserved Category? 0
General
Mode
Regular

GapReason

Hostel Details
ApplicationID :1819DTR1000287566

Hosteller / Day Scholor Type

Day Scholar

Additional Question
ApplicationID :1819DTR1000287566

Question Answer
Do you avail any scholarship / No Question
stipend ? your number of beneficiary in
family ?
Answer
Question Answer
1
Upload undertaking form that 20190109_095003.jpg
same year not more than two
beneficiary in family

Question
Is this a Renewal Application?

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

Benefits
ApplicationID :1819DTR1000287566

Tution Fee

117772.00
50% Tution Fee

58886.00
Exam Fee

4400.00
50% of Exam Fee

2200.00

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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