Applicant Details

Applicant Photo
ApplicationID :1819DTR1000176484

Application ID Scheme Name

1819DTR1000176484 Rajarshi Chhatrapati Shahu
Maharaj Shikshan Shulkh
Shishyavrutti Yojna(EBC)

Department Name Applied Date

Directorate of Technical 30/10/2018
Education

Personal Details
ApplicationID :1819DTR1000176484

Full Name Mobile Number. Email ID

Mayur Dhanaji Jadhav 9075667543 mayurjadhav1998.mj@gmail.com

Date Of Birth Gender Age

28/12/1998 Male 20

Religion Marital Status Applicant Full Name (As Per

Hindu Unmarried SSC Marksheet/ L.C.)
Mayur Dhanaji Jadhav

Parent's/Guardian Mobile No Dependent Type

9921830231 -

Permanent address Details

ApplicationID :1819DTR1000176484

Address State District

,MIREWADI(DALAWADI),,Vakhari,415523
Maharashtra Satara

Taluka Village Pincode

Phaltan MIREWADI 415523

IsCorrespondence Address
same as Permanent?
Yes

Correspondence Address Details

ApplicationID :1819DTR1000176484
Address State District
,MIREWADI(DALAWADI),,Vakhari,415523
MAHARASHTRA Satara

Taluka Village Pincode

Phaltan MIREWADI 415523

Income Details
ApplicationID :1819DTR1000176484

Do you have Income Certificate? Does your Certificate have a Family Annual Income
Yes Barcode? 50000.00
No
Income Certificate No
42585103188

Issuing Authority Date of Issue

Tahsildar 26/10/2018

Domicile Details
ApplicationID :1819DTR1000176484

Are you Domicile of Do you have Domicile Relationship Type

Maharashtra? Certificate? Self
Yes Yes
Domicile Certificate No.
42585047613

Does your Certificate have a Applicant Name Issuing Authority

Barcode? Mayur Dhanaji Jadhav Tahsildar
No
Date of Issue
03/07/2017

Caste Details
ApplicationID :1819DTR1000176484

Caste Category
General

Personal Eligibility Details

ApplicationID :1819DTR1000176484

Are you Salaried? Disability of any Type?

No No

Parent's/Guardian's Details
ApplicationID :1819DTR1000176484
Is Father Alive? Father Name Is Father Salaried?
Yes Dhanaji Manku Jadhav No

Is Mother Alive? Mother Name Is Mother Salaried?

Yes Sangita Dhanaji Jadhav No

Past Qualification Details

ApplicationID :1819DTR1000176484

Qualification Level Stream Completed

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

Institute State Institute District Institute Taluka

MAHARASHTRA Satara Phaltan

College Name / School Name Course Name Board/University

SSC MAHARASHTRA STATE BOARD
OF SECONDARY AND HIGHER
SECONDARY EDUCATION

Mode Admission Year Passing Year

Regular 2014 2015

Result Percentage Attempts

Passed 78.40 1

Is Gap? Qualification Level Stream

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

Completed Institute State Institute District

Completed MAHARASHTRA Satara

Institute Taluka College Name / School Name Course Name

Phaltan MALOJIRAJE SHETI VIDYALAY &12th Science
JUNIOR COLLEGE, PHALTAN
Board/University
MAHARASHTRA STATE BOARD
OF SECONDARY AND HIGHER
SECONDARY EDUCATION

Mode Admission Year Passing Year

Regular 2016 2017

Result Percentage Attempts

Passed 55.69 1

Is Gap?
No

Current Course Details

ApplicationID :1819DTR1000176484

Admission Year In Current Institute State Institute District

Course MAHARASHTRA Pune
2017
Institute Taluka Qualification Level
Haveli Diploma Course

Stream College Name/school Name Course Name

Engineering Poona District Education Post S.S.C. Diploma in
Association's, Institute of Engineering (Polytechnics) -
Technology,Hadpsar,Pune Computer Engineering

Admission Type Application Admission ID/CAP Year Of Study

Through CAP/Govt. Quota ID Direct Second Year
DSD17184535
Completed Or Continue
Completed

Admission Date Admission Year in Percentage

- College/Institute 57
2017
Result
Passed With ATKT

Fees Paid Course Type Admission Through Open Or

0.00 UnAided Reserved Category?
General

Gap Year Mode Gap Reason

0 Regular
CET / Merit Percentage
0

Admission Year In Current Institute State Institute District

Course MAHARASHTRA Pune
2017
Institute Taluka Qualification Level
Haveli Diploma Course

Stream College Name/school Name Course Name

Engineering Poona District Education Post S.S.C. Diploma in
Association's, Institute of Engineering (Polytechnics) -
Technology,Hadpsar,Pune Computer Engineering
Admission Type Application Admission ID/CAP Year Of Study
Through CAP/Govt. Quota ID Third Year
DSD17184535
Completed Or Continue
Pursuing

Admission Date Admission Year in Percentage

10/08/18 College/Institute -
-
Result
-

Fees Paid Course Type Admission Through Open Or

27000.00 UnAided Reserved Category?
General

Gap Year Mode Gap Reason

0 Regular
CET / Merit Percentage
0

Hostel Details
ApplicationID :1819DTR1000176484

Hosteller / Day Scholor Type

Day Scholar

Additional Question
ApplicationID :1819DTR1000176484

Question Answer
Do you avail any scholarship / No Question
stipend ? your number of beneficiary in
family ?

Answer
Question Answer
1
Upload undertaking form that Mayur Pratidyapatr.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 :1819DTR1000176484

Tution Fee

54700.00
50% Tution Fee

27350.00
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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