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Applicant Details
Applicant Photo
ApplicationID :1920DTR1000050185

Application ID Scheme Name

1920DTR1000050185 Rajarshi Chhatrapati Shahu
Maharaj Shikshan Shulkh
Shishyavrutti Yojna(EBC)

Department Name Applied Date

Directorate of Technical 16/09/2019
Education

Personal Details
ApplicationID :1920DTR1000050185

Full Name Mobile Number. Email ID

Nilesh Singh 9892111070 Nileshsingh15April98@gmail.com

Date Of Birth Gender Age

15/04/1998 Male 21

Religion Marital Status Applicant Full Name (As Per

Hindu Unmarried SSC Marksheet/ L.C.)
Singh Nilesh Singh Sheshmani

Parent's/Guardian Mobile No Dependent Type

9892111070 -

Permanent address Details

ApplicationID :1920DTR1000050185

Address State District

,,,,400054 Maharashtra Mumbai

Taluka Village Pincode

Mumbai 400054

IsCorrespondence Address
same as Permanent?
Yes

Correspondence Address Details

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ApplicationID :1920DTR1000050185

Address State District

,,,,400054 MAHARASHTRA Mumbai Suburban

Taluka Village Pincode

Mumbai Suburban Mumbai 400054

Income Details
ApplicationID :1920DTR1000050185

Do you have Income Does your Certificate have a Family Annual Income
Certificate? Barcode? 98000.00
Yes No
Income Certificate No
605/2018

Issuing Authority Date of Issue

Tahsildar 02/07/2018

Domicile Details
ApplicationID :1920DTR1000050185

Are you Domicile of Do you have Domicile Relationship Type

Maharashtra? Certificate? Self
Yes Yes
Domicile Certificate No.
4513/2014

Does your Certificate have a Applicant Name Issuing Authority

Barcode? Singh Nilesh Singh Sheshmani Tahsildar
No
Date of Issue
16/10/2014

Caste Details
ApplicationID :1920DTR1000050185

Caste Category
General

Personal Eligibility Details

ApplicationID :1920DTR1000050185

Are you Salaried? Disability of any Type?

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No No

Parent's/Guardian's Details
ApplicationID :1920DTR1000050185

Is Father Alive? Father Name Is Father Salaried?

Yes Sheshmani Yes

Father Occupation Is Mother Alive? Mother Name

Business Yes Shashikala

Is Mother Salaried?
No

Past Qualification Details

ApplicationID :1920DTR1000050185

Qualification Level Stream Completed

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

Institute State Institute District Institute Taluka

MAHARASHTRA Mumbai Suburban Mumbai Suburban

College Name / School Name Course Name Board/University

SSC MAHARASHTRA STATE
BOARD OF SECONDARY
AND HIGHER SECONDARY
EDUCATION

Mode Admission Year Passing Year

Regular 2013 2014

Result Percentage Attempts

Passed 76.80 1

Is Gap? Qualification Level Stream

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

Completed Institute State Institute District

Completed MAHARASHTRA Mumbai Suburban

Institute Taluka College Name / School Name Course Name

Mumbai Suburban 12th Science

Board/University Mode Admission Year

Maharashtra State Board Of Regular 2016
Secondary And Higher
Education
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Passing Year Result

2017 Passed

Percentage Attempts Is Gap?

66.15 1 No

Current Course Details

ApplicationID :1920DTR1000050185

Admission Year In Current Institute State Institute District

Course MAHARASHTRA Sangli
2017
Institute Taluka Qualification Level
Miraj Under Graduate Course

Stream College Name/school Name Course Name

Engineering Shetkari Shikshan Mandal's Bachelor of Technology (B.
Pad. Vasantraodada Patil Tech.) - Chemical Engineering
Institute of Technology,
Budhgaon, Sangli
Admission Type
Through CAP/Govt. Quota

Application Admission Year Of Study Completed Or Continue

ID/CAP ID First Year Completed
EN17187491
Admission Date Admission Year in
- College/Institute
2017

Percentage Result Fees Paid

76.8 Passed
Course Type
UnAided

Admission Through Open Or Gap Year Mode

Reserved Category? 0 Regular
General
Gap Reason CET / Merit Percentage
0

Admission Year In Current Institute State Institute District

Course MAHARASHTRA Sangli
2017
Institute Taluka Qualification Level
Miraj Under Graduate Course

Stream College Name/school Name Course Name

Engineering
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Shetkari Shikshan Mandal's Bachelor of Technology (B.

Pad. Vasantraodada Patil Tech.) - Chemical Engineering
Institute of Technology,
Budhgaon, Sangli
Admission Type
Through CAP/Govt. Quota

Application Admission Year Of Study Completed Or Continue

ID/CAP ID Second Year Completed
EN17187491
Admission Date Admission Year in
- College/Institute
2018

Percentage Result Fees Paid

8.29 Passed 46364.00

Course Type Admission Through Open Or Gap Year

UnAided Reserved Category? 0
General
Mode
Regular

Gap Reason CET / Merit Percentage Admission Year In Current

0 Course
2017

Institute State Institute District Institute Taluka

MAHARASHTRA Sangli Miraj

Qualification Level Stream College Name/school Name

Under Graduate Course Engineering Shetkari Shikshan Mandal's
Pad. Vasantraodada Patil
Institute of Technology,
Budhgaon, Sangli

Course Name Admission Type Application Admission

Bachelor of Technology (B. Through CAP/Govt. Quota ID/CAP ID
Tech.) - Chemical Engineering EN17187491

Year Of Study Completed Or Continue Admission Date

Third Year Pursuing 15/07/19

Admission Year in Percentage Result

College/Institute - -
-
Fees Paid Course Type
46364.00 UnAided

Admission Through Open Or Gap Year Mode

Reserved Category? 0 Regular
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General
Gap Reason CET / Merit Percentage
0

Hostel Details
ApplicationID :1920DTR1000050185

Hosteller / Day Scholor Type

Day Scholar

Additional Question
ApplicationID :1920DTR1000050185

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

Answer
1 Question Answer
Upload undertaking form that ilovepdf_merged_compressed.pdf
same year not more than two
beneficiary in family
Question
Is this a Renewal Application?

Answer
Yes Question Answer
Enter previous year application 1819DTR1000232075
ID

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

Benefits
ApplicationID :1920DTR1000050185

Tution Fee

77273.00
50% Tution Fee

38636.50
Exam Fee

2000.00
50% of Exam Fee
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1000.00

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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