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Application Details
Application Details
Printed on
8/29/2013 12:29:57 PM
Course
Application Number
Appilcation type
APPOPE0947364M200520
13
Please Paste
Passport Size
Photograph
Renewal
Passing Year
2005
SSC Seat No
OPE094736
62.80
Dattatray
Gharat
Date of Birth
Gender
Male
Maritial Status
No
Caste Category
Applicant's Details
21-11-1989
Mother's Name
Agari (169)
Orphan
Sunanda
Sub Caste
No
Is Disabled
No
Disability Type
Is Applicant Salaried ? NO
Applicant's
Annual Income
0.00
Is Staying at Hostel ?
No
N.A.
No
Institute
Course
Course Year
Percentage
Result
2012 - 13
70.00
Pass
2011 - 12
No Institute attended
0.00
Fail
2010 - 11
MIT PUNE
Bachelor of Engineering
61.00
Pass
Institution Details
Name of School/College/Institute
where Admitted
Course Name
Course Year
EID Number
Subject
Marketing
CAP Number
MB12100504
Academic Year
2013-2014
Admission Dt.
16-07-2012
Is Fees Paid ?
No
Fee Paid
0.00
N.A
GrantType
Non Granted
Fee Receipt
Date
Contact Details
UID Number
Is Admission after
No
Diploma
Joining Date
08-07-2013
Fee Receipt
No.
Quota
Government Quota
1 Of 2
Gharat
Dattatray
Age
52(yrs)
Profession
Teacher
Mayur nivas Location:- char rasta City:- Palghar Pincode:- 401404 Taluka:- Palghar District:Thane
Annual Income 60000.00
Yes
Hostel Information
Name of Landlord /
Hostel
Hostel Admission
Date
Hostel Type
Hostel/ Landlord
Address
No
0.00
Hostel/Landlord
Contact Details
No
Document Details
Caste Certificate No
826
Taluka Issuing
Office
Dahanu
Caste Validity
Certificate No
N.A
Scrutiny
Committee No
N.A
Issued in
University
Registration No
70800172G
Income Certificate
1060
No
Student Bank Account Details
Bank Name
BANK OF MAHARASHTRA
Branch Name
PALGAR
IFSC Code
MAHB0000195
2012
Bank
Account No
68005104908
MICR Code
NOT AVAILABLE
Document Attached
EID document xerox
SSC Mark Sheet
Non Creamy Layer Certificate
Caste Validity Certificate
I-card Size Photo
Marksheets
Income Proof Income Certificate Issued by Competant Authority
Caste Certificate Issued by Competant Officer
Declaration
The information furnished by me is complete and correct. I bear the complete responsibility for all the above
information.
Applicant's Signature
_______________________
Principal's Signature
_______________________
_______________________
2 Of 2