Applicant Details
Applicant Photo
ApplicationID :1819VJO1000184715
Application ID Scheme Name
1819VJO1000184715 Post Matric Scholarship to OBC
Students
Department Name Applied Date
VJNT,OBC and SBC Welfare 31/10/2018
Department
Personal Details
ApplicationID :1819VJO1000184715
Full Name Mobile Number. Email ID
Asha Ushtuji Kokode 9767590592
Date Of Birth
15/10/2000
Gender Age Religion
Female 18 Hindu
Marital Status Applicant Full Name (As Per Parent's/Guardian Mobile No
Unmarried SSC Marksheet/ L.C.) 7768963553
KOKODE ASHA USHTUJI
Dependent Type
-
Permanent address Details
ApplicationID :1819VJO1000184715
Address State District
,,at.chindhi chak,,441221 Maharashtra Chandrapur
Taluka Village Pincode
Nagbhir NAGBHIR 441221
IsCorrespondence Address
same as Permanent?
Yes
Correspondence Address Details
ApplicationID :1819VJO1000184715
Address State District
,,at.chindhi chak,,441221 MAHARASHTRA Chandrapur
Taluka Village Pincode
Nagbhir NAGBHIR 441221
Income Details
ApplicationID :1819VJO1000184715
Do you have Income Certificate? Does your Certificate have a Family Annual Income
Yes Barcode? 21000.00
No
Income Certificate No
40664029984
Issuing Authority Date of Issue
Nayab Tahsildar 27/06/2018
Domicile Details
ApplicationID :1819VJO1000184715
Are you Domicile of Do you have Domicile Relationship Type
Maharashtra? Certificate? Self
Yes Yes
Domicile Certificate No.
40664011362
Does your Certificate have a Applicant Name Issuing Authority
Barcode? ASHA USHTU KOKODE Tahsildar
No
Date of Issue
07/09/2016
Caste Details
ApplicationID :1819VJO1000184715
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
4161 Chandrapur ASHA USHTU KOKODE
Issuing Authority
Sub Divisional Officer(SDO)
Personal Eligibility Details
ApplicationID :1819VJO1000184715
Are you Salaried? Disability of any Type?
No No
Parent's/Guardian's Details
ApplicationID :1819VJO1000184715
Is Father Alive? Father Name Is Father Salaried?
Yes USHTU FAGOJI KOKODE No
Is Mother Alive? Mother Name Is Mother Salaried?
Yes SANDHYA USHTU KOKODE No
Past Qualification Details
ApplicationID :1819VJO1000184715
Qualification Level Stream Completed
S.S.C. (10 Std) SSC Completed
Institute State Institute District Institute Taluka
MAHARASHTRA Chandrapur Nagbhir
College Name / School Name Course Name Board/University
SSC MAHARASHTRA STATE BOARD
OF SECONDARY AND HIGHER
SECONDARY EDUCATION
Mode Admission Year Passing Year
Regular 2015 2016
Result Percentage Attempts
Passed 74.60 1
Is Gap? Qualification Level Stream
No H.S.C. (12 Std) Science
Completed Institute State Institute District
Completed MAHARASHTRA Chandrapur
Institute Taluka College Name / School Name Course Name
Nagbhir JANTA B. U. SCHOOL NAGBHIR 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?
57.85 1 No
Current Course Details
ApplicationID :1819VJO1000184715
Admission Year In Current Institute State Institute District
Course MAHARASHTRA Chandrapur
2018
Institute Taluka Qualification Level
Brahmapuri Diploma Course
Stream College Name/school Name Course Name
Engineering Government Polytechnic, Post S.S.C. Diploma in
Bramhapuri Engineering (Polytechnics) -
Mechanical Engineering
Admission Type Application Admission ID/CAP Year Of Study
Through CAP/Govt. Quota ID Direct Second Year
DSD18121068
Completed Or Continue
Pursuing
Admission Date Admission Year in Percentage
16/08/18 College/Institute -
-
Result
-
Fees Paid Course Type Admission Through Open Or
1750.00 Aided Reserved Category?
(OBC) Other Backward Class
Gap Year Mode GapReason
0 Regular
Hostel Details
ApplicationID :1819VJO1000184715
Hosteller / Day Scholor Type
Day Scholar
Additional Question
ApplicationID :1819VJO1000184715
Question Answer
Question
Caste Validity – (Mandatory for Ration Card for identify number
Professional Degree courses, of children in family
Professional Post Graduate. For
Non Professional courses cast
Answer
validity is not mandatory)
RATION CARD.pdf Question
Leaving Certificate
Answer
Question Answer
LEAVING.pdf
Declaration certificate of DECLARATION.pdf
parents/guardians about
number of children
beneficiaries
Question
Have you applied for any other
scholarship
Answer
Question Answer
No
Is this a Renewal Application? No
Benefits
ApplicationID :1819VJO1000184715
Tution Fee
6000.00
Exam Fee
1200.00
Number of Months for which
benefit is allotted
9.00
Maintenance Allowance per
month
190.00
Total Maintenance Allowance
1710.00
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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