Applicant Details

Applicant Photo
ApplicationID :1920DTR1000035172

Application ID Scheme Name

1920DTR1000035172 Rajarshi Chhatrapati Shahu
Maharaj Shikshan Shulkh
Shishyavrutti Yojna(EBC)

Department Name Applied Date

Directorate of Technical 07/09/2019
Education

Personal Details
ApplicationID :1920DTR1000035172

Full Name Mobile Number. Email ID

Omkar Govind Karlekar 9527321383 omkarkarlekar99@gmail.com

Date Of Birth Gender Age

10/12/1999 Male 19

Religion Marital Status Applicant Full Name (As Per

Hindu Unmarried SSC Marksheet/ L.C.)
Karlekar Omkar govind

Parent's/Guardian Mobile No Dependent Type

9763130390 -

Permanent address Details

ApplicationID :1920DTR1000035172

Address State District

S Maharashtra Pune
no.18,Gondhalenagar,,,Hadapsar,411028
Taluka Village
Pune City pune city

Pincode IsCorrespondence Address

411028 same as Permanent?
No

Correspondence Address Details

ApplicationID :1920DTR1000035172
Address State District
Flat no 8,Ganga kunj MAHARASHTRA Nashik
society,Kathe galli,Dwarka,
Nashik
Taluka Village
Nashik Nashik

Pincode IsCorrespondence Address

422011 same as Permanent?
No

Income Details
ApplicationID :1920DTR1000035172

Do you have Income Certificate? Does your Certificate have a Family Annual Income
Yes Barcode? 75000.00
No
Income Certificate No
41521436726

Issuing Authority Date of Issue

Nayab Tahsildar 01/06/2019

Domicile Details
ApplicationID :1920DTR1000035172

Are you Domicile of Do you have Domicile Relationship Type

Maharashtra? Certificate? Self
Yes Yes
Domicile Certificate No.
70/2015

Does your Certificate have a Applicant Name Issuing Authority

Barcode? Karlekar Omkar govind Tahsildar
No
Date of Issue
02/06/2015

Caste Details
ApplicationID :1920DTR1000035172

Caste Category
General

Personal Eligibility Details

ApplicationID :1920DTR1000035172

Are you Salaried? Disability of any Type?

No No
Parent's/Guardian's Details
ApplicationID :1920DTR1000035172

Is Father Alive? Is Mother Alive? Mother Name

No Yes Anju govind Karlekar

Is Mother Salaried? Mother Occupation

Yes Labour

Past Qualification Details

ApplicationID :1920DTR1000035172

Qualification Level Stream Completed

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

Institute State Institute District Institute Taluka

MAHARASHTRA Pune Haveli

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 90.60 1

Is Gap? Qualification Level Stream

No Diploma Course Engineering

Completed Institute State Institute District

Completed MAHARASHTRA Pune

Institute Taluka College Name / School Name Course Name

Pune City Cusrow Wadia Institute of Post S.S.C. Diploma in
Technology( Aided ), Pune Engineering (Polytechnics) -
Mechanical Engineering

Board/University Mode Admission Year

AUTONOMOUS INSTITUTE Regular 2015

Passing Year Result Percentage

2018 Passed 94.94
Attempts Is Gap?
1 No

Current Course Details

ApplicationID :1920DTR1000035172

Admission Year In Current Institute State Institute District

Course MAHARASHTRA Pune
2018
Institute Taluka Qualification Level
Haveli Under Graduate Course

Stream College Name/school Name Course Name

Engineering Bansilal Ramnath Agarawal Bachelor of Technology (B.
Charitable Trust's Vishwakarma Tech.) - Mechanical Engineering
Institute of Technology,
Bibwewadi, Pune
Admission Type
Through CAP/Govt. Quota

Application Admission ID/CAP Year Of Study Completed Or Continue

ID Direct Second Year Completed
DSE18109312
Admission Date Admission Year in
- College/Institute
2018

Percentage Result Fees Paid

9.41 Passed 87287.00

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
2018

Institute State Institute District Institute Taluka

MAHARASHTRA Pune Haveli

Qualification Level Stream College Name/school Name

Under Graduate Course Engineering Bansilal Ramnath Agarawal
Charitable Trust's Vishwakarma
Institute of Technology,
Bibwewadi, Pune
Course Name Admission Type Application Admission ID/CAP
Bachelor of Technology (B. Through CAP/Govt. Quota ID
Tech.) - Mechanical Engineering DSE18109312

Year Of Study Completed Or Continue Admission Date

Third Year Pursuing 11/05/19

Admission Year in Percentage Result

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

Admission Through Open Or Gap Year Mode

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

Hostel Details
ApplicationID :1920DTR1000035172

Hosteller / Day Scholor Type

Day Scholar

Additional Question
ApplicationID :1920DTR1000035172

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

Answer
Question Answer
1
Upload undertaking form that undertaking.pdf
same year not more than two
beneficiary in family

Question
Is this a Renewal Application?

Answer
Question Answer
Yes
Enter previous year application 1819DTR1000015432
ID

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

Benefits
ApplicationID :1920DTR1000035172

Tution Fee

122727.00
50% Tution Fee

61363.50
Exam Fee

1360.00
50% of Exam Fee

680.00

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.

Document Name Action

View
Post S.S.C. Diploma in Engineering (Polytechnics) - Mechanical Engineering-MarkSheet
Document
View
SSC-MarkSheet
Document
View
Domicile Certificate
Document
View
Income Certificate
Document
View
Bachelor of Technology (B. Tech.) - Mechanical Engineering Third Year Admission Fee Receipt
Document
View
Bachelor of Technology (B. Tech.) - Mechanical Engineering Direct Second Year MarkSheet
Document

Bachelor of Technology (B. Tech.) - Mechanical Engineering Direct Second Year Cap ID View
Certificate Document

Bachelor of Technology (B. Tech.) - Mechanical Engineering Direct Second Year Admission Fee View
Receipt Document