2/10/23, 12:03 PM about:blank

Applicant Details
Applicant Photo
ApplicationID :2223VJB1000613065

Application ID Scheme Name

2223VJB1000613065 Tuition Fees and Examination
Fees to OBC Students

Department Name Applied Date

OBC, SEBC, VJNT & SBC 10/02/2023
Welfare Department

Personal Details
ApplicationID :2223VJB1000613065

Full Name Mobile Number. Email ID

Tushar Vijay Patil xxxxxx2839 t****1@gmail.com

Date Of Birth Gender Age

xx/xx/2003 Male 19

Religion Marital Status Applicant Full Name (As Per

Hindu Unmarried SSC Marksheet/ L.C.)
PATIL TUSHAR VIJAY

Parent's/Guardian Mobile No Dependent Type

xxxxxx4543 -

Permanent address Details

ApplicationID :2223VJB1000613065

Address State District

umbarde Gaon,Adharwadi Jail Maharashtra Thane
Road,Near Shiv Mandir,Kalyan
D.c.,421301
Taluka Village
Kalyan
Pincode
421301

IsCorrespondence Address
same as Permanent?
Yes

Correspondence Address Details

ApplicationID :2223VJB1000613065

Address State District

about:blank 1/6
2/10/23, 12:03 PM about:blank

umbarde Gaon,Adharwadi Jail Maharashtra Thane

Road,Near Shiv Mandir,Kalyan
D.c.,421301
Taluka Village
Kalyan
Pincode
421301

Income Details
ApplicationID :2223VJB1000613065

Do you have Income Does your Certificate have a Family Annual Income
Certificate? Barcode? 615895.00
Yes No
Income Certificate No
41686310125

Issuing Authority Date of Issue

Nayab Tahsildar 26/06/2022

Domicile Details
ApplicationID :2223VJB1000613065

Are you Domicile of Do you have Domicile Relationship Type

Maharashtra? Certificate? Self
Yes Yes
Domicile Certificate No.
41686361453

Does your Certificate have a Applicant Name Issuing Authority

Barcode? TUSHAR VIJAY PATIL Executive magistrate
No
Date of Issue
16/01/2023

Caste Details
ApplicationID :2223VJB1000613065

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

565 Thane TUSHAR VIJAY PATIL

Issuing Authority
Sub Divisional Officer(SDO)

Personal Eligibility Details

ApplicationID :2223VJB1000613065

Are you Salaried? Disability of any Type?

about:blank 2/6
2/10/23, 12:03 PM about:blank

No No

Parent's/Guardian's Details
ApplicationID :2223VJB1000613065

Is Father Alive? Father Name Is Father Salaried?

Yes VIJAY SHIVA PATIL Yes

Father Occupation Is Mother Alive? Mother Name

Service Yes SUNANDA VIJAY PATIL

Is Mother Salaried?
No

Past Qualification Details

ApplicationID :2223VJB1000613065

Qualification Level Stream Completed

H.S.C. (12 Std) Commerce Completed

Institute State Institute District Institute Taluka

Maharashtra Thane Kalyan

College Name / School Name Course Name Board/University

BIRLA COLLEGE OF ARTS, 12th Commerce MAHARASHTRA STATE BOARD
SCIENCE & COMMERCE OF SECONDARY AND HIGHER
COLLEGE, KALYAN SECONDARY EDUCATION

Mode Admission Year Passing Year

Regular 2020 2021

Result Percentage Attempts

Passed 89.33 1

Is Gap? Qualification Level Stream

No S.S.C. (10 Std) SSC

Completed Institute State Institute District

Completed Maharashtra Thane

Institute Taluka College Name / School Name Course Name

Kalyan SSC

Board/University Mode Admission Year

MAHARASHTRA STATE BOARD Regular 2018
OF SECONDARY AND HIGHER
SECONDARY EDUCATION
Passing Year Result
2019 Passed

Percentage Attempts Is Gap?

about:blank 3/6
2/10/23, 12:03 PM about:blank

80.00 1 No

Current Course Details

ApplicationID :2223VJB1000613065

Admission Year In Current Institute State Institute District

Course Maharashtra Thane
2021
Institute Taluka Qualification Level
Kalyan Under Graduate Course

Stream College Name/school Name Course Name

Commerce B K Birla College of Arts B.Com.
Science and Commerce,
Kalyan
Admission Type
-

Application Admission ID/CAP Year Of Study Completed Or Continue

ID/CLAT Admit Card No Second Year Pursuing
-
Admission Date Admission Year in
27/08/22 College/Institute
-

Percentage Result Fees Paid

- - 0.00

Course Type Admission Through Open Or Gap Year

Aided Reserved Category? 0
(OBC) Other Backward Class
Mode
Regular

Gap Reason CET / Merit Percentage / CLAT Admission Year In Current

Score Course
0 2021

Institute State Institute District Institute Taluka

Maharashtra Thane Kalyan

Qualification Level Stream College Name/school Name

Under Graduate Course Commerce B K Birla College of Arts
Science and Commerce,
Kalyan

Course Name Admission Type Application Admission ID/CAP

B.Com. - ID/CLAT Admit Card No
-

Year Of Study Completed Or Continue Admission Date

about:blank 4/6
2/10/23, 12:03 PM about:blank

First Year Completed -

Admission Year in Percentage Result

College/Institute 74.5 Passed
2021
Fees Paid Course Type
Aided

Admission Through Open Or Gap Year Mode

Reserved Category? 0 Regular
(OBC) Other Backward Class
Gap Reason CET / Merit Percentage / CLAT
Score
0

Hostel Details
ApplicationID :2223VJB1000613065

Hosteller / Day Scholor Type

Day Scholar

Additional Question
ApplicationID :2223VJB1000613065

Question
CAP Allotment Letter (For
Professional Courses)
Answer
Question
Cast Validity Certificate (For
Professional Courses As Per
GR Dated 31st July 2008)
Exempted Professional
courses to be identified

Answer
Question Answer
Declaration certificate of DEC.pdf
parents/guardians about
number of children
beneficiaries
Question
Leaving Certificate

Answer
Question Answer
LC.pdf
Is this a Renewal Application? No

Question
Ration card for identify
number of children’s in family

Answer
RASHAN.pdf

Benefits
about:blank 5/6
2/10/23, 12:03 PM about:blank

ApplicationID :2223VJB1000613065

Tution Fee

800.00
Exam Fee

2084.00

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.

View Uploaded Documents

about:blank 6/6