Applicant Details

Applicant Photo
ApplicationID :2223VJB1000617027

Application ID Scheme Name

2223VJB1000617027 Tuition Fees and Examination
Fees to OBC Students

Department Name Applied Date

OBC, SEBC, VJNT & SBC 15/03/2023
Welfare Department

Personal Details
ApplicationID :2223VJB1000617027

Full Name Mobile Number. Email ID

Dipali Chandrakant Akolkar xxxxxx9110
Date Of Birth
xx/xx/2004

Gender Age Religion

Female 18 Hindu

Marital Status Applicant Full Name (As Per Parent's/Guardian Mobile No

Unmarried SSC Marksheet/ L.C.) xxxxxx9110
AKOLKAR DIPALI
CHANDRAKANT
Dependent Type
-

Permanent address Details

ApplicationID :2223VJB1000617027

Address State District

-,-,,Nivdunga,414106 Maharashtra Ahmadnagar

Taluka Village Pincode

Pathardi NIVDUNGE 414106

IsCorrespondence Address
same as Permanent?
Yes

Correspondence Address Details

ApplicationID :2223VJB1000617027

Address State District

-,-,,Nivdunga,414106 Maharashtra ???????
Taluka Village Pincode
??????? NIVDUNGE 414106

Income Details
ApplicationID :2223VJB1000617027

Do you have Income Does your Certificate have a Family Annual Income
Certificate? Barcode? 25000.00
Yes No
Income Certificate No
42081384187

Issuing Authority Date of Issue

Tahsildar 08/08/2022

Domicile Details
ApplicationID :2223VJB1000617027

Are you Domicile of Do you have Domicile Relationship Type

Maharashtra? Certificate? Self
Yes Yes
Domicile Certificate No.
42081188808

Does your Certificate have a Applicant Name Issuing Authority

Barcode? DIPALI CHANDRAKANT Tahsildar
No AKOLKAR
Date of Issue
23/08/2019

Caste Details
ApplicationID :2223VJB1000617027

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

42081351678 Ahmednagar AKOLKAR DIPALI
CHANDRAKANT

Issuing Authority
Sub Divisional Officer(SDO)

Personal Eligibility Details

ApplicationID :2223VJB1000617027

Are you Salaried? Disability of any Type?

No No
Parent's/Guardian's Details
ApplicationID :2223VJB1000617027

Is Father Alive? Father Name Is Father Salaried?

Yes CHANDRAKANT AKOLKAR No

Is Mother Alive? Mother Name Is Mother Salaried?

Yes ASHABAI AKOLKAR No

Past Qualification Details

ApplicationID :2223VJB1000617027

Qualification Level Stream Completed

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

Institute State Institute District Institute Taluka

Maharashtra Ahmednagar Pathardi

College Name / School Name Course Name Board/University

SHIVTEJ V. MADHI(KA) 12th Science MAHARASHTRA STATE BOARD
OF SECONDARY AND HIGHER
SECONDARY EDUCATION

Mode Admission Year Passing Year

Regular 2021 2022

Result Percentage Attempts

Passed 70.67 1

Is Gap? Qualification Level Stream

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

Completed Institute State Institute District

Completed Maharashtra Ahmednagar

Institute Taluka College Name / School Name Course Name

Pathardi SSC

Board/University Mode Admission Year

MAHARASHTRA STATE BOARD Regular 2019
OF SECONDARY AND HIGHER
SECONDARY EDUCATION
Passing Year Result
2020 Passed

Percentage Attempts Is Gap?

88.40 1 No

Current Course Details

ApplicationID :2223VJB1000617027
Admission Year In Current Institute State Institute District
Course Maharashtra Aurangabad
2022
Institute Taluka Qualification Level
Vaijapur Diploma Course

Stream College Name/school Name Course Name

Pharmacy Shri Sai College of Pharmacy, Post H.S.C. Diploma in
Khadala, Vaijapur Pharmacy (D. Pharm.) -
Pharmacy

Admission Type Application Admission ID/CAP Year Of Study

Through CAP/Govt. Quota ID/CLAT Admit Card No First Year
DEN22584569
Completed Or Continue
Pursuing

Admission Date Admission Year in Percentage

17/08/22 College/Institute -
-
Result
-

Fees Paid Course Type Admission Through Open Or

0.00 UnAided Reserved Category?
(OBC) Other Backward Class

Gap Year Mode Gap Reason

0 Regular
CET / Merit Percentage / CLAT
Score
64.67

Hostel Details
ApplicationID :2223VJB1000617027

Hosteller / Day Scholor Type

Day Scholar

Additional Question
ApplicationID :2223VJB1000617027

Question Answer
Ration card for identify Question
number of children’s in family CAP Allotment Letter (For
Professional Courses)

Answer
Question Answer
Cast Validity Certificate (For
Professional Courses As Per
GR Dated 31st July 2008) Question Answer
Exempted Professional Is this a Renewal Application? No
courses to be identified

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

Answer
pdf1.pdf

Benefits
ApplicationID :2223VJB1000617027

Tution Fee

45455.00
50% Tution Fee

22727.50
Exam Fee

600.00
50% of Exam Fee

300.00

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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