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Applicant Details
Applicant Photo
ApplicationID :2324DTR1002292114
Application ID Scheme Name
2324DTR1002292114 Rajarshi Chhatrapati Shahu
Maharaj Shikshan Shulkh
Shishyavrutti Yojna(EBC)
Department Name Applied Date
Directorate of Technical 29/02/2024
Education
Personal Details
ApplicationID :2324DTR1002292114
Full Name Mobile Number. Email ID
Sachin Suresh Patil xxxxxx1563 s****0@[Link]
Date Of Birth Gender Age
2004 Male 20
Religion Marital Status Applicant Full Name (As Per
Hindu Unmarried SSC Marksheet/ L.C.)
PATIL SACHIN SURESH
Parent's/Guardian Mobile No Dependent Type
xxxxxx9676 -
Permanent address Details
ApplicationID :2324DTR1002292114
Address State District
,,,Shippur T/f Nesari,416504 Maharashtra Kolhapur
Taluka Village Pincode
Gadhinglaj HELEWADI 416504
IsCorrespondence Address
same as Permanent?
Yes
Correspondence Address Details
ApplicationID :2324DTR1002292114
Address State District
,,,Shippur T/f Nesari,416504 MAHARASHTRA Kolhapur
Taluka Village Pincode
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Gadhinglaj HELEWADI 416504
Income Details
ApplicationID :2324DTR1002292114
Do you have Income Does your Certificate have a Family Annual Income
Certificate? Barcode? 80000.00
Yes No
Income Certificate No
42935236353
Issuing Authority Date of Issue
Tahsildar 25/10/2023
Domicile Details
ApplicationID :2324DTR1002292114
Are you Domicile of Do you have Domicile Relationship Type
Maharashtra? Certificate? Self
Yes Yes
Domicile Certificate No.
42935133279
Does your Certificate have a Applicant Name Issuing Authority
Barcode? PATIL SACHIN SURESH Executive magistrate
No
Date of Issue
25/08/2020
Caste Details
ApplicationID :2324DTR1002292114
Caste Category
General
Personal Eligibility Details
ApplicationID :2324DTR1002292114
Are you Salaried? Disability of any Type?
No No
Parent's/Guardian's Details
ApplicationID :2324DTR1002292114
Is Father Alive? Father Name Is Father Salaried?
Yes SURESH TUKARAM PATIL No
Is Mother Alive? Mother Name Is Mother Salaried?
Yes SHANTA SURESH PATIL No
Past Qualification Details
ApplicationID :2324DTR1002292114
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Qualification Level Stream Completed
F.Y.J.C. (11 Std) Science Completed
Institute State Institute District Institute Taluka
Maharashtra Kolhapur Gadhinglaj
College Name / School Name Course Name Board/University
M R HIGH SCHOOL 11th Science MAHARASHTRA STATE BOARD
GADHINGLAJ OF SECONDARY AND HIGHER
SECONDARY EDUCATION
Mode Admission Year Passing Year
Regular 2020 2021
Result Percentage Attempts
Passed 57.50 1
Is Gap? Qualification Level Stream
No H.S.C. (12 Std) Science
Completed Institute State Institute District
Completed Maharashtra Kolhapur
Institute Taluka College Name / School Name Course Name
Gadhinglaj M R HIGH SCHOOL 12th Science
GADHINGLAJ
Board/University
MAHARASHTRA STATE BOARD
OF SECONDARY AND HIGHER
SECONDARY EDUCATION
Mode Admission Year Passing Year
Regular 2021 2022
Result Percentage Attempts
Passed 61.00 1
Is Gap? Qualification Level Stream
No S.S.C. (10 Std) SSC
Completed Institute State Institute District
Completed Maharashtra Kolhapur
Institute Taluka College Name / School Name Course Name
Gadhinglaj SSC
Board/University Mode Admission Year
MAHARASHTRA STATE BOARD Regular 2019
OF SECONDARY AND HIGHER
SECONDARY EDUCATION
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Passing Year Result
2020 Passed
Percentage Attempts Is Gap?
77.60 1 No
Current Course Details
ApplicationID :2324DTR1002292114
Admission Year In Current Institute State Institute District
Course Maharashtra Raigarh
2022
Institute Taluka Qualification Level
Karjat Under Graduate Course
Stream College Name/school Name Course Name
Pharmacy Yadavrao Tasgaonkar Institute Bachelor of Pharmacy -
of Pharmacy,Chandhai, Bhiv- Pharmacy
puri Road Station, Tal-Karjat
Admission Type
Through CAP/Govt. Quota
Application Admission ID/CAP Year Of Study Completed Or Continue
ID/CLAT Admit Card No First Year Completed
PH22437483
Admission Date Admission Year in
- College/Institute
2022
Percentage Result Fees Paid
65 Passed
Course Type
UnAided
Admission Through Open Or Gap Year Mode
Reserved Category? 0 Regular
General
Gap Reason CET / Merit Percentage / CLAT
Score
71.67
Admission Year In Current Institute State Institute District
Course Maharashtra Raigarh
2022
Institute Taluka Qualification Level
Karjat Under Graduate Course
Stream College Name/school Name Course Name
Pharmacy Yadavrao Tasgaonkar Institute Bachelor of Pharmacy -
of Pharmacy,Chandhai, Bhiv- Pharmacy
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puri Road Station, Tal-Karjat Admission Type
Through CAP/Govt. Quota
Application Admission ID/CAP Year Of Study Completed Or Continue
ID/CLAT Admit Card No Second Year Pursuing
PH22437483
Admission Date Admission Year in
13/09/23 College/Institute
-
Percentage Result Fees Paid
- - 0.00
Course Type Admission Through Open Or Gap Year
UnAided Reserved Category? 0
General
Mode
Regular
Gap Reason CET / Merit Percentage / CLAT
Score
71.67
Hostel Details
ApplicationID :2324DTR1002292114
Hosteller / Day Scholor Type Hostel Type Hostel Name
Hosteller Rented House Vikas Bhase House
Is Hostel Aided? Hostel Address Is Mess Available ?
Diksal No
Rent Per Month State District
3000.00 Maharashtra Raigarh
Additional Question
ApplicationID :2324DTR1002292114
Question Answer
your number of beneficiary in 1 Question
family ? Enter previous year application
ID
Answer
Question Answer
2223DTR1001833794
Upload undertaking form that DECLERATION_11zon.jpeg
same year not more than two
beneficiary in family
Question
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Do you avail any scholarship / Answer
stipend ? No Question
Is taking benefit of TFWS
(Tuition Fee Waiver Scheme)?
Answer
Question Answer
No
Is admitted under EWS seat? No
Question
Is this a Renewal Application?
Answer
Yes
Benefits
ApplicationID :2324DTR1002292114
Tution Fee
49003.00
50% Tution Fee
24501.50
Exam Fee
2184.00
50% of Exam Fee
1092.00
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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