Applicant Details
Applicant Photo
ApplicationID :2324VJC1000068875
Application ID Scheme Name
2324VJC1000068875 Tuition Fees and Examination
Fees to SBC Students
Department Name Applied Date
OBC, SEBC, VJNT & 15/01/2024
SBC
Welfare Department
Personal Details
ApplicationID :2324VJC1000068875
Full Name Mobile Number. Email ID
Gayatri Suryawanshi xxxxxx4190 g****[email protected]
Date Of Birth Gender Age
1997 Female 27
Religion Marital Status Applicant Full Name (As Per
Hindu Unmarried SSC Marksheet/ L.C.)
Gayatri Suryawanshi
Parent's/Guardian Mobile No Dependent Type
xxxxxx0551
-
Permanent address Details ApplicationID :2324VJC1000068875
Address State District
B-05/19,pachmarg Road,C.I.S.F Maharashtra Palghar
Colony,Tarapur,401502
Taluka
Village
Palghar
paachmarg road
Pincode IsCorrespondence Address
401502 same as Permanent?
Yes
Correspondence Address Details ApplicationID :2324VJC1000068875
Address State District
B-05/19,pachmarg Road,C.I.S.F Maharashtra Palghar
Colony,Tarapur,401502
Taluka
Village
Palghar
paachmarg road
Pincode
401502
Income Details
Do you have Income Certificate? Does your Certificate have a Family Annual Income
ApplicationID
Yes :2324VJC1000068875
Barcode? 575840.00
No
Income Certificate No
39651348559
Issuing Authority Date of Issue
Tahsildar 10/01/2024
Domicile Details
ApplicationID :2324VJC1000068875
Are you Domicile Do you have Domicile Relationship Type
of Maharashtra? Certificate? Self
Yes Yes
Domicile Certificate No.
266
Does your Certificate have Applicant Name Issuing Authority
a Barcode? Gayatri Suryawanshi Executive magistrate
No
Date of Issue
04/03/2013
Caste Details
ApplicationID :2324VJC1000068875
Do you have Caste Certificate? Caste Category Does your Certificate have a
Yes (SBC) Special Backward Class Barcode?
No
Caste Certificate Number Issuing District Applicant Name
382 Jalgaon Gayatri Suryawanshi
Issuing Authority
Sub Divisional Officer(SDO)
Personal Eligibility Details ApplicationID :2324VJC1000068875
Are you Disability of any Type?
Salaried? No No
Parent's/Guardian's Details ApplicationID :2324VJC1000068875
Is Father Father Name Is Father
Alive? Yes Gajanan pralhad suryawanshi Salaried? Yes
Father Occupation Is Mother Mother Name
Government servant Alive? Yes Nanda gajanan suryawanshi
Is Mother
Salaried? No
Past Qualification Details ApplicationID :2324VJC1000068875
Qualification Level Stream Completed
Under Graduate Agriculture Completed
Course
Institute State Institute District Institute Taluka
Maharashtra Thane Murbad
College Name / School Name Course Name Board/University
College of Agriculture, B.Sc. (Agriculture) / B.Sc. Dr. Balasaheb Sawant
Saralgaon Tal.Murbad (Honours) Agriculture Konkan Krishi Vidyapeeth,
Dist.Thane 421 401. Dapoli Dist. Ratnagiri
Mode Admission Year Passing Year
Regular 2015 2019
Result Percentage Attempts
Passed 77.70 1
Is Gap? Qualification Level Stream
No H.S.C. (12 Std) Science
Completed Institute State Institute District
Completed Maharashtra Mumbai Suburban
Institute Taluka Mumbai Suburban
College Name / C
School Name o
ATOMIC ENERGY u
JUNIOR COLLEGE r
ANUSHAKTINAGA s
R e
N
a
m
e
1
2
t
h
S
c
i
e
n
c
e
MUMBAI94 Board/University Mode
MAHARASHTRA STATE Regular
BOARD OF SECONDARY AND
HIGHER SECONDARY
EDUCATION Admission Year
2013
Passing Year Result Percentage
2015 Passed 66.31
Attempts Is Gap? Qualification Level
1 Yes S.S.C. (10 Std)
Stream Completed Institute State
SSC Completed Maharashtra
Institute District Institute Taluka College Name / School Name
Mumbai Suburban Mumbai Suburban
Course Name
SSC
Board/University Mode Admission Year
CBSE Regular 2011
Passing Year Result Percentage
2013 Passed 72.20
Attempts Is Gap?
1 Yes
Current Course Details ApplicationID :2324VJC1000068875
Admission Year In Institute State Institute District
Current Course Maharashtra Mumbai Suburban
2022
Institute Taluka Qualification Level
Borivali Post Graduate
Course
Stream College Name/school Name Course Name
Management Aditya Institute of Management M. M. S.
Studies & Research, Borivali
Admission Type
Through CAP/Govt. Quota
Application Admission ID/CAP Year Of Study Completed Or
ID/CLAT Admit Card No Second Year Continue Pursuing
MB22100388
Admission Date Admission Year
19/07/23 in
College/Institute
-
Percentage Result Fees Paid
- - 0.00
Course Type Admission Through Open Or Gap Year
UnAided Reserved Category? 0
(SBC) Special Backward Class
Mode
Regular
Gap Reason CET / Merit Percentage / Admission Year In
CLAT Score Current Course
83.08 2022
Institute State Institute District Institute Taluka
Maharashtra Mumbai Suburban Borivali
Qualification Level Stream College Name/school Name
Post Graduate Management Aditya Institute of Management
Course Studies & Research, Borivali
Course Name Admission Type Application Admission ID/CAP
M. M. S. Through CAP/Govt. Quota ID/CLAT Admit Card No
MB22100388
Year Of Study Completed Or Admission Date
First Year Continue Completed -
Admission Year Percentage Result
in 6.75 Passed
College/Institute
2022
Fees Paid Course Type
UnAided
Admission Through Open Or Gap Year Mode
Reserved Category? 0 Regular
(SBC) Special Backward Class
Gap Reason CET / Merit Percentage /
CLAT Score
83.08
Hostel Details
ApplicationID :2324VJC1000068875
Hosteller / Day Scholor
Type Day Scholar
Additional Question
ApplicationID :2324VJC1000068875
Question Answer
Enter your last year 2223VJC1000059795 Question
MahaEschol Application ID
CAP Allotment Letter (For
Professional Courses)
Answer
cap round_compressed.pdf Question Answer
Declaration certificate of df.pdf
parents/guardians about
number of children
beneficiaries
Question
Leaving Certificate
Answer
Question Answer
lc-compressed.pdf
Ration card for identify number ration cards-compressed
of children’s in (1)_11zon.pdf
family
Question
Cast Validity Certificate (For
Professional Courses As Per GR
Dated 31st July 2008) Exempted
Professional courses to be
identified
Answer
Question Answer
validity gayatri-compressed.pdf
Is this a Renewal Application? Yes
Benefits
ApplicationID :2324VJC1000068875
Tution Fee
135683.00
Exam Fee
3280.00
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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