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Applicant Details
Applicant Photo
ApplicationID :2425VJB1000936944
Application ID Scheme Name
2425VJB1000936944 Tuition Fees and Examination Fees to OBC
Students
Department Name Applied Date
OBC, SEBC, VJNT & SBC Welfare 19/02/2025
Department
Personal Details
ApplicationID :2425VJB1000936944
Full Name Mobile Number. Email ID
Anushka Ravindra Patil xxxxxx5034 a****[email protected]
Date Of Birth Gender Age
xx/xx/2003 Female 22
Religion Marital Status Applicant Full Name (As Per SSC Marksheet/
Hindu Unmarried L.C.)
Patil Anushka Ravindra
Parent's/Guardian Mobile No Dependent Type
xxxxxx8125 -
Permanent address Details
ApplicationID :2425VJB1000936944
Address State District
,,,Chopda,425107 Maharashtra Jalgaon
Taluka Village Pincode
Chopda Chopda 425107
IsCorrespondence Address same as
Permanent?
Yes
Correspondence Address Details
ApplicationID :2425VJB1000936944
Address State District
,,,Chopda,425107 MAHARASHTRA Jalgaon
Taluka Village Pincode
Chopda Chopda 425107
Income Details
ApplicationID :2425VJB1000936944
Do you have Income Certificate? Does your Certificate have a Barcode? Family Annual Income
Yes No 500000.00
Income Certificate No Issuing Authority Date of Issue
39601161474 Tahsildar 25/07/2021
Domicile Details
ApplicationID :2425VJB1000936944
Are you Domicile of Maharashtra? Do you have Domicile Certificate? Relationship Type
Yes Yes Self
Domicile Certificate No. Does your Certificate have a Barcode? Applicant Name
39601090314 No Patil Anushka Ravindra
Issuing Authority Date of Issue
Executive magistrate 12/08/2018
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Caste Details
ApplicationID :2425VJB1000936944
Do you have Caste Certificate? Caste Category Does your Certificate have a Barcode?
Yes (OBC) Other Backward Class No
Caste Certificate Number Issuing District Applicant Name
39691103158 Jalgaon Patil Anushka Ravindra
Issuing Authority
Sub Divisional Officer(SDO)
Personal Eligibility Details
ApplicationID :2425VJB1000936944
Are you Salaried? Disability of any Type?
No No
Parent's/Guardian's Details
ApplicationID :2425VJB1000936944
Is Father Alive? Father Name Is Father Salaried?
Yes Ravindra Bhaskar Patil No
Is Mother Alive? Mother Name Is Mother Salaried?
Yes Kavita Ravindra Patil No
Past Qualification Details
ApplicationID :2425VJB1000936944
Qualification Level Stream Completed
S.S.C. (10 Std) SSC Completed
Institute State Institute District Institute Taluka
Maharashtra Jalgaon Chopda
College Name / School Name Course Name Board/University
SSC MAHARASHTRA STATE BOARD OF
SECONDARY AND HIGHER SECONDARY
EDUCATION
Mode Admission Year Passing Year
Regular 2018 2019
Result Percentage Attempts
Passed 96.40 1
Is Gap? Qualification Level Stream
No H.S.C. (12 Std) Science
Completed Institute State Institute District
Completed Maharashtra Jalgaon
Institute Taluka College Name / School Name Course Name
Chopda ARTS, SC. & COM. COLLEGE, CHOPDA 12th Science
Board/University Mode Admission Year
MAHARASHTRA STATE BOARD OF Regular 2020
SECONDARY AND HIGHER SECONDARY
EDUCATION
Passing Year Result
2021 Passed
Percentage Attempts Is Gap?
91.00 1 No
Current Course Details
ApplicationID :2425VJB1000936944
Admission Year In Current Course Institute State Institute District
2021 Maharashtra Dhule
Institute Taluka Qualification Level Stream
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Dhule Under Graduate Course Health Science
College Name/school Name Course Name Admission Type
Annasaheb Chudaman Patil Memorial DentalBachelor of Dental Surgery(BDS) Through CAP/Govt. Quota
College
Application Admission ID/CAP ID/CLAT Year Of Study
Admit Card No Fourth Year
3107004218
Completed Or Continue
Pursuing
Admission Date Admission Year in College/Institute Percentage
15/03/25 - -
Result Fees Paid Course Type
- 0.00 UnAided
Admission Through Open Or Reserved Gap Year Mode
Category? 0 Regular
(OBC) Other Backward Class
Gap Reason CET / Merit Percentage / CLAT Score
50.97
Admission Year In Current Course Institute State Institute District
2021 Maharashtra Dhule
Institute Taluka Qualification Level Stream
Dhule Under Graduate Course Health Science
College Name/school Name Course Name Admission Type
Annasaheb Chudaman Patil Memorial DentalBachelor of Dental Surgery(BDS) Through CAP/Govt. Quota
College
Application Admission ID/CAP ID/CLAT Year Of Study
Admit Card No First Year
3107004218
Completed Or Continue
Completed
Admission Date Admission Year in College/Institute Percentage
- 2021 77
Result Fees Paid Course Type
Passed UnAided
Admission Through Open Or Reserved Gap Year Mode
Category? 0 Regular
(OBC) Other Backward Class
Gap Reason CET / Merit Percentage / CLAT Score
50.97
Admission Year In Current Course Institute State Institute District
2021 Maharashtra Dhule
Institute Taluka Qualification Level Stream
Dhule Under Graduate Course Health Science
College Name/school Name Course Name Admission Type
Annasaheb Chudaman Patil Memorial DentalBachelor of Dental Surgery(BDS) Through CAP/Govt. Quota
College
Application Admission ID/CAP ID/CLAT Year Of Study
Admit Card No Second Year
3107004218
Completed Or Continue
Completed
Admission Date Admission Year in College/Institute Percentage
- 2022 75.37
Result Fees Paid Course Type
Passed UnAided
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Admission Through Open Or Reserved
Category?
(OBC) Other Backward Class
Gap Year Mode Gap Reason
0 Regular
CET / Merit Percentage / CLAT Score
50.97
Admission Year In Current Course Institute State Institute District
2021 Maharashtra Dhule
Institute Taluka Qualification Level Stream
Dhule Under Graduate Course Health Science
College Name/school Name Course Name Admission Type
Annasaheb Chudaman Patil Memorial DentalBachelor of Dental Surgery(BDS) Through CAP/Govt. Quota
College
Application Admission ID/CAP ID/CLAT Year Of Study
Admit Card No Third Year
3107004218
Completed Or Continue
Completed
Admission Date Admission Year in College/Institute Percentage
- 2023 75.66
Result Fees Paid Course Type
Passed UnAided
Admission Through Open Or Reserved Gap Year Mode
Category? 0 Regular
(OBC) Other Backward Class
Gap Reason CET / Merit Percentage / CLAT Score
50.97
Hostel Details
ApplicationID :2425VJB1000936944
Hosteller / Day Scholor Type
Day Scholar
Additional Question
ApplicationID :2425VJB1000936944
Question Answer
Ration card for identify number of children’s Question
in family Enter your last year MahaEschol Application
ID
Answer
Question Answer
2324VJB1000806074
CAP Allotment Letter (For Professional ALO.JPG
Courses)
Question Answer
Declaration certificate of parents/guardians DEC.jpg Question
about number of children beneficiaries Leaving Certificate
Answer
Question Answer
LC ANUSHKA_page-0001.jpg
Non Creamy Layer Certificate NON CRE.jpg
Question
Cast Validity Certificate (For Professional
Courses As Per GR Dated 31st July 2008)
Exempted Professional courses to be
identified
Answer
Question Answer
VALIDITY_page-0001.jpg
Is this a Renewal Application? Yes
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Benefits
ApplicationID :2425VJB1000936944
Tution Fee
181818.00
100% Tution Fee
181818.00
Exam Fee
3100.00
100% Exam Fee
3100.00
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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