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    Yash Kalan
    This document contains an application for tuition fee and examination fee benefits from the VJNT, OBC and SBC Welfare Department. It includes personal details of the applicant such as name, date of birth, address, family income, caste certificate, and education history. The applicant is currently pursuing a Bachelor of Engineering degree and is seeking 50% reimbursement of tuition and examination fees totaling Rs. 43,409 and Rs. 900 respectively. The applicant agrees to the terms and conditions of the scholarship and certifies that all information provided is true.

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    Yash Kalan
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    This document contains an application for tuition fee and examination fee benefits from the VJNT, OBC and SBC Welfare Department. It includes personal details of the applicant such as name, date of birth, address, family income, caste certificate, and education history. The applicant is currently pursuing a Bachelor of Engineering degree and is seeking 50% reimbursement of tuition and examination fees totaling Rs. 43,409 and Rs. 900 respectively. The applicant agrees to the terms and conditions of the scholarship and certifies that all information provided is true.

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    This document contains an application for tuition fee and examination fee benefits from the VJNT, OBC and SBC Welfare Department. It includes personal details of the applicant such as name, date of birth, address, family income, caste certificate, and education history. The applicant is currently pursuing a Bachelor of Engineering degree and is seeking 50% reimbursement of tuition and examination fees totaling Rs. 43,409 and Rs. 900 respectively. The applicant agrees to the terms and conditions of the scholarship and certifies that all information provided is true.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    49 views5 pages

    Print PDF

    Uploaded by

    Yash Kalan
    This document contains an application for tuition fee and examination fee benefits from the VJNT, OBC and SBC Welfare Department. It includes personal details of the applicant such as name, date of birth, address, family income, caste certificate, and education history. The applicant is currently pursuing a Bachelor of Engineering degree and is seeking 50% reimbursement of tuition and examination fees totaling Rs. 43,409 and Rs. 900 respectively. The applicant agrees to the terms and conditions of the scholarship and certifies that all information provided is true.

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    © All Rights Reserved
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    of 5

    Applicant Details

    Applicant Photo
    ApplicationID :1819VJB1000127434

    Application ID Scheme Name


    1819VJB1000127434 Tuition Fees and Examination
    Fees to OBC Students

    Department Name Applied Date


    VJNT,OBC and SBC Welfare 29/11/2018
    Department

    Personal Details
    ApplicationID :1819VJB1000127434

    Full Name Mobile Number. Email ID


    Yash Sudhir Kalan 8668221632 Masterkalans@gmail.com

    Date Of Birth Gender Age


    10/09/1997 Male 21

    Religion Marital Status Applicant Full Name (As Per


    Hindu Unmarried SSC Marksheet/ L.C.)
    Yash sudhir kalan

    Parent's/Guardian Mobile No Dependent Type


    8983000853 -

    Permanent address Details


    ApplicationID :1819VJB1000127434

    Address State District


    A 1/6 Shivthirth Maharashtra Raigarh
    Building,,,,402107
    Taluka Village

    Pincode IsCorrespondence Address


    402107 same as Permanent?
    No

    Correspondence Address Details


    ApplicationID :1819VJB1000127434

    Address State District


    A1/6 shivteerth bldg , sheetal MAHARASHTRA Raigarh
    vihar , pen
    Taluka Village
    Pen Maharashtra

    Pincode IsCorrespondence Address


    402107 same as Permanent?
    No

    Income Details
    ApplicationID :1819VJB1000127434

    Do you have Income Certificate? Does your Certificate have a Family Annual Income
    Yes Barcode? 49333.00
    No
    Income Certificate No
    4526

    Issuing Authority Date of Issue


    Tahsildar 06/07/2018

    Domicile Details
    ApplicationID :1819VJB1000127434

    Are you Domicile of Do you have Domicile Relationship Type


    Maharashtra? Certificate? Self
    Yes Yes
    Domicile Certificate No.
    505

    Does your Certificate have a Applicant Name Issuing Authority


    Barcode? Yash sudhir kalan Executive magistrate
    No
    Date of Issue
    26/06/2013

    Caste Details
    ApplicationID :1819VJB1000127434

    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


    1832038 Raigarh Yash sudhir kalan

    Issuing Authority
    Sub Divisional Officer(SDO)
    Personal Eligibility Details
    ApplicationID :1819VJB1000127434

    Are you Salaried? Disability of any Type?


    No No

    Parent's/Guardian's Details
    ApplicationID :1819VJB1000127434

    Is Father Alive? Father Name Is Father Salaried?


    Yes Sudhir vasant kalan NO

    Is Mother Alive? Mother Name Is Mother Salaried?


    Yes Seema kalan Yes

    Mother Occupation
    Teacher

    Past Qualification Details


    ApplicationID :1819VJB1000127434

    Qualification Level Stream Completed


    Diploma Course Engineering Completed

    Institute State Institute District Institute Taluka


    MAHARASHTRA Raigarh Panvel

    College Name / School Name Course Name Board/University


    Mahatma Education Society's Post S.S.C. Diploma in MAHARASHTRA STATE BOARD
    Pillai Polytechnic, New Panvel, Engineering (Polytechnics) - OF TECHNICAL EDUCATION,
    Dist. Raigad Mechanical Engineering MUMBAI

    Mode Admission Year Passing Year


    Regular 2014 2018

    Result Percentage Attempts


    Passed 41.50 2

    Is Gap?
    Yes

    Current Course Details


    ApplicationID :1819VJB1000127434

    Admission Year In Current Institute State Institute District


    Course MAHARASHTRA Mumbai Suburban
    2018
    Institute Taluka Qualification Level
    Mumbai Suburban Under Graduate Course

    Stream College Name/school Name Course Name


    Engineering Manjara Charitable Trust's Rajiv Bachelor of Engineering (B. E.)
    Gandhi Institute of Technology, - Instrumentation Engineering
    Mumbai
    Admission Type
    Through CAP/Govt. Quota

    Application Admission ID/CAP Year Of Study Completed Or Continue


    ID Direct Second Year Pursuing
    Dse18102112
    Admission Date Admission Year in
    16/08/18 College/Institute
    -

    Percentage Result Fees Paid


    - - 55192.00

    Course Type Admission Through Open Or Gap Year


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

    Hostel Details
    ApplicationID :1819VJB1000127434

    Hosteller / Day Scholor Type


    Day Scholar

    Additional Question
    ApplicationID :1819VJB1000127434

    Question Answer
    Ration card for identify number rps.jpg Question
    of children’s in family Declaration certificate of
    parents/guardians about
    number of children
    beneficiaries

    Answer
    Question Answer
    rps.jpg
    Leaving Certificate rps2.jpg

    Question
    CAP Allotment Letter (For
    Professional Courses)

    Answer
    Question Answer
    Uu.jpg
    Cast Validity Certificate (For rps20181128_131345.jpg
    Professional Courses As Per GR
    Dated 31st July 2008) Exempted
    Professional courses to be
    identified Question
    Is this a Renewal Application?

    Answer
    No

    Benefits
    ApplicationID :1819VJB1000127434

    Tution Fee

    86818.00
    50% Tution Fee

    43409.00
    Exam Fee

    1800.00
    50% of Exam Fee

    900.00

    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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