*DIRECTORATE OF TECHNICAL EDUCATION

3, MAHAPALIKA MARG, POST BOX NO. 1967, MUMBAI - 400 001

Application Form for Dr. Punjabrao Deshmukh Hostel Maintenance Allowance
Scheme for the Academic Year 2016-17 *
Application ID : DSE14111774

Version No : 4

Personal Details
Candidate Name SANGAVE MANOJ MANIK
Candidate Photo
Gender Male
DOB (DD/MM/YYYY)
11/10/1994
Candidature Type
Maharashtra Type - A
Category
OPEN
Mother Tongue Marathi
Religion
Hindu
Region NA
Permanent Address
AT POST DAITHANA TQ SHIRUR ANANTPAL DIST. LATUR
Taluka - Shirur-Anantpal District - Latur State - Maharashtra PIN - 413544
Mobile No
9156672252
E-Mail ID
manojsangve94@gmail.com
Aadhaar Number 326076120184 (Aadhaar Number Verified by DTE)
Candidate s Name (As Per Aadhaar)
MANOJ MANIKRAO SANGAVE
Admission Details
Admission Year 2014
Program Type
Direct Second Year Degree in Engineering-Technology
Institute Name 6289 - B.R.A.C.T's Vishwakarma Institute of Information
Technology, Kondhwa (Bk.), Pune
Course Name
Civil Engineering[Direct Second Year First Shift]
Choice Code
628919180
Seat Type
GOPEN
Admission Date 26/08/2014
Reporting Date 26/08/2014
CAP Round
1
CAP Merit No
3088
Candidate's Bank Details
Candidate s Name (As Per Bank Record)
MANOJ MANIKRAO SANGAVE
Bank Name
State Bank of India
Branch Name
YEROL Account Number 33197599401
IFSC Code
SBIN0009907
MICR Code
413002570
Account Seeded with Aadhaar
Yes
Parent Type Details
Applied Parent Type
Small Land Holder
Small Land Holder Details
Small Land Holder (Father / Mother)
Father
Agriculture Land Area 1H 24.00R (Irrigated - 0H 0.00R, Non Irrigated 1H 24.00R)
Father's Other Details
Name
SANGAVE MANIK RAGHUNATH
Small Land Holder Certificate Number
2016/132
Address
AT POST:DAITHANA,TALUKA:SHIRUR ANANTPAL ,DIST:LATUR
Taluka - Shirur-Anantpal District - Latur State - Maharashtra PIN - 413517
Mobile Number 9730349767
Aadhaar Number 520157265792
Name (As Per Aadhaar) MANIKRAO RAGHUNATH SANGVE
Hostel Details
Hostel Type
PRIVATE HOSTEL
Name & Address of Hostel
Shreenath Boys Hostel ,Hadapsar Pune
Sr.no.66/3, Shreenath Krupa Building, Satav Nagar,Handewadi
road,Hadapsar Pune 411028
List of Documents Required
Sr. No. Document Name
1.
Small Land Holder Certificate.
2.
Parent's Aadhaar Card.

3.

Hostel Receipt.

*Declaration*
The above information given by me for Dr. Punjabrao Deshmukh
Hostel Maintenance Allowance Scheme as a parent is true to the best of
my knowledge & belief. If at later stage, it is found that I have
furnished wrong information and /or submitted false certificates, I am
aware that my sons/daughters admission stands cancelled.
I am aware that if my family income is found above the limit
fixed by the Authority, I will have to pay two fold of amount sanctioned
by the Authority. The authority may recover the amount from me, from my
heritor or as dues on land revenue in case of not returning the amount.
*Place :*
*Date : *
Printed On : 30/12/2016 11:27:05 AM
Last Modified On : 30/12/2016 11:26:24 AM
Signature
Candidate Signature
(SANGAVE MANOJ MANIK)

Father/Mothers/Guardian