Applicant Details

Applicant Photo
ApplicationID :1819MNT1000026853

Application ID Scheme Name

1819MNT1000026853 Scholarship for students of
minority communities
pursuing Higher and
Professional courses(DTE)

Department Name Applied Date

Minority Development 27/10/2018
Department

Personal Details
ApplicationID :1819MNT1000026853

Full Name Mobile Number. Email ID

Mohammad Akhlad Md Javed 9821212656 akhladalquraysh@gmail.com
Al Quraysh
Date Of Birth Gender
31/01/2002 Male

Age Religion Marital Status

16 Muslim Unmarried

Applicant Full Name (As Per Parent's/Guardian Mobile No Dependent Type

SSC Marksheet/ L.C.) 9821212656 -
Al-Quraysh Mohammad
Akhlad

Permanent address Details

ApplicationID :1819MNT1000026853

Address State District

4 E-14 Jupiter,Naya Nagar Maharashtra Thane
Narendra Park,Near Hydri
Chowk,Mira Road,401107
Taluka Village
Thane
Pincode
401107

IsCorrespondence Address
same as Permanent?
Yes

Correspondence Address Details

ApplicationID :1819MNT1000026853
Address State District
4 E-14 Jupiter,Naya Nagar MAHARASHTRA Thane
Narendra Park,Near Hydri
Chowk,Mira Road,401107
Taluka Village
Thane
Pincode
401107

Income Details
ApplicationID :1819MNT1000026853

Family Annual Income Do you have Income

120000.00 Certificate?
No

Domicile Details
ApplicationID :1819MNT1000026853

Are you Domicile of Do you have Domicile Relationship Type

Maharashtra? Certificate? Self
Yes Yes
Domicile Certificate No.
41656383524

Does your Certificate have a Applicant Name Issuing Authority

Barcode? Al-Quraysh Mohammad Tahsildar
No Akhlad
Date of Issue
21/12/2018

Caste Details
ApplicationID :1819MNT1000026853

Caste Category
General

Personal Eligibility Details

ApplicationID :1819MNT1000026853

Are you Salaried? Disability of any Type?

No No

Parent's/Guardian's Details
ApplicationID :1819MNT1000026853

Is Father Alive? Is Mother Alive? Mother Name

No Yes Humaira AL Quraysh

Is Mother Salaried?
No

Past Qualification Details

ApplicationID :1819MNT1000026853

Qualification Level Stream Completed

S.S.C. (10 Std) SSC Completed

Institute State Institute District Institute Taluka

MAHARASHTRA Thane Thane

College Name / School Name Course Name Board/University

SSC MAHARASHTRA STATE BOARD
OF SECONDARY AND HIGHER
SECONDARY EDUCATION

Mode Admission Year Passing Year

Regular 2017 2018

Result Percentage Attempts

Passed 65.20 1

Is Gap?
No

Current Course Details

ApplicationID :1819MNT1000026853

Admission Year In Current Institute State Institute District

Course MAHARASHTRA Thane
2018
Institute Taluka Qualification Level
Thane Diploma Course

Stream College Name/school Name Course Name

Engineering Shree Shankar Narayan
Education Trust,Pravin Patil
College of Diploma Engg. &
Technology, Bhayinder (E)
Western Rly
Post S.S.C. Diploma in
Engineering (Polytechnics) -
Electronics and
Telecommunication Engg
Admission Type
Through Spot
Admission/Institute Level

Application Admission ID/CAP Year Of Study Completed Or Continue

ID First Year Pursuing
-
Admission Date Admission Year in
26/06/18 College/Institute
-

Percentage Result Fees Paid

- - 30000.00
Course Type Admission Through Open Or Gap Year
UnAided Reserved Category? 0
General
Mode
Regular

GapReason

Hostel Details
ApplicationID :1819MNT1000026853

Hosteller / Day Scholor Type

Day Scholar

Additional Question
ApplicationID :1819MNT1000026853

Question Answer
Do you avail any scholarship / No Question
stipend ? Is this a Renewal Application ?

Answer
Question Answer
No
Upload Minority/Income Self IMG-20181222-WA0012.jpg
Declaration form

Benefits
ApplicationID :1819MNT1000026853

Tution Fee

27350.00
Maximum Sanctioned Amount

25000.00
Applicable Fee Amount

25000.00

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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