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Applicant Details
Applicant Photo
ApplicationID :1920VJB1000199623

Application ID Scheme Name

1920VJB1000199623 Tuition Fees and Examination
Fees to OBC Students

Department Name Applied Date

OBC, SEBC, VJNT & SBC 29/02/2020
Welfare Department

Personal Details
ApplicationID :1920VJB1000199623

Full Name Mobile Number. Email ID

Abhishek Ganesh Wagh xxxxxx1357 w****6@gmail.com

Date Of Birth Gender Age

xx/xx/1999 Male 21

Religion Marital Status Applicant Full Name (As Per

Hindu Unmarried SSC Marksheet/ L.C.)
ABHISHEK GANESH
WAGH

Parent's/Guardian Mobile No Dependent Type

xxxxxx3689 -

Permanent address Details

ApplicationID :1920VJB1000199623

Address State District

1,mu toli,post toli,Toli,425111 Maharashtra Jalgaon

Taluka Village Pincode

Parola TOLI 425111

IsCorrespondence Address
same as Permanent?
No

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Correspondence Address Details

ApplicationID :1920VJB1000199623

Address State District

37/B SHANTI VILLA GUJARAT Surat
BUNGALOWS KARWASA
ROAD DINDOLI SURAT
394210 Taluka Village
CHORASI KARADAVA

Pincode IsCorrespondence Address

394210 same as Permanent?
No

Income Details
ApplicationID :1920VJB1000199623

Do you have Income Does your Certificate have a Family Annual Income
Certificate? Barcode? 180000.00
Yes No
Income Certificate No
300

Issuing Authority Date of Issue

Tahsildar 21/05/2018

Domicile Details
ApplicationID :1920VJB1000199623

Are you Domicile of Do you have Domicile Relationship Type

Maharashtra? Certificate? Self
Yes Yes
Domicile Certificate No.
8860

Does your Certificate have a Applicant Name Issuing Authority

Barcode? ABHISHEK GANESH Executive magistrate
No WAGH
Date of Issue
04/07/2015

Caste Details
ApplicationID :1920VJB1000199623

Do you have Caste Certificate? Caste Category Does your Certificate have a
Yes (OBC) Other Backward Class Barcode?
No

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Caste Certificate Number Issuing District Applicant Name

2129 Jalgaon ABHISHEK GANESH
WAGH

Issuing Authority
Sub Divisional Officer(SDO)

Personal Eligibility Details

ApplicationID :1920VJB1000199623

Are you Salaried? Disability of any Type?

No No

Parent's/Guardian's Details
ApplicationID :1920VJB1000199623

Is Father Alive? Father Name Is Father Salaried?

Yes GANESH ATMARAM Yes
WAGH
Father Occupation
Defence Service

Is Mother Alive? Mother Name Is Mother Salaried?

Yes SANGITA GANESH WAGH No

Past Qualification Details

ApplicationID :1920VJB1000199623

Qualification Level Stream Completed

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

Institute State Institute District Institute Taluka

MAHARASHTRA Jalgaon Parola

College Name / School Name Course Name Board/University

SSC CBSE

Mode Admission Year Passing Year

Regular 2012 2015

Result Percentage Attempts

Passed 7.40 1

Is Gap? Qualification Level Stream

Yes H.S.C. (12 Std) Science

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Completed Institute State Institute District

Completed MAHARASHTRA Jalgaon

Institute Taluka College Name / School Name Course Name

Amalner PRATAP COLLEGE 12th Science
AMALNER
Board/University
MAHARASHTRA STATE
BOARD OF SECONDARY
AND HIGHER SECONDARY
EDUCATION

Mode Admission Year Passing Year

Regular 2015 2017

Result Percentage Attempts

Passed 57.54 1

Is Gap?
Yes

Current Course Details

ApplicationID :1920VJB1000199623

Admission Year In Current Institute State Institute District

Course MAHARASHTRA Nanded
2018
Institute Taluka Qualification Level
Ardhapur Under Graduate Course

Stream College Name/school Name Course Name

Health Science APRAMPAR SWAMI Bachelor of Physiotheraphy
PHYSIOTHERAPY (BPTH)
COLLEGE JAMBHRUN
DIST NANDED
Admission Type
Through CAP/Govt. Quota

Application Admission Year Of Study Completed Or Continue

ID/CAP ID/CLAT Admit Card Second Year Pursuing
No
40045903
Admission Date Admission Year in
24/12/19 College/Institute
-

Percentage Result Fees Paid

- - 10000.00

Course Type Admission Through Open Or Gap Year

UnAided Reserved Category? 0
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(OBC) Other Backward Class

Mode
Regular

Gap Reason CET / Merit Percentage / Admission Year In Current

CLAT Score Course
56.84 2018

Institute State Institute District Institute Taluka

MAHARASHTRA Nanded Ardhapur

Qualification Level Stream College Name/school Name

Under Graduate Course Health Science APRAMPAR SWAMI
PHYSIOTHERAPY
COLLEGE JAMBHRUN
DIST NANDED

Course Name Admission Type Application Admission

Bachelor of Physiotheraphy Through CAP/Govt. Quota ID/CAP ID/CLAT Admit Card
(BPTH) No
40045903

Year Of Study Completed Or Continue Admission Date

First Year Completed -

Admission Year in Percentage Result

College/Institute 43.52 Passed With ATKT
2018
Fees Paid Course Type
UnAided

Admission Through Open Or Gap Year Mode

Reserved Category? 0 Regular
(OBC) Other Backward Class
Gap Reason CET / Merit Percentage /
CLAT Score
56.84

Hostel Details
ApplicationID :1920VJB1000199623

Hosteller / Day Scholor Type Hostel Type Hostel Name

Hosteller Rented House Sumitra Praladarao Wadjkar

Is Hostel Aided? Hostel Address Is Mess Available ?

1/16/445 Raigad nagar near Yes
MGM engg. college airport
road nanded Maharashtra
Rent Per Month
431704
2000.00
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State District
Maharashtra Nanded

Additional Question
ApplicationID :1920VJB1000199623

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

Answer
Question Answer
Ration card.jpg
Leaving Certificate leaving certificate_1.jpg

Question
CAP Allotment Letter (For
Professional Courses)

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

Answer
Yes

Question
Enter your last year
MahaEschol Application ID

Answer
1819VJB1000167533

Benefits
ApplicationID :1920VJB1000199623

Tution Fee

72727.00
50% Tution Fee

36363.50
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Exam Fee

3450.00
50% of Exam Fee

1725.00

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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