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Applicant Details
Applicant Photo
ApplicationID :2223DTR1001350418
Application ID Scheme Name
2223DTR1001350418 Rajarshi Chhatrapati Shahu
Maharaj Shikshan Shulkh
Shishyavrutti Yojna(EBC)

Department Name Applied Date

Directorate of Technical 20/01/2023
Education

Personal Details
ApplicationID :2223DTR1001350418
Full Name Mobile Number. Email ID
Pratiksha Madhukar xxxxxx2753 p****5@gmail.com
Pokharkar
Date Of Birth Gender
xx/xx/2001 Female

Age Religion Marital Status

21 Hindu Unmarried

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

SSC Marksheet/ L.C.) xxxxxx9349 -
Pokharkar pratiksha
madhukar

Permanent address Details

ApplicationID :2223DTR1001350418
Address State District
,,bhaktacha mala,Pimpalgaon Maharashtra Pune
Mahalunge,410503
Taluka Village
Pimpalgaon mahalunge

Pincode IsCorrespondence Address

410503 same as Permanent?
Yes

Correspondence Address Details

ApplicationID :2223DTR1001350418
Address State District
,,bhaktacha mala,Pimpalgaon Maharashtra Pune
Mahalunge,410503
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Taluka Village
Ambegaon Pimpalgaon mahalunge

Pincode
410503

Income Details
ApplicationID :2223DTR1001350418
Do you have Income Does your Certificate have a Family Annual Income
Certificate? Barcode? 48000.00
Yes No
Income Certificate No
41885124191

Issuing Authority Date of Issue

Tahsildar 21/09/2022

Domicile Details
ApplicationID :2223DTR1001350418
Are you Domicile of Do you have Domicile Relationship Type
Maharashtra? Certificate? Self
Yes Yes
Domicile Certificate No.
MAG:SR/51/2016

Does your Certificate have a Applicant Name Issuing Authority

Barcode? Pokharkar pratiksha Tahsildar
No madhukar
Date of Issue
25/02/2016

Caste Details
ApplicationID :2223DTR1001350418
Caste Category
General

Personal Eligibility Details

ApplicationID :2223DTR1001350418
Are you Salaried? Disability of any Type?
No No

Parent's/Guardian's Details
ApplicationID :2223DTR1001350418
Is Father Alive? Father Name Is Father Salaried?
Yes Madhukar namdev pokharkar No

Is Mother Alive? Mother Name Is Mother Salaried?

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Yes surekha No

Past Qualification Details

ApplicationID :2223DTR1001350418
Qualification Level Stream Completed
Under Graduate Course Science Completed

Institute State Institute District Institute Taluka

Maharashtra Pune Ambegaon

College Name / School Name Course Name Board/University

Annasaheb Awate College, B.Sc. SAVITRIBAI PHULE PUNE
Manchar UNIVERSITY

Mode Admission Year Passing Year

Regular 2019 2022

Result Percentage Attempts

Passed 77.41 1

Is Gap? Qualification Level Stream

No H.S.C. (12 Std) Science

Completed Institute State Institute District

Completed Maharashtra Pune

Institute Taluka College Name / School Name Course Name

Ambegaon ANNASAHEB AWATE JUNIOR 12th Science
COLLEGE
Board/University
MAHARASHTRA STATE BOARD
OF SECONDARY AND HIGHER
SECONDARY EDUCATION

Mode Admission Year Passing Year

Distance / Correspondence 2018 2019

Result Percentage Attempts

Passed 61.08 1

Is Gap? Qualification Level Stream

No S.S.C. (10 Std) SSC

Completed Institute State Institute District

Completed Maharashtra Pune

Institute Taluka College Name / School Name Course Name

Ambegaon SSC

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Board/University Mode Admission Year

MAHARASHTRA STATE BOARD Regular 2016
OF SECONDARY AND HIGHER
SECONDARY EDUCATION
Passing Year Result
2017 Passed

Percentage Attempts Is Gap?

85.40 1 No

Current Course Details

ApplicationID :2223DTR1001350418
Admission Year In Current Institute State Institute District
Course Maharashtra Pune
2022
Institute Taluka Qualification Level
Haveli Post Graduate Course

Stream College Name/school Name Course Name

MCA Dr. D. Y. Patil School Of MCA, Master in Computer
Lohegaon,Pune Application (2 years)

Admission Type Application Admission ID/CAP Year Of Study

Through CAP/Govt. Quota ID/CLAT Admit Card No First Year
MC22111019
Completed Or Continue
Pursuing

Admission Date Admission Year in Percentage

05/11/22 College/Institute -
-
Result
-

Fees Paid Course Type Admission Through Open Or

26419.00 UnAided Reserved Category?
General

Gap Year Mode Gap Reason

0 Regular
CET / Merit Percentage / CLAT
Score
82.26

Hostel Details
ApplicationID :2223DTR1001350418
Hosteller / Day Scholor Type
Day Scholar

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Additional Question
ApplicationID :2223DTR1001350418
Question Answer
your number of beneficiary in 2 Question
family ? Upload undertaking form that
same year not more than two
beneficiary in family

Answer
Question Answer
IMG20230115213542.jpg
Do you avail any scholarship / No
stipend ?

Question Answer
Is this a Renewal Application? No Question
Is taking benefit of TFWS
(Tuition Fee Waiver Scheme)?

Answer
Question Answer
No
Is admitted under EWS seat? No

Benefits
ApplicationID :2223DTR1001350418
Tution Fee

45045.00
50% Tution Fee

22522.50
Exam Fee

2720.00
50% of Exam Fee

1360.00

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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