FAEA : Scholarship 2023-24

Application Form

* Confirmation Code: 202780087

Personal Details

Name (as it appears in your

* YASH UMARE
SSLC/SSC certificate)

* Mother's Name Geeta Umare

* Father's Name Kirti Kumar umare
Email-ID yashuumare86@gmail.com
* Gender MALE * Date of Birth 02-Oct-2003
* * Address for Communication
Complete Permanent Address
GRAM PANDIYA CHHAPARA
(with Home State/City)
GRAM PANDIYA CHHAPARA
Seoni
Seoni
SEONI
SEONI
MADHYA PRADESH-480996
MADHYA PRADESH-480996
Alternate Mobile No./
* Mobile No. 6264939039 6264939039
Telephone No.
Fax No. Aadhar No.

Social Details
If SC/ST/OBC, please
* Category OBC-NCL RS/456/0106/76999/2015
specify
Do you have BPL Card? YES
Do you belong to Below Poverty
* YES * If yes, give the BPL Card
Line (BPL) Category? 32555
No.
Do you have a physical or
Do you belong to a Religious NO
* Other * sensory disability?
Minority?
If yes, please specify
* Who was the first person to complete Matriculation (upto class 10) in your immediate family? Parents
* Father's Education Level Matriculation * Mother's Education Level Primary
* Father Occupation Farmer * Father's Income 50000
* Mother Occupation House wife * Mother's Income 00
Are you presently getting any State Government Scholarship/other scholarship/fee concession/financial help for
pursuing Degree Course?(Yes/No)*: YES
*
Which Scholarship are you getting? Please give details: State government scholarship
Please mention the approximate amount of Scholarship you are getting?:Rs.6500
What is your approximate total fee expenditure per year (including course fee and hostel fee)? Please write the
*
minimum funds you require per year?: Rs.73495

Educational Background
Jawahar navodaya
Class XIIth School/Diploma Name of the Board(Class Central board of
* vidyalaya kahaniwada *
Institute Name? XII/Diploma)? secondary education
seoni
 * Name of the City/ Town/ SEONI
Village in which your Class
Which type of school did you XII School/Diploma
* Government
study in? Institute was located?
If other, please specify
Class XII/Diploma - Was it
Class XII/Diploma Medium of
* English * a residential (boarding) YES
instruction
school

Academic Background
* Year of passing Class X 2020 * Class X percentage 65.33
Year of passing Class
* 2022 * Class XII/Diploma subject Commerce
XII/Diploma Exam
* Class XII/Diploma percentage: 81%
Class for Basis of Percentage Marks Entered: 12th
Note: Select 11th class onlyif result is awaited for class 12th (Students whose results of class 12th are still awaited
may also apply on the basis of 11th Class marks.)
Bachelor of business
Present Course Pursuing
administration (B.B.A.)
* Are you presently pursuing any Course (Graduation/Engineering/Diploma/PG Etc)? YES
if Yes, provide the following information:
Pursuing Currently you are In Year 2023-24, you
Name of the College City State Degree/Course studying in the year will be in which
Name (Course Year) (course year)

Dr. Ambedkar
college research Nagpur Maharashtra Maharashtra I II
and institute

* Proposed Course of Study Commerce if others, please specify

Why do you want to join this course?(not more than 200 words):
For preparing common entrance exam.

Reference Details

* Reference Name #1 Yash umare * Gender Male

GRAM PANDIYA
* Address for Communication
CHHAPARA
Keolari
Seoni Madhya Pradesh
* City/District Seoni * Pin Code 480996
* State Madhya Pradesh
Contact No. with STD Contact No./Mobile No.
* 6264939039 6264939039
Code/Mobile No. (i) (ii)
Fax No. Email-ID yashuumare86@gmail.com

Reference Name #2 Yash umare Gender Male

GRAM PANDIYA
Address for Communication
CHHAPARA

Madhya Pradesh
City/District Seoni Pin Code 480996
State Madhya Pradesh
Contact No. with STD Contact No./Mobile No.
6264939039
Code/Mobile No. (i) (ii)
Fax No. Email-ID yashuumare86@gmail.com
Declaration
I hereby declare that I have verified the details indicated above and I confirm that all the
information submitted above is correct to the best of my knowledge. I will provide documentary
evidence in support of all the above information. If at any stage, if it is found that any of the above
information is incorrect and/or is suppressed, the management of FAEA shall have the right to take
penal action as deemed fit.
Application No. 202780087. Applicated submitted on 26 June 2023 15:17
Place
Date Signature of Applicant

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