10/10/2019

Applicant Details
Applicant Photo
ApplicationID :1920MNT1000018604

Application ID Scheme Name

1920MNT1000018604 Scholarship for students of
minority communities
pursuing Higher and
Professional courses(DTE)

Department Name Applied Date

Minority Development 06/10/2019
Department

Personal Details
ApplicationID :1920MNT1000018604

Full Name Mobile Number. Email ID

Fernandes Rohan Cyril xxxxxx8837
Date Of Birth
xx/xx/2002

Gender Age Religion

Male 17 Christian

Marital Status Applicant Full Name (As Per Parent's/Guardian Mobile No

Unmarried SSC Marksheet/ L.C.) xxxxxx0789
FERNANDES ROHAN CYRIL
Dependent Type
-

Permanent address Details

ApplicationID :1920MNT1000018604

Address State District

,,Navajivan Chawl Maharashtra Mumbai
Commiti,Datta Mandir Road
,Waghri Wada,,400055
Taluka Village

Pincode IsCorrespondence Address

400055 same as Permanent?
Yes

Correspondence Address Details

ApplicationID :1920MNT1000018604

Address State District

,,Navajivan Chawl MAHARASHTRA Mumbai Suburban
Commiti,Datta Mandir Road

1/5
10/10/2019

,Waghri Wada,,400055 Taluka Village

Andheri
Pincode
400055

Income Details
ApplicationID :1920MNT1000018604

Family Annual Income Do you have Income

200000.00 Certificate?
No

Domicile Details
ApplicationID :1920MNT1000018604

Are you Domicile of Do you have Domicile Relationship Type

Maharashtra? Certificate? Father
Yes Yes
Domicile Certificate No.
90016029277

Does your Certificate have a Applicant Name Issuing Authority

Barcode? ROHAN CYRIL FERNANDES Tahsildar
No
Date of Issue
11/06/2019

Caste Details
ApplicationID :1920MNT1000018604

Caste Category
General

Personal Eligibility Details

ApplicationID :1920MNT1000018604

Are you Salaried? Disability of any Type?

No No

Parent's/Guardian's Details
ApplicationID :1920MNT1000018604

Is Father Alive? Father Name Is Father Salaried?

Yes CYRIL FRANCIS FERNANDES Yes

Father Occupation Is Mother Alive? Mother Name

Others Yes SANDHYA CYRIL FERNANDES

Is Mother Salaried?
No

Past Qualification Details

2/5
10/10/2019

ApplicationID :1920MNT1000018604

Qualification Level Stream Completed

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

Institute State Institute District Institute Taluka

MAHARASHTRA Mumbai City Mumbai City

College Name / School Name Course Name Board/University

DR. ANTONI DA SILVA 12th Science MAHARASHTRA STATE BOARD
TECHNICAL HIGH SCHOOL OF SECONDARY AND HIGHER
AND JR COLLEGE SECONDARY EDUCATION

Mode Admission Year Passing Year

Distance / Correspondence 2018 2019

Result Percentage Attempts

Passed 58.00 1

Is Gap? Qualification Level Stream

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

Completed Institute State Institute District

Completed MAHARASHTRA Mumbai Suburban

Institute Taluka College Name / School Name Course Name

Andheri SSC

Board/University Mode Admission Year

MAHARASHTRA STATE BOARD Regular 2018
OF SECONDARY AND HIGHER
SECONDARY EDUCATION
Passing Year Result
2019 Passed

Percentage Attempts Is Gap?

76.60 1 No

Current Course Details

ApplicationID :1920MNT1000018604

Admission Year In Current Institute State Institute District

Course MAHARASHTRA Mumbai Suburban
2019
Institute Taluka Qualification Level
Borivali Under Graduate Course

Stream College Name/school Name Course Name

Engineering St. Francis Institute of Bachelor of Engineering (B. E.)
Technology,Borivali, Mumbai - Electrical Engineering

3/5
10/10/2019

Admission Type Application Admission ID/CAP Year Of Study

Through Management Quota ID First Year
-
Completed Or Continue
Pursuing

Admission Date Admission Year in Percentage

17/07/19 College/Institute -
-
Result
-

Fees Paid Course Type Admission Through Open Or

117241.00 UnAided Reserved Category?
General

Gap Year Mode Gap Reason

0 Regular
CET / Merit Percentage
0

Hostel Details
ApplicationID :1920MNT1000018604

Hosteller / Day Scholor Type

Day Scholar

Additional Question
ApplicationID :1920MNT1000018604

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

Answer
Question Answer
No
Upload Minority/Income Self INCOME CERTIFICATE- FROM
Declaration form 16.PDF

Benefits
ApplicationID :1920MNT1000018604

Tution Fee

100271.00
Maximum Sanctioned Amount

25000.00
Applicable Fee Amount

4/5
10/10/2019

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.

View Uploaded Documents

5/5