23/09/2019

Applicant Details
Applicant Photo
ApplicationID :1920VJV1000158716

Application ID Scheme Name

1920VJV1000158716 Post Matric Scholarship to VJNT Students

Department Name Applied Date

OBC, SEBC, VJNT & SBC Welfare Department 23/09/2019

Personal Details
ApplicationID :1920VJV1000158716

Full Name Mobile Number. Email ID

Vishal Nursing Jadhav 8805541580 jadhav97vn@gmail.com

Date Of Birth Gender Age

10/11/1997 Male 21

Religion Marital Status Applicant Full Name (As Per SSC Marksheet/
Hindu Unmarried L.C.)
JADHAV VISHAL NURSING

Parent's/Guardian Mobile No Dependent Type

8698444911 -

Permanent address Details

ApplicationID :1920VJV1000158716

Address State District

,,kanki (tanda),Kinwat,431804 Maharashtra Nanded

Taluka Village Pincode

Kinwat KANKI TANDA 431804

IsCorrespondence Address same as

Permanent?
Yes

Correspondence Address Details

ApplicationID :1920VJV1000158716

Address State District

,,kanki (tanda),Kinwat,431804 MAHARASHTRA Nanded

Taluka Village Pincode

Kinwat KANKI TANDA 431804

Income Details
ApplicationID :1920VJV1000158716

Do you have Income Certificate? Does your Certificate have a Barcode? Family Annual Income
Yes No 45000.00

Income Certificate No Issuing Authority Date of Issue

40963128742 Tahsildar 07/09/2018

Domicile Details
ApplicationID :1920VJV1000158716

Are you Domicile of Maharashtra? Do you have Domicile Certificate? Relationship Type
Yes Yes Self

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Domicile Certificate No. Does your Certificate have a Barcode? Applicant Name
981 No JADHAV VISHAL NURSING

Issuing Authority Date of Issue

Tahsildar 10/02/2014

Caste Details
ApplicationID :1920VJV1000158716

Do you have Caste Certificate? Caste Category Does your Certificate have a Barcode?
Yes (VJNT) Vimukta Jat Nomadic Tribes No

Caste Certificate Number Issuing District Applicant Name

1055 Nanded JADHAV VISHAL NURSING

Issuing Authority
Sub Divisional Officer(SDO)

Personal Eligibility Details

ApplicationID :1920VJV1000158716

Are you Salaried? Disability of any Type?

No No

Parent's/Guardian's Details
ApplicationID :1920VJV1000158716

Is Father Alive? Father Name Is Father Salaried?

Yes NURSING DHARMA JADHAV No

Is Mother Alive? Mother Name Is Mother Salaried?

Yes BEBI NURSING JADHAV No

Past Qualification Details

ApplicationID :1920VJV1000158716

Qualification Level Stream Completed

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

Institute State Institute District Institute Taluka

MAHARASHTRA Nanded Kinwat

College Name / School Name Course Name Board/University

SSC MAHARASHTRA STATE BOARD OF SECONDARY
AND HIGHER SECONDARY EDUCATION

Mode Admission Year Passing Year

Regular 2012 2013

Result Percentage Attempts

Passed 53.40 1

Is Gap? Qualification Level Stream

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

Completed Institute State Institute District

Completed MAHARASHTRA Nanded

Institute Taluka College Name / School Name Course Name

Kinwat MAHATMA JYOTIBA PHULE HIGH SCHOOL &
HIGHER SECONDARY SCHOOL,GOKUNDA TQ
KINWAT DIST NANDED.
12th Science
Board/University
MAHARASHTRA STATE BOARD OF SECONDARY
AND HIGHER SECONDARY EDUCATION

Mode Admission Year Passing Year

Regular 2014 2015

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Result Percentage Attempts
Passed 59.08 1

Is Gap? Qualification Level Stream

No Under Graduate Course Arts

Completed Institute State Institute District

Completed MAHARASHTRA Nanded

Institute Taluka College Name / School Name Course Name

Kinwat Baliram Patil Arts,Commerce & Science B.A.
College, Kinwat
Board/University
S. R. T. MARATHWADA UNIVERSITY

Mode Admission Year Passing Year

Regular 2016 2019

Result Percentage Attempts

Passed 74.20 1

Is Gap?
No

Current Course Details

ApplicationID :1920VJV1000158716

Admission Year In Current Course Institute State Institute District

2019 MAHARASHTRA Nanded

Institute Taluka Qualification Level Stream

Nanded Post Graduate Course Arts

College Name/school Name Course Name Admission Type

People College Nanded M.A. English -

Application Admission ID/CAP ID Year Of Study Completed Or Continue

- First Year Pursuing

Admission Date Admission Year in College/Institute Percentage

29/06/19 - -

Result Fees Paid Course Type

- 0.00 Aided

Admission Through Open Or Reserved Gap Year Mode

Category? 0 Regular
(VJNT) Vimukta Jat Nomadic Tribes
Gap Reason CET / Merit Percentage
0

Hostel Details
ApplicationID :1920VJV1000158716

Hosteller / Day Scholor Type

Day Scholar

Additional Question
ApplicationID :1920VJV1000158716

Question Answer
Caste Validity – (Mandatory for Professional Question
Degree courses, Professional Post Graduate. Ration Card for identify number of children in
For Non Professional courses cast validity is not family
mandatory)

Answer
Question

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Leaving Certificate

Answer
Question Answer
BA LC.jpg
Declaration certificate of parents/guardians SCAN_20190911_125518849.jpg
about number of children beneficiaries

Question Answer
How many boys child (including you) in your 2 Question
family of the same parents? Have you applied for any other scholarship

Answer
Question Answer
No
Is this a Renewal Application? No

Benefits
ApplicationID :1920VJV1000158716

Tution Fee

1200.00
Exam Fee

1130.00
Number of Months for which benefit is allotted

10.00
Maintenance Allowance per month

190.00
Total Maintenance Allowance

1900.00

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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