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Passport Size
Photograph
Student Passed SSC Exam from CBSC . Please verify SSC marksheet.
Application Number
Application type
APP42255831M20112013
New
Renewal Course Year N.A
Student SSC Details
SSC Board
Passing Year
CENTRAL BOARD OF SECONDARY EDUCATION
2011 SSC Seat No 4225583 SSC Marks Obtained 89.30
Applicant's Details
Applicant Name NeerajKumar Ramdas Jadhav
Mother's Name
Meena
Date of Birth 23-11-1995 Gender
Male
Is Resident of Maharashtra
Maharashtra
Application Date
25-07-2013
Caste Category
Other Backward Class
Sub Caste
Orphan No
Is Disabled No Disability Type N.A.
Is Applicant Salaried ?
Applicant's
Annual Income
NO
0.00 Total Annual Income
100000.00
Is Staying at Hostel ? No Has Applied For Hostel ? No
Student Prequalifying Details
Institution Details
Name of School/College/Institute
where Admitted
Principal,K.J.Somaiya College Of Engineering,Vidyavihar,Mum-
Course Name
Subject
Bachelor of Engineering (Electronics)
Electronics
Academic Year
2013-2014
College Adm.No Admission Dt. 1312018 22-07-2013 Joining Date 22-07-2013
Is Fees Paid ?
No
Fee Paid 0.00
Fee Receipt
No.
Fee Receipt
Date
N.A
Course Year 1
Quota Government Quota
GrantType Non Granted
Is Admission after
Diploma
No
Contact Details
Residential Number: , MobileNumber: 8698680737, EmailAddress: neerajandkumar@gmail.com
CAP Number N.A
Academic Year Institute Course Course Year Percentage Result
2012 - 13 Vasantrao Naik
Mahavidyalaya,Aurangabad
12th (Science) 1 80.67 Pass
2011 - 12 Vasantrao Naik
Mahavidyalaya,Aurangabad
11 th Science 1 59.50 Pass
2010 - 11 KENDRIYA VIDYALAYA
,AURANGABAD
SSC 1 89.30 Pass
Mali (182) Caste
Marital Status No
EID Number
UID Number
549735113620
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Printed on 10/6/2014 8:31:39 PM GOI Post Matric Scholarship , 2013-2014
Bachelor of Engineering
(Electronics)
Course
Application Form
Other Backward Class
Hostel Information
Name of Landlord /
Hostel
N.A Hostel Admission
Date
Hostel Type N.A Is Mess Service Available? No Rent Per Month 0.00
Hostel/ Landlord
Address
N.A Hostel/Landlord
Contact Details
N.A
Is Studying in night school No
Document Details
Caste Certificate No OBC/2996/2010 District Issuing
Office
Dhule
Taluka Issuing
Office
Dhule
Caste Validity
Certificate No
60270 District Issuing
Office
Dhule
Scrutiny
Committee No
Edu./585/2013
Income Certificate
No
2091 Issued in
2013
University
Registration No
N.A
Student Bank Account Details
Bank Name UNION BANK OF INDIA Bank
Account No
324002010167568
Branch Name
DHULIA
IFSC Code
UBIN0532401 MICR Code NON-MICR
Caste Certificate Issued by Competant Officer
Income Proof Income Certificate Issued by Competant Authority
Marksheets
I-card Size Photo
Caste Validity Certificate
Non Creamy Layer Certificate
SSC Mark Sheet
UID document xerox
Document Attached
Address For Correspondence
Address:- Location:- City:- Moghan Pincode:- 424308 Taluka:- Dhule District:- Dhule
Parent / Guardian Details
Parent's name
Ramdas
Jadhav
Relation with Applicant
Age (yrs)
Profession Housekeeper
Parmanent Address Location:- City:- Moghan Pincode:- 424308 Taluka:- Dhule District:- Dhule
Annual Income 100000.00
Is Father Alive Yes
Declaration
The information furnished by me is complete and correct. I bear the complete responsibility for all the above
information.
Applicant's Signature Applicant Parent's Signature
Principal's Signature
_______________________ _______________________
_______________________
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