Applicant Details

Applicant Photo
ApplicationID :2122DTR1000691977

Application ID Scheme Name

2122DTR1000691977 Rajarshi Chhatrapati Shahu

Maharaj Shikshan Shulkh
Shishyavrutti Yojna(EBC)

Department Name Applied Date

Directorate of Technical 23/12/2021
Education

Personal Details
ApplicationID :2122DTR1000691977

Full Name Mobile Number. Email ID

Varad Ravindra Gorwadkar xxxxxx4386 g****[email protected]

Date Of Birth Gender Age

xx/xx/2004 Male 17

Religion Marital Status Applicant Full Name (As Per

Hindu Unmarried SSC Marksheet/ L.C.)

Gorwadkar Varad Ravindra

Parent's/Guardian Mobile No Dependent Type

xxxxxx2626 -

Permanent address Details

ApplicationID :2122DTR1000691977

Address State District

,,KASAR LEN,,422207 Maharashtra Nashik

Taluka Village Pincode

ozar 422207

IsCorrespondence Address
same as Permanent?
No

Correspondence Address Details

ApplicationID :2122DTR1000691977
Address State District
plot no; 27,krishnakamal Maharashtra Nashik
bunglow,shivaji nagar,ozar(mig)

Taluka Village
Niphad ozar(mig)

Pincode IsCorrespondence Address

422207 same as Permanent?
No

Income Details
ApplicationID :2122DTR1000691977

Do you have Income Certificate? Does your Certificate have a Family Annual Income
Yes Barcode? 598510.00
No

Income Certificate No
41551519956

Issuing Authority Date of Issue

Tahsildar 26/11/2021

Domicile Details
ApplicationID :2122DTR1000691977

Are you Domicile of Do you have Domicile Relationship Type

Maharashtra? Certificate? Self
Yes Yes

Domicile Certificate No.

41551381051

Does your Certificate have a Applicant Name Issuing Authority

Barcode? Gorwadkar Varad Ravindra Tahsildar
No

Date of Issue
05/08/2020

Caste Details
ApplicationID :2122DTR1000691977

Caste Category
General

Personal Eligibility Details

ApplicationID :2122DTR1000691977

Are you Salaried? Disability of any Type?

No No


Parent's/Guardian's Details
ApplicationID :2122DTR1000691977

Is Father Alive? Father Name Is Father Salaried?

Yes Ravindra Balkrishna Gorwadkar Yes

Father Occupation Is Mother Alive? Mother Name

Business Yes Shobha Ravindra Gorwadkar

Is Mother Salaried?
No

Past Qualification Details

ApplicationID :2122DTR1000691977

Qualification Level Stream Completed

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

Institute State Institute District Institute Taluka

Maharashtra Nashik Niphad

College Name / School Name Course Name Board/University

SSC MAHARASHTRA STATE BOARD

OF SECONDARY AND HIGHER
SECONDARY EDUCATION

Mode Admission Year Passing Year

Regular 2019 2020

Result Percentage Attempts

Passed 85.20 1

Is Gap?
No

Current Course Details

ApplicationID :2122DTR1000691977

Admission Year In Current Institute State Institute District

Course Maharashtra Nashik
2020

Institute Taluka Qualification Level

Nashik Diploma Course

Stream College Name/school Name Course Name

Engineering K.K Wagh Education Society's Post S.S.C. Diploma in
K. K. Wagh Polytechnic, Nashik Engineering (Polytechnics) -

Information Technology

Admission Type Application Admission ID/CAP Year Of Study

Through CAP/Govt. Quota ID/CLAT Admit Card No First Year
DEN20113230

Completed Or Continue
Completed

Admission Date Admission Year in Percentage

- College/Institute 81
2020

Result
Passed

Fees Paid Course Type Admission Through Open Or

UnAided Reserved Category?

General

Gap Year Mode Gap Reason

0 Regular

CET / Merit Percentage / CLAT

Score
85.2

Admission Year In Current Institute State Institute District

Course Maharashtra Nashik
2020

Institute Taluka Qualification Level

Nashik Diploma Course

Stream College Name/school Name Course Name

Engineering K.K Wagh Education Society's Post S.S.C. Diploma in
K. K. Wagh Polytechnic, Nashik Engineering (Polytechnics) -

Information Technology

Admission Type Application Admission ID/CAP Year Of Study

Through CAP/Govt. Quota ID/CLAT Admit Card No Second Year
DEN20113230

Completed Or Continue
Pursuing

Admission Date Admission Year in Percentage

20/09/21 College/Institute -
-

Result
-


Fees Paid Course Type Admission Through Open Or

0.00 UnAided Reserved Category?

General

Gap Year Mode Gap Reason

0 Regular

CET / Merit Percentage / CLAT

Score
85.2

Hostel Details
ApplicationID :2122DTR1000691977

Hosteller / Day Scholor Type

Day Scholar

Additional Question
ApplicationID :2122DTR1000691977

Question Answer
Is this a Renewal Application? Yes Question

Enter previous year application
ID

Answer
Question Answer
20211DTR1000545307
Do you avail any scholarship / No
stipend ?

Question Answer
your number of beneficiary in 1 Question
family ?
Upload undertaking form that
same year not more than two
beneficiary in family

Answer
Question Answer
Scholarship declaration
Is taking benefit of TFWS No
form.pdf
(Tuition Fee Waiver Scheme)?

Question Answer
Is admitted under EWS seat? No

Benefits
ApplicationID :2122DTR1000691977

Tution Fee

67273.00
50% Tution Fee

33636.50
Exam Fee

0.00
50% of Exam Fee

0.00

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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