Scholarship Prashant

Applicant Details
Applicant Photo
ApplicationID :2324DMR1000126472
Application ID Scheme Name

2324DMR1000126472 Rajarshri Chhatrapati Shahu
Maharaj Fee Reimbursement
Scheme
Department Name Applied Date

Directorate of Medical 24/03/2024
Education and Research
Personal Details
Full Name Mobile Number. Email ID

Umbre Prashant Raosaheb xxxxxx5523 p****8@gmail.com
Date Of Birth Gender Age

xx/xx/2004 Male 19
Religion Marital Status Applicant Full Name (As Per

Hindu Unmarried SSC Marksheet/ L.C.)
UMBRE PRASHANT RAOSAHEB
Parent's/Guardian Mobile No Dependent Type

xxxxxx0674 -
Permanent address Details

Address State District

,,,Manarsumba,431125 Maharashtra Beed
Taluka Village Pincode

Bid 431125
IsCorrespondence Address
same as Permanent?
Yes
Correspondence Address Details

Address State District
,,,,431125 Maharashtra Beed
Taluka Village Pincode

Beed 431125
Income Details
Do you have Income Certificate? Does your Certificate have a Family Annual Income
Yes Barcode? 70248.00
No
Income Certificate No
42213642624
Issuing Authority Date of Issue

Tahsildar 06/07/2023
Domicile Details
Are you Domicile of Do you have Domicile Relationship Type

Maharashtra? Certificate? Self
Yes Yes
Domicile Certificate No.
42213644473
Does your Certificate have a Applicant Name Issuing Authority

Barcode? UMBRE PRASHANT RAOSAHEB Tahsildar
No
Date of Issue
08/07/2023
Caste Details
Caste Category
General
Personal Eligibility Details

Are you Salaried? Disability of any Type?

No No
Parent's/Guardian's Details
Is Father Alive? Father Name Is Father Salaried?
Yes RAOSAHEB UMBRE Yes
Father Occupation Is Mother Alive? Mother Name

Service Yes ALKA UMBRE
Is Mother Salaried?
No
Past Qualification Details

Qualification Level Stream Completed

H.S.C. (12 Std) Science Completed
Institute State Institute District Institute Taluka

Maharashtra Beed Beed
College Name / School Name Course Name Board/University

BALWANTRAO KADAM HS 12th Science MAHARASHTRA STATE BOARD
YALAMGHAT OF SECONDARY AND HIGHER
SECONDARY EDUCATION
Mode Admission Year Passing Year

Regular 2022 2023
Result Percentage Attempts

Passed 62.50 1
Is Gap? Qualification Level Stream

No S.S.C. (10 Std) SSC
Completed Institute State Institute District

Completed Maharashtra Beed
Institute Taluka College Name / School Name Course Name

Beed SSC
Board/University Mode Admission Year

MAHARASHTRA STATE BOARD Regular 2020
OF SECONDARY AND HIGHER
SECONDARY EDUCATION
Passing Year Result
2021 Passed
Percentage Attempts Is Gap?

85.00 1 No
Current Course Details
Admission Year In Current Institute State Institute District

Course Maharashtra Nashik
2023
Institute Taluka Qualification Level
Nashik Under Graduate Course
Stream College Name/school Name Course Name

Health Science Bhonsala Institute of Nursing B.Sc. Nursing
,Nashik
Admission Type
Through CAP/Govt. Quota
Application Admission ID/CAP Year Of Study Completed Or Continue

ID/CLAT Admit Card No First Year Pursuing
2390013214
Admission Date Admission Year in
12/09/23 College/Institute
-
Percentage Result Fees Paid

- - 0.00
Course Type Admission Through Open Or Gap Year

UnAided Reserved Category? 0
General
Mode
Regular
Gap Reason CET / Merit Percentage / CLAT

Score
62.71
Hostel Details
Hosteller / Day Scholor Type Hostel Type Hostel Name

Hosteller Rented House Chitrangan Society Samrudhi
Aparment
Is Hostel Aided? Hostel Address Is Mess Available ?

Anandwalli, Gangapur Road, No
Nashik
Rent Per Month
2500.00 State District
Maharashtra Nashik
Additional Question
Question Answer
Upload Fathers / Guardians fuuu.jpeg Question
PAN card Upload Mothers / Guardians
Aadhaar Card
Answer
Question Answer
mauuu.jpeg
Upload Mothers PAN Card muu.jpeg
Question
Is this a Renewal Application?
Answer
Question Answer
No
Upload Father / Guardian ufff.jpeg
Aadhaar Card
Question Answer
Upload Students PAN Card uust'.jpeg
Benefits
Tution Fee
68636.00
50% Tution Fee
34318.00
Development Fee
6864.00
50% Development Fee
3432.00
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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Applicant Details

Application ID Scheme Name

Department Name Applied Date

Full Name Mobile Number. Email ID

Date Of Birth Gender Age

Religion Marital Status Applicant Full Name (As Per

Parent's/Guardian Mobile No Dependent Type

Permanent address Details

Address State District

Taluka Village Pincode

Correspondence Address Details

Taluka Village Pincode

Issuing Authority Date of Issue

Are you Domicile of Do you have Domicile Relationship Type

Does your Certificate have a Applicant Name Issuing Authority

Personal Eligibility Details

Are you Salaried? Disability of any Type?

Father Occupation Is Mother Alive? Mother Name

Past Qualification Details

Qualification Level Stream Completed

Institute State Institute District Institute Taluka

College Name / School Name Course Name Board/University

Mode Admission Year Passing Year

Result Percentage Attempts

Is Gap? Qualification Level Stream

Completed Institute State Institute District

Institute Taluka College Name / School Name Course Name

Board/University Mode Admission Year

Percentage Attempts Is Gap?

Admission Year In Current Institute State Institute District

Stream College Name/school Name Course Name

Application Admission ID/CAP Year Of Study Completed Or Continue

Percentage Result Fees Paid

Course Type Admission Through Open Or Gap Year

Gap Reason CET / Merit Percentage / CLAT

Hosteller / Day Scholor Type Hostel Type Hostel Name

Is Hostel Aided? Hostel Address Is Mess Available ?

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