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PhotographApplication Number

Appilcation type

APPK0024143M20112013

NewRenewal Course Year N.A

Student SSC Details

SSC Board

Passing Year

MAHARASHTRA STATE BOARD OF SECONDARY AND HIGHER SECONDARY EDUCATION

2011 SSC Seat No K002414 SSC Marks Obtained 84.36

Applicant's Details

Applicant Name NISHA GANESH MARGE Mother's Name SANDHYA

Date of Birth 15-10-1994 Gender Female Is Resident of Maharashtra Maharashtra

Application Date 07-07-2013 Caste Category Vimukta Jat Nomadic Tribes

Sub Caste

Orphan Yes Is Disabled No Disability Type N.A.

Is Applicant Salaried ? Applicant's Annual Income

NO 0.00 Total Annual Income 35000.00

Is Staying at Hostel ? No Has Applied For Hostel ? No

Student Prequalifying Details

Institution Details

Name of School/College/Institute where Admitted

M.G.M.'s Jawaharlal Nehru Engineering College, Aurangabad-431003

Course Name

Subject

Bachelor of Architecture

Academic Year 2013-2014

College Adm.No Admission Dt.13105 06-07-2013 Joining Date 06-07-2013

Is Fees Paid ? No Fee Paid 0.00 Fee Receipt No.

Fee Receipt Date

N.A

Course Year 1

Quota Government QuotaGrantType Non Granted

Is Admission after Diploma

No

Contact Details

Residential Number: N.A, MobileNumber: N.A, EmailAddress: N.A

CAP Number N.A

Academic Year Institute Course Course Year Percentage Result

2012 - 13 SHIVCHHATRAPTI COLLEGE, AURANGABAD

12 th (Science) 1 63.83 Pass

2011 - 12 SHIVCHHATRAPTI COLLEGE, AURANGABAD

11 th Science 1 61.00 Pass

2010 - 11 ST.LAWRENCE HIGH SCHOOL, AURANGABAD

SSC 1 84.36 Pass

Bhoi (25)Caste

Maritial Status No

EID Number

UID Number 616555123131

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Printed on 7/7/2013 11:13:40 AM GOI Post Matric Scholarship , 2013-2014

Bachelor of ArchitectureCourse

Application Form

Vimukta Jat Nomadic Tribes

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 2013/CASTE/NT/CR-849

District Issuing Office

Aurangabad Taluka Issuing Office

Aurangabad

Caste ValidityCertificate No

A184379 District Issuing Office

Aurangabad Scrutiny Committee No

EDUA/LOT NO235/SR.17

Income Certificate No

3037 Issued in 2013University Registration No

N.A

Student Bank Account Details

Bank Name STATE BANK OF INDIA Bank Account No

31935785666

Branch Name GARKHEDA, AURANGABAD

IFSC Code SBIN0011514 MICR Code 431002015

Caste Certificate Issued by Competant OfficerIncome Proof Income Certificate Issued by Competant AuthorityMarksheetsI-card Size PhotoCaste Validity CertificateNon Creamy Layer CertificateSSC Mark SheetUID document xerox

Document Attached

Address For Correspondence

Address:- Location:- KESHWANAND NAGAR City:- AURANGABAD Pincode:- 431006 Taluka:- Aurangabad District:- Aurangabad

Parent / Guardian Details

Parent's name GANESH KESHAVRAO MARGE

Relation with Applicant

Age (yrs)

Profession Labour

Parmanent Address Location:- KESHWANAND NAGAR City:- AURANGABAD Pincode:- 431006 Taluka:- Aurangabad District:- Aurangabad

Annual Income 35000.00Is 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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