Application ID Scheme Name

2425VJB10008608 Tuition Fees and

23 Examination Fees to OBC
Students

Department Name Applied

OBC, SEBC, VJNT & Date
SBC
22/01/2025
Welfare Department

Full Name Mobile Email ID

Rugvedi Milindkumar Number. R****[email protected]
Patil
xxxxxx9540 m

Date Of Gende Age

Birth r 20
xx/xx/2004 Femal
e

Religio Marital Applicant Full Name (As

n Status Per SSC Marksheet/ L.C.)
Hindu Unmarried PATIL
RUGVEDI
MILINDKUMAR

Parent's/Guardian Dependent Type

Mobile No xxxxxx1959
-

Addres Stat District

s e
E-1/1302,Grand Square Co-Op Thane
Maharashtra Hsg. Society,Ghod
Bunder
Road.,Near Bhakti
Taluka Village
Park
Society,,400615

Pincod 5
e
40061
 Is respondence Address same
C as Permanent?
or Yes

Addres Stat District

s e
E-1/1302,Grand Square Co-Op Thane
Maharashtra Hsg. Society,Ghod
Bunder
Taluka Village
Road.,Near Bhakti Than
Park e
Society,,400615 Pincode
400615

Do you have Does your Certificate Family Annual Income

Income have a Barcode? 581794.00
Certificate?
No
Yes
Income Certificate No
41626104432

Issuing Date of Issue

Authority 26/10/2023
Tahsildar

Are you Domicile Do you have Relationship

of Maharashtra? Domicile Type Father
Yes Certificate?
Yes
Domicile Certificate
No.
12532203216002651
627

Does your Certificate Applicant Issuing Authority

have a Barcode? Name PATIL Tahsildar
No RUGVEDI
MILINDKUMA
Date of Issue
R
21/03/2022

Do you have Caste Certificate? Caste Category Does your Certificate have a
Ye (OBC) Other Backward Barcode?
s Class No

Caste Certificate Issuing Applicant

Number District Name PATIL
12842007286008542 Palghar RUGVEDI
901 MILINDKUMA
R

Issuing Authority
Sub Divisional Officer(SDO)
Are you Disability of any
Salaried? No Type? No
Is Father Father Name Is Father
Alive? Yes Milindkumar Salaried? Yes
Patil

Father Is Mother Mother Name

Occupation Alive? Yes Manasi Milindkumar Patil
Service

Is Mother Salaried?
No

Qualification Strea Complet

Level
m ed
S.S.C. (10 Std)
SSC Complet
ed

Institute Institute Institute Taluka

State District Thane Thane
Maharashtr
a

College Name / School Name Course Board/University

Name
MAHARASHTRA STATE
SSC
BOARD OF SECONDARY
AND HIGHER SECONDARY
EDUCATION

Mode Admission Passing Year

Regula Year 2019 2020
r

Result Percentag Attempt

Passed e 89.00 s1

Is Qualification Stream
Gap? Level Science
No F.Y.J.C. (11 Std)

Complet Institute Institute

ed State District Mumbai
Complet Maharashtra Suburban
ed

Institute College Name / School MUMBAI-81

Taluka Kurla Name V G VAZE
COLLEGE ARTS,SCI &
COMM.MULUND (E)
C N th Science
o a
u m
Board/University
r e
MAHARASHTRA STATE
s
BOARD OF SECONDARY
e 1
AND HIGHER SECONDARY
1
EDUCATION

Mode Admission Passing Year

Regula Year 2020 2021
r

Result Percentag Attempt

Passed e 82.83 s1
Is Qualification Stream
Gap? Level Science
No H.S.C. (12 Std)

Complet Institute Institute

ed State District Mumbai
Complet Maharashtra Suburban
ed

Institute College Name / School Course

Taluka Kurla Name V G VAZE Name 12th
COLLEGE ARTS,SCI & Science
COMM.MULUND (E)
MUMBAI-81
Board/University
MAHARASHTRA STATE
BOARD OF SECONDARY
AND HIGHER SECONDARY
EDUCATION

Mode Admission Passing Year

Regula Year 2021 2022
r

Result Percentag Attempt

Passed e 58.50 s1

Is
Gap?
No

Admission Year In Institute State Institute District

Current Course Maharashtra Thane
2022

Institute Qualification Level

Taluka Thane Under Graduate
Course

Stream College Name/school Course Name

Engineerin Name Lokmanya Tilak Computer Science
g College of Engineering, and
Kopar Khairane, Navi Engineering (Internet of
Mumbai Things and Cyber Security
Including Block Chain
Technology)

Admission Type Application Admission Year Of Study

Through CAP/Govt. ID/CAP ID/CLAT Admit Third Year
Quota
Card No EN22155289
Complet ed Or Continue Pursuing

Admission Admission Year Percentage

Date in -
21/08/24 College/Institut
e
Result
-
-
 Fees Course
Paid Type
14199.0 UnAided
0

Admission Through Gap Mode

Open Or Reserved Year 0 Regular
Category?
(OBC) Other Backward
Class

Gap Reason CET / Merit Percentage /

CLAT Score
71.76

Admission Year In Institute State Institute District

Current Course Maharashtra Thane
2022

Institute Qualification Level

Taluka Thane Under Graduate
Course

Stream College Name/school Course Name

Engineerin Name Lokmanya Tilak Computer Science
g College of Engineering, and
Kopar Khairane, Navi Engineering (Internet of
Mumbai Things and Cyber Security
Including Block Chain
Technology)

Admission Type Application Admission Year Of Study

Through CAP/Govt. ID/CAP ID/CLAT Admit First Year
Quota
Card No EN22155289
Completed Or Continue
Completed

Admission Admission Year Percentage

Date
in -
-
College/Institut
e 2022
Result
Passed With ATKT

Fees Paid Course Admission Through

Type Open Or Reserved
UnAided Category?
(OBC) Other Backward Class

Gap Mode Gap Reason

Year 0 Regula
r
CET / Merit Percentage /
CLAT Score
71.76
Admission Year In Institute State Institute District
Current Course Maharashtra Thane
2022

Institute Qualification Level

Taluka Thane Under Graduate
Course
 Stream
Engineering

College Name/school Course Name Admission Type

Name Lokmanya Tilak Computer Science Through CAP/Govt. Quota
College of Engineering, and
Kopar Khairane, Navi Engineering (Internet of
Mumbai Things and Cyber Security Application Admission ID/CAP
Including Block Chain ID/CLAT Admit Card No
Technology) EN22155289

Year Of Completed Or Admission Date

Study Continue Completed -
Second
Year

Admission Year Percentag Result

in e 70.5 Passed
College/Institut
e 2023
Fees Paid Course
Type
UnAided

Admission Through Gap Mode

Open Or Reserved Year 0 Regular
Category?
(OBC) Other Backward
Class

Gap Reason CET / Merit Percentage /

CLAT Score
71.76

Hosteller / Day Scholor

Type Day Scholar

Question Answer
Enter your last year
2324VJB1000751603 Question
MahaEschol Application
CAP Allotment Letter (For
ID
Professional Courses)

Answer Exempted Professional courses to be

cap Question identified
allotment.jpeg Cast Validity Certificate
(For Professional
Courses As Per GR
Dated 31st July 2008)
Answer
caste
validity.jpeg

Question
D
ec
la
ra
ti
on
ce
rti
fic
at
e
of
pa
re
nt
s/
g
ua
rd
ia
ns
ab
ou
t
number of
children Answer
beneficiaries declaration.jpeg Question
Leaving Certificate

Answe
r Question Answer
lc.jpeg Non Creamy Layer non
Certificate c.jpeg

Question
Ration card for identify
number of children’s in
family

Answer
ration.jpe Question Answer
g Is this a Renewal Yes
Application?

Tution Fee

112001.00
100% Tution Fee

112001.00
Exam Fee

2298.00
100% Exam Fee

2298.00

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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