Rpt Application Report Data

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    NoMaritial Status

    Sutar (174)Caste Sub Caste

    NoIs ApplicantSalaried ?

    0.00Applicant's AnnualIncome

    38000.00Total AnnualIncome

    HSC 2010 46

    NUTAN VIDHYA MANDIR, DEOLALI CAMP,NASHIK - 422401

    Last Exam MarksLast Exam PassedYear

    Last attended School/College/Institute

    Last ExamPassed

    Bachelor of Arts

    ARTS

    2011-2012

    23-06-2011 23-06-2011

    Government Quota

    YesIs Fees Paid ?

    Quota

    Academic Year

    Joining DateDate OfAdmission

    Subject

    Course Name

    first name middle name last name

    D016597SSC Seat No

    MAHARASHTRA STATE BOARD OF SECONDARY AND HIGHER SECONDARY EDUCATIONSSC Board

    2006Passing Year

    26003Fee Receipt No.

    23-06-2011Fee Receipt Date

    36.00SSC Marks Obtained

    Student SSC Details

    Applicant's Details

    NoOrphan

    NoHas Applied For

    Hostel ?

    Please PastePasport SizePhotograph

    Student Prequalifying Details

    Institution Details

    2011-2012Academic Year

    111College AdmissionNumber

    Application Form

    Other Backward ClassCaste Category

    Appilcation type New

    19-10-2011Application Date

    Applicant Name AJAY SANJAY KARANJKAR ALAKAMother's Name

    Is Resident ofMaharashtra

    Maharashtra01-06-1989Date of Birth Gender Male

    Name of School/College/Institute whereAdmitted

    R.N.C. Arts, J.D.B. Commerce and N.S.C. Science College, Nashik Road

    Is Staying at

    Hostel ?

    No

    Disability Type

    Fee Paid

    Course Year

    Passed

    710.00

    1

    Yes

    N.A.Is Disabled No

    N.ARenewal Course Year

    Is Admission afterDiploma

    No

    APPD0165977M20062011Application Number

    GrantType Non Granted

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    Residential Number: N.A, MobileNumber: 9763889636, EmailAddress: [email protected]

    Address:- 317 SHIVAJI CHOWK DR.AMBEDKAR MARKET BHAGUR NASHIK - 422401 Location:- BHAGURCity:- BHAGUR Pincode:- 422401 District:- Nashik

    ScrutinyCommittee No

    ParentAge

    48

    Issued in 2011

    NashikDistrict IssuingOffice

    Taluka IssuingOffice

    NashikCaste Certificate No

    Income CertificateNo

    Caste ValidityCertificate No

    9426 District IssuingOffice

    Nashik

    1566

    UniversityRegistration No

    Document Details

    Is Studying in nightschool

    No

    Hostel/ LandlordAddress

    N.A Hostel/LandlordContact Details

    N.A

    Hostel AdmissionDate

    N.AName of Landlord /Hostel

    N.A

    N.A Is Mess ServiceAvailable?

    Rent Per Month N.ANoHostel Type

    Hostel Information

    Parmanent Address 317, SHIVAJI CHOWK, DR.AMBEDKAR MARKET,BHAGUR,NASHIK - 422401

    Parent's name SANJAY

    middle name

    GANGADHAR

    last name

    KARANJKAR

    Relation with

    Applicant

    Father Profession

    Parents AnnualIncome

    38000.00

    Labor

    first name

    (yrs)

    Parent / Guardian Details

    Address For Correspondence

    Contact Details

    Student Bank Account Details

    BANK OF MAHARASHTRA

    BYTCO COLLEGE NASIKBranch Name

    600475887727Bank Account NoBank Name

    IFSC Code MAHB0001169 MICR Code NOT AVAILABLE

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    Document Attached

    Applicant Parent's SignatureApplicant's Signature

    The information furnished by me is complete and correct. I bear the complete responsibility for all the above information.

    Principal's Signature

    Declaration

    Caste Certificate Issued by Competant OfficerIncome Proof - Income Certificate Issued by Competant AuthorityMarksheetsI-card Size PhotoEducation Gap Certificate