10/19/2018

Applicant Details
Applicant Photo
ApplicationID :1819MNT1000011153

Application ID Scheme Name

1819MNT1000011153 Scholarship for students of
minority communities
pursuing Higher and
Professional courses(DTE)

Department Name Applied Date

Minority Development 19/10/2018
Department

Personal Details
ApplicationID :1819MNT1000011153

Full Name Mobile Number. Email ID

MOHD TAIF MUSHTAQ 9819423955
QURESHI
Date Of Birth
15/08/1999

Gender Age Religion

Male 19 Muslim

Marital Status Applicant Full Name (As Per Parent's/Guardian Mobile No

Divorcee SSC Marksheet/ L.C.) 9820215874
QURESHI MOHD TAIF
MUSHTAQ
Dependent Type
-

Permanent address Details

ApplicationID :1819MNT1000011153

Address State District

22 SUSHANT SOCIETY 4 Maharashtra Thane
FLOOR A- WING,R P ROAD
GANDHI NAGAR,NEAR K C
Taluka Village
GANDHI SCHOOL,Kalyan
Kalyan
D.C.,421301

Pincode IsCorrespondence Address

421301 same as Permanent?
Yes

Correspondence Address Details

ApplicationID :1819MNT1000011153

Address State District

MAHARASHTRA Thane
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22 SUSHANT SOCIETY 4
FLOOR A- WING,R P ROAD
Taluka Village
GANDHI NAGAR,NEAR K C
Kalyan Kalyan
GANDHI SCHOOL,Kalyan
D.C.,421301
Pincode
421301

Income Details
ApplicationID :1819MNT1000011153

Do you have Income Does your Certificate have a Family Annual Income
Certificate? Barcode? 180000.00
Yes No
Income Certificate No
41686085279

Issuing Authority Date of Issue

Tahsildar 21/08/2018

Domicile Details
ApplicationID :1819MNT1000011153

Are you Domicile of Do you have Domicile Relationship Type

Maharashtra? Certificate? Self
Yes Yes
Domicile Certificate No.
41686005195

Does your Certificate have a Applicant Name Issuing Authority

Barcode? QURESHI MOHD TAIF Tahsildar
No MUSHTAQ
Date of Issue
04/11/2016

Caste Details
ApplicationID :1819MNT1000011153

Caste Category
General

Personal Eligibility Details

ApplicationID :1819MNT1000011153

Are you Salaried? Disability of any Type?

No No

Parent's/Guardian's Details
ApplicationID :1819MNT1000011153

Is Father Alive? Father Name Is Father Salaried?

Yes Mushtaq Ahamed Qureshi Yes

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Father Occupation Is Mother Alive? Mother Name

Service Yes Kamrunnisa Mushtaq Qureshi

Is Mother Salaried?
No

Past Qualification Details

ApplicationID :1819MNT1000011153

Qualification Level Stream Completed

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

Institute State Institute District Institute Taluka

MAHARASHTRA Thane Kalyan

College Name / School Name Course Name Board/University

SSC MAHARASHTRA STATE BOARD
OF SECONDARY AND HIGHER
SECONDARY EDUCATION

Board/University1 Mode Admission Year

MAHARASHTRA STATE BOARD Regular 2014
OF SECONDARY AND HIGHER
SECONDARY EDUCATION
Passing Year Result
2015 Passed

Percentage Attempts Is Gap?

76.20 1 No

Qualification Level Stream Completed

H.S.C. (12 Std) Science Completed

Institute State Institute District Institute Taluka

MAHARASHTRA Thane Kalyan

College Name / School Name Course Name Board/University

MOHINDERSINGH KABAL 12th Science MAHARASHTRA STATE BOARD
SINGH HIGH SCHOOL & OF SECONDARY AND HIGHER
JUNIOR COLLEGE SECONDARY EDUCATION

Board/University1 Mode Admission Year

MAHARASHTRA STATE BOARD Regular 2016
OF SECONDARY AND HIGHER
SECONDARY EDUCATION
Passing Year Result
2017 Passed

Percentage Attempts Is Gap?

60.77 1 No
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Current Course Details

ApplicationID :1819MNT1000011153

Admission Year In Current Institute State Institute District

Course MAHARASHTRA Raigarh
2017
Institute Taluka Qualification Level
Panvel Under Graduate Course

Stream College Name/school Name Course Name

Engineering Anjuman-I-Islam's Kalsekar Bachelor of Engineering (B. E.)
Technical Campus, Panvel - Electronics and
Telecommunication Engg

Application Admission ID/CAP Year Of Study Completed Or Continue

ID Second Year Pursuing
-
Admission Date Admission Year in
09/07/18 College/Institute
-

Percentage Result Fees Paid

- - 71000.00

University Name Course Type Admission Through Open Or

MUMBAI UNIVERSITY UnAided Reserved Category?
General

Gap Year Mode

0 Regular

Admission Year In Current

Course
2017

Institute State Institute District Institute Taluka

MAHARASHTRA Raigarh Panvel

Qualification Level Stream College Name/school Name

Under Graduate Course Engineering Anjuman-I-Islam's Kalsekar
Technical Campus, Panvel

Course Name Application Admission ID/CAP Year Of Study

Bachelor of Engineering (B. E.) ID First Year
- Electronics and -
Telecommunication Engg
Completed Or Continue
Completed
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Admission Date Admission Year in Percentage

- College/Institute -
2017
Result
Passed With ATKT

Fees Paid University Name Course Type

71000.00 MUMBAI UNIVERSITY UnAided

Admission Through Open Or Gap Year Mode

Reserved Category? 0 Regular
General

Hostel Details
ApplicationID :1819MNT1000011153

Hosteller / Day Scholor Type

Day Scholar

Additional Question
ApplicationID :1819MNT1000011153

Question Answer
Do you avail any scholarship / No Question
stipend ? Is this a Renewal Application ?

Answer
Question Answer
Yes
Application ID of previous year 1718M08945
scholarship

Question Answer
Upload Minority/Income Self Anixer.jpg
Declaration form

Benefits
ApplicationID :1819MNT1000011153

Tution Fee

64545.00
Development Fee

6455.00
All Fees

71000.00
Maximum Sanctioned Amount

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25000.00
Applicable Fee Amount

25000.00

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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