Ȫ \]ȪȪ_ èȡ¡ȰȪ]\ȯǔȯȯȡȡ[ȯÈǔȡBHOPAL ȯ ͪ°ȡ[ãȡ Ʌ Ȳ[ ȯ¡Ȱ)
Fresh Application Backward Classes & Minorities Welfare Dept.
Madhya Pradesh Scholarship Portal 2.0
Integrated Scholarship Application form- Post Matric Scholarships for year 2019-20
Applicant Unique ID: 2472775 Scheme : Post Metric Scholarship for OBC
Application ID: 4766046 First Time Lock Date: 21/11/2019
Version No: 1 Verification Code: 2291 Lock Date: 21/11/2019 IPAddress : 103.113.230.2
Instructions for colleges & offices: Please check all information in each section and place a tick mark in on the box. Institute
will use the first Box with I sign and Sanctioning Office will use second box with O sign in it.
Institute : [20042],Bhopal Institute of Technology and Science, Bhopal District: Course : B E [Full Time]/Computer Science and
BHOPAL Engineering/2nd Year [3013]
NOTE :- The Student is Claiming the fee & maintenance allowance for same level of course & same Course YearPrevious
Institute:20102-Polytechnic College, Harda Previous Course:7303-Computer Science and Engineering/DIPLOMA [PPT]
Previous Course Year:Third Year
Old Scholarship Details(Before 2014-15 No Post Metric Scholarship was sanctioned Last Year.
Details Application Form 10th Board Data Samagra Data Counselling Data
Name ADITYA CHANDRAVANSHI ADITYA CHANDRAVANSHI ADITY CHANDRAVANSHI
Father Name SUBODH SUBODH CHANDRAVANSHI Subodh Chandravanshi
DOB 30/03/1997 30/03/1997 30/03/1997
Gender Male #Ǖǽ% Male #Ǖǽ%
Category OBC #\ͪ% OBC #\ͪ% OBC #\ͪ%
Religion : Hindu Special Category : No Voter ID : -- I O
Aadhar No. : XXXXXXXX9033
2. Details As Per DigitalCaste Certificate : Reg No: RS/448/0106/6789/2014, Name : ADITYA, Father Name : I O
SUBODH, Mother Name : SHEELA , Category : OBC, Caste : Kasera
3.Academic Details As Repoted by Student : Enrollment No. : 0124CS193D01 Admission Date :11/08/2019 I O
Details As Repoted by Student Counselling Details
Admission Mode College Level Counselling
Institute [20042],Bhopal Institute of Technology and Science,
Bhopal District: BHOPAL
Course B E [Full Time]/Computer Science and
Engineering/2nd Year [3013]
Academic Year 2019-20
Hostel Admission Non-Hosteler(Day-Scholar) --
Last Year Exam Details : Exam Name: DIPLOMA COMPUTER SCIENCE AND ENGG, Exam Date : 01/04/2019
I O
School./Institute :GOVT POLYTECNIC COLLEGE HARDA Result : PASS
Post Metric Scholarship Details Generated From Scholarship Portal
S.No Academic Institute Course Br Yr Scheme Admission Hostel TFW Income
Tear Mode status
1 2016-17 20102-Polytechnic 82-DIPLOMA OBC College No No 50000
[PPT]/7303-
College, Harda Level
Computer Science
and Engineering/1st
Year
2 2017-18 20102-Polytechnic 82-DIPLOMA OBC College No No 50000
[PPT]/7303-
College, Harda Level
Computer Science
and Engineering/2nd
Year
3 2018-19 20102-Polytechnic 82-DIPLOMA OBC College No No 50000
[PPT]/7303-
College, Harda Level
Computer Science
and Engineering/3rd
Year
Generated by Scholarship Portal as on 21/11/2019
Ȫ \]ȪȪ_ èȡ¡ȰȪ]\ȯǔȯȯȡȡ[ȯÈǔȡBHOPAL ȯ ͪ°ȡ[ãȡ Ʌ Ȳ[ ȯ¡Ȱ)
Fresh Application Backward Classes & Minorities Welfare Dept.
Madhya Pradesh Scholarship Portal 2.0
Integrated Scholarship Application form- Post Matric Scholarships for year 2019-20
Applicant Unique ID: 2472775 Scheme : Post Metric Scholarship for OBC
Application ID: 4766046 First Time Lock Date: 21/11/2019
Version No: 1 Verification Code: 2291 Lock Date: 21/11/2019 IPAddress : 103.113.230.2
School Scholarship Details Generated From Samagra Portal
Name : ADITY CHANDRAVANSHI Category : OBC DOB : XXXXXX1997 Gender : Male
Father Name : SUBODH CHANDRAVANSHI BPL : ¡ȣȲ CWSN : No
Sno Academic Year School Current Class
1 2014-15 ST ANNS SCHOOL HARDA 10 th
2 2013-14 ST ANNS SCHOOL HARDA 9 th
4. 10th Board Details 10th Board Name: MP Board of Secondary Education, Year: 2015-2016, Roll No.: 166801232 I O
5. Total Annual Family Income : Rs.45000/- Income Certificate : issued by-LOK SEWA KENDRA HARDA ON :
06/09/2019
Father/ Husband Occupation : Farmer / Agriculture, Income: 45000/-
Mother Occupation : House Wife ,Income: 0/- I O
Other Income : Rs.0/-
6. Contact Details Mobile No : 8349533614 ADITYACHANDRAVASHI40[AT]GMAIL[DOT]COM I O
Correspondance Address : GOLAPURA KASERA MOHALLA HARDA, District :- HARDA
Permanent Address : GOLAPURA KASERA MOHALLA HARDA, District :- HARDA
7. Bank Account No: 9472500100503401, IFS Code: KARB0000947, KARNATAKA BANK LTD, ROHIT NAGAR I O
BHOPAL, BHOPAL
8. Change History NIL I O
ALERT: Details of Applications already registered by using same Samagra ID :
Applicant Unique ID: 2472775, Application ID: 2285927, Applicant Name: ADITYA CHANDRAVANSHI, DOB:30/03/1997,
Father Name:SUBODH, Gender:Male, Category:OBC, Mobile:8349533614, Institue:Polytechnic College, Harda,
Branch:Computer Science and Engineering, Year:First Year, Application Date:08/12/2016, Applicant Unique ID: 2472775,
Application ID: 2856392, Applicant Name: ADITYA CHANDRAVANSHI, DOB:30/03/1997, Father Name:SUBODH,
Gender:Male, Category:OBC, Mobile:8349533614, Institue:Polytechnic College, Harda, Branch:Computer Science and
Engineering, Year:Second Year, Application Date:08/11/2017, Applicant Unique ID: 2472775, Application ID: 3753901,
Applicant Name: ADITYA CHANDRAVANSHI, DOB:30/03/1997, Father Name:SUBODH, Gender:Male, Category:OBC,
Mobile:8349533614, Institue:Polytechnic College, Harda, Branch:Computer Science and Engineering, Year:Third Year,
Application Date:16/10/2018
ALERT: Details of Applications already registered by using same 10th Board Roll No :
Nil
Generated by Scholarship Portal as on 21/11/2019
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Fresh Application Backward Classes & Minorities Welfare Dept.
Madhya Pradesh Scholarship Portal 2.0
Integrated Scholarship Application form- Post Matric Scholarships for year 2019-20
Applicant Unique ID: 2472775 Scheme : Post Metric Scholarship for OBC
Application ID: 4766046 First Time Lock Date: 21/11/2019
Version No: 1 Verification Code: 2291 Lock Date: 21/11/2019 IPAddress : 103.113.230.2
]ȯfȲȡȧȪȡDeclaration From Student and his Parent
1. We, ADITYA CHANDRAVANSHI S/o SUBODH and SUBODH hereby declare that Board Roll No, Samagra ID, caste certificate and income
certificate, bank account details and all other information given in the application form is complete and correct. We have not submitted any other
application for scholarship for current academic year in any other institution in India. We also undertake that, if any information given above is found to
be false at any stage, entire amount of scholarship will be recovered and competent authority will be free to initiate legal penal action against us.
¡ADITYA CHANDRAVANSHI S/o SUBODH kSUBODH Ȫȡȯ¡ɇͩ`ȪƠȡȡȣ ¡ȣ¡ȰfȲ Ē]_Ȣ¢ȡCB
Ȫ[ȣ¢ȡȧȡ[ȢȡǓȡ]Ĥȡğɇ\ȡ`Ȳȡ\ÛͪǗ[fȲ ¡ȣ¡Ȱ@]ȯȯȪ[^ ğȯ
èȪͧȯͧfȯf¡ȣ]ȯͩȡ¡Ȱ@\`ȪƠȡȡȣȡ_ȡȢ¡ȰȪ¡]ȯǓè¡ȪȡȯȡfȲȡͧȡͪ
ȣȡȯȢfȲ¡ȡȯͨȡȡǗȢȡ[ȡ¡ȣȧȡȯȢ@
Ǒ]Øɉȯ]ȡȡğǙǓȯȯ¡Ǖ]ȡfȯȪ¡ȡȣȡğǙͪƣǓèȣȡȯȢȡȡğǙͪƣȧǔȢȣ_
¡Ȱ` ȯȡ ȯȣȡȯȢ)^ ¡ȯͩĐȡȡ ȯ ǔÛͪȡȸȪ¡ȯȡȯͧfͩ ȢȢȪȡȯ\Û[ͩ ȢȢȡğǙͪƣ
ȯͪǔ[ Ȣȡ ǑȡȡȯȡȡͪȡȸȪȡȣ Ǘ Ȣ ÞȰͧè ɅȡǑȡȡȯȡȡȡğǙͪƣèȢǙȡ[\ͬȡȣ\ȡ
\Û ¢\ͬȡȣ]æ ȯɅȪ` ȯͪǽÚȡȢÖ ȲǑ¡ȡȧȡȡjȲfȲȯ¡
f]_][ȡ_ȡ Éȡ[ȡ¡ȣȧȡȯȢ)
ɇȪ [Ǘ[¡Ȫȯȯ¡ȯȪ [ ȲèȡȪ°ȯȡȯȢ¡ǗȱȪ¡ȯȣǗ[ǔàȯȡȣ¡ȪȢȧȯȯƮȡȡǗ[Ʌ ȲȲͬȪ [ȯͧȯĤȡƯ
ȡğǙͪƣȡ Ȫ ȲȲͬǔȡȡȡ[ȯȡÚ ȯ ȡȡ ȯȡ ǗȱȡǗȲȢ)ȡğǙͪƣȡ ȯȧǔèǓɅȡ ȯȯ
ͪǽƨȪ_Ȣȡ[ȡ¡ȣȯȯͧȯèȲğ¡ȯȡ)
(Signature of Parent / ȡͪȡȯ¡èȡ¢ Date (Signature of Student / ]ȯȯ¡èȡ¢
Declaration from Institute Head & Institute Scholarship Nodal Officer
We, hereby, certify that the student is enrolled in the approved course of Govt MP. All the details filled by the student in the above application
form have been verified with the original documents and have been found to be correct and authentic. He has passed last exam and is eligible for
sanction of scholarship. College has ORIGINAL COPY of his School Leaving Certificate. His attendance is regular, as per the instructions of
Government
We have verified all details as per te scheme guidlelines & instructions and recommend him for sanction of scholarship as per the rules. We also
undertake that, if the above student does not attend the classes regularly or discontinues the course, We will immediately report the matter to the
concerned district office so that his scholarship can be put on hold. In case any information of found to be incorrect, Government will be free to
initiate action against the institute.
The institute is accredited by the Government and permission is given to conduct related course.
(Signature ) (Signature ) Date (Signature )
Scholarship Nodal Officer HOD Director/Prinicpal
Generated by Scholarship Portal as on 21/11/2019
Ȫ \]ȪȪ_ èȡ¡ȰȪ]\ȯǔȯȯȡȡ[ȯÈǔȡBHOPAL ȯ ͪ°ȡ[ãȡ Ʌ Ȳ[ ȯ¡Ȱ)
Fresh Application Backward Classes & Minorities Welfare Dept.
Madhya Pradesh Scholarship Portal 2.0
Integrated Scholarship Application form- Post Matric Scholarships for year 2019-20
Applicant Unique ID: 2472775 Scheme : Post Metric Scholarship for OBC
Application ID: 4766046 First Time Lock Date: 21/11/2019
Version No: 1 Verification Code: 2291 Lock Date: 21/11/2019 IPAddress : 103.113.230.2
Your 10th Board Details 10th
Board Name: MP Board of
Secondary Education, Year: 2015-
2016, Roll No.: 166801232
(Signature of Parent / ȡͪȡȯ¡èȡ¢ Date (Signature of Student / ]ȯȯ¡èȡ¢
Ȫ ȡğȡğȡȯ]ȯȨ[Ǒ¢ȡȢȡͪ`Þ¡ȣȲ¡Ȫȯ ȲèȡĤǕȡğȡğȡȯȢȧǗĤǓ ȡ[Ȣ ȯ
ȡȡȣ ×ȡͪȯ)
Generated by Scholarship Portal as on 21/11/2019
