Create Application Basic Details55

7/26/2019 Create Application Basic Details55

1/8

5/11/2016 Create Application Basic Details

https://bar ti.m ahar ashtr a.gov.in/ECasteValidation/UI/ManageApplications/Cr eateApplication.aspx?ID= a2GSpnDbr uI%3d 1/8

:

: KANUNJE AMEY SUNILApplicant's Full Name

: 050201002

21/12/2005

:

:

BONAFIED CERTIFICATES SELF SCH LEAVING SETIFICATESGRAND FATHERS BROTHERS

(Max 500 characters are allowed)

Create Application

Invalid data : Please fill atleast one record with complete details for Secondary Education in Applicant EducationDetailsInvalid data : Please enter valid Institute/College Roll No

All fields marked with * sign are required

Caste Certificate Details

If Certificate Issuing Date is not available, then please enter date as 01/01/1900.

Pune

PUNE DISTRICT DEPUTY COLLECTOR

Applicant Details

Welcome KANUNJE AMEY SUNIL | Logout

Skip to Main Content | Home Page | Select Language : English |

Option(s)

Transactions

Edit Profile

Report

Download Forms

Applicant's name (As

per specified in Caste

Certificate)

Applicant's Certificate

No.

*

Certificate Issuing

Date(dd/mm/yyyy)

* Issued From

District

*

Designation of

Certificate IssuingAuthority

*

Documents submitted

to the officer for

receiving the caste

certificate
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JALINDRE SARODE

MARDEKAR MATE HILLAL

: 9552554154

:

: Male

:

:

:

:

: 03/11/1999

: India : Maharashtra

: Pune : Haveli

:

: MATATHI :

:

:

718180820467

Special Backward Class

Sali (3-4)

--Select SubCaste--

Birth Place Details

If State is other than Maharashtra, then district & taluka will not be available. Please mention your entire address

in Birthplace along with state and pincode.

PUNE

MARATHI

SHREE JEVESHWAR SHRE GANPATI

[email protected]

Address for Correspondence

If State is other than Maharashtra, then district & taluka will not be available. Please mention the entire address

in Address Line 1-2 or Village/Town along with state and pincode. In case if you do not have pincode please enter

999999.

Gender

UID No.

Category Applied*

Caste Applied*

Sub Caste

Date of Birth

(dd/mm/yyyy)

*

Country* State*

District* Taluka*

Birth Place*

Mother Tongue* Regional Dialect

God/Goddess Name

Five different

surnames of relatives

or person from the

same caste as the

applicant

*

Mobile No. (For SMS

Service)

Email Address


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:

:

:

: India : Maharashtra

: Pune

: Haveli

:

: Pune : Haveli

:

:

: 2016 :

:

:A :

: Near Pulgate, Next to Vijaya Bank, CampCamp,Pune Country : India,

State : Maharashtra, District : Pune, Taluka : Haveli

VINKAR SOCIETY SR NO 11.1 BUID NO 4A FLAT NO 10

CHAVAN NAGAR DHANKAWADI NEAR NIRMAL PARK

PUNE 411043

411043

Student Education Details

Select District and Taluka where applicant's college is located

Arihant college of Arts,commerce and science, Pune

12th Science

020 -26724090

CAAP03030

ES17

Native Place Details

Native Address

Address Line 1*

Address Line 2

Village/Town

Country* State*

District* Taluka*

Pin Code*

District* Taluka*

Institute/ College

Name

*

Course Name*

Year (YYYY)* Institute/ College

Telephone No.

Permanent

Registration Number

allocated to applicant

*

Applicant's Division* Applica nt's Roll

Number

*

Institute/ College

Address

*


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:

:

:

: India : --Select State--

: --Select District-- : --Select Taluka--

:

: :

:

: :

:

:

:


in Address Line 1-2 or Village/Town along with state and pincode. In case if you do not have pincode please

enter 999999.

If the applicant has left the native place

-- Select --

Yes No

-

Applicant Education Details

Please fill all the fields for Education type Primary and Secondary. To add new Education category click on

"Add" button.

Address Line 1

Address Line 2

Village/Town

Country State

District Taluka

Pin Code

Who left the place When was the

place left Year

(YYYY)

Reason for Leaving

Since when applicant

is residing at current

address (YYYY)

Do you own a land

or house at native

place?

Name & relation of the

person staying at

native place

Address of the person

staying at the native

place

Telephone No.


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Education Institute Name And Address Year From Year To

Caste

Primary ABHINAV EDU SOCIETYPRIMARY SCHOOL

KATRAJ AMBEGOANPUNE411046

2005 2009

SALI Add Remove

Secondary ABINAV EDUCATIONSOCIETY ENGLISH

KATRAJ AMBEGOAN PUNE411046

2009 2015

SALI Add Remove

College ARIHANT COLLEGE OFARTS COMM AND

PULGATE CAMP PUNE411001

2015 2017

SALI Add Remove

:

:

:

:

:

:

:

Family's Details

KANUNJE SUNIL BALKRISHNA

11/01/1971

PUNE

KANUNJE BALKRISHNA NARAYAN

02/06/1931

OZARDE TALUKA WAI DIST SATARA

KANUNJE ANJUSHA SUNIL

Parent's Address

(If Father is not alive, mention the address where he used to stay till his expiry)

Same as Correspondence Address


in Address Line 1-2 or Village/Town along with state and pincode. In case if you do not have pincode please

enter 999999.

Father's Name*

Father's Date of Birth(dd/mm/yyyy)

*

Father's Place of Birth*

Grandfather's Name

Grandfather's Date of

Birth (dd/mm/yyyy)

Grandfather's Place of

Birth

Mother's Name


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:

:

:

: India : --Select State--

: --Select District-- : --Select Taluka--

:

Education Institute Name And Address Year From Year To Caste

Primary M.N.P BOYS SCHOOL NO122 PUNE 2

1976 1980

SALI Add Remove

:

:

:

Service Business

: TATA MOTORS PIMPRI

:

:

:

:

Father's Education Details

BCOM /ITI ELECTRICIA

TECHNICIAN

PIMPRI PUNE 411038

020 - 66132316

Mention Migration Details

Yes No

Address Line 1

Address Line 2

Village/Town

Country State

District Taluka

Pin Code

Father's Qualification

Father's Occupation

Office Name Designation

Office Address

Office Contact No.

Traditional Business

Has applicant or any

member of applicants

family migrated from

other state?


7/8



: --Select State-- :

:

: Yes No

: Yes No

: --Select Scrutiny Commitee--

:

:

:

: : --Select Committee Decision--

: --Select Purpose of Scrutiny--

: MOTHERS CAST VALIDITY CERTIFICATES SCHOOL LEAVINGCERTIFICATES (Max 500 characters are

allowed)

If Migrated,

-- Select --

Caste Certificate Validity Details Of Applicant's Blood Relative(S)

Previous Application Details Of Applicant

--Select Category--

--Select SubCaste--

Documents

Which State? When(YYYY)

Reason for migration

Did any verification

take place for any

relative earlier?

If applicant has

applied for caste

validity certificate

before any committee

in Maharashtra

Which Committee

Category Applied

Caste Applied

Sub Caste

Date of Application Committee's

Decision

Purpose of Scrutiny

Other Documents


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Declaration

All details mentioned in application are true to best of my knowledge. Caste certificate number which I have mentioned in application is the only one caste certificate I possessed via legal channels. I have never applied for caste validity certificate before.

I agree to all terms and conditions stated in above declaration.

Done Cancel

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