SNJB's Smt.K.B.Abad Homoeopathic Medical Co ege andShri. R.P.Chordiya Hospital, Neminaga,Chandwad

( Nashik) 423101.

Government of tndia scholarship for SC (GOt/SC) 2014-15

Government of tndia scholarship for VJNT (cOt /VJNT) 2014_15

4+PRINCIPAL

S JB's S,'rtt ( B Abad *fmreorr:'f i.rredt.a c!1teoe & shrits . ih\rr ,\:

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Sr.no. Name ofstudent1 WACH\4ARE TUSHAR I<ISHOR

2 KEDARE SHUBTIANGI KHANDU

Sr-no- NaDre ofstudent1 MALWAI, TEJAS SUDAM2 PARKHE TAJESVANI VASANT

Government of lndia scholarship for GOt/OBC 2014-15

Sr.no. Name ofstudent7 PATIL VISHAL MANIK2 CHAUDHARI UMESH ANIL

DAHITE KALYANEE APPASAIIITB4 PAITHANKAR KAMALESII KACHRIJ5 PATIL NIKITA ASHOK6 VALATE PRATIKSIIA VISH NI-

7 CHAUDHARI AI]IIIJIT RAJENDRA8 PATIL BHAGYASHRI SIIARAI)9 ZALTE SHRADDHA RAMESH

10 SONAR SIDDHANT PURUSHOTTAM11 PATIL AMRUTA SHYAMI(ANT12 JADHAV RAHUL DHARMENDRA13 GANGURDE PRAJAKTA TUKARAM

SNJB's Smt.K.B.Abad Homoeopathic Medicat College andShri. R.P.Chordiya Hospital, Neminaga,Chandwad

( Nashik) 423'101.

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Tution fees and exam fees for SC (Freeship /SC) 2014-15

Sr.no. Name of student

1 KAPADANE PRATIBHA ARIIN2 TAYADE VIDYA RAJDSI{

Tution fees and exam fees for Freeship I OBC 2074-15

Sr.no. Name ofstudent'| PATIL ROSHANI SATISH2 AHIRE NITIN KASIIINATH

SNJB's Smt.K.B.Abad Homoeopathic Medical College andShri. R.P.Chordiya Hospital, Neminaga,Chandwad

( Nashik) 42310'1.

Government of lndia scholarship for ST (GOl/ST) 2014-15

Sr.no. Name of student

1 Naik Ashish Chintaman

2 Naitam Ganesh MarotiSabale Ga nesh Ga.iaram

4 Pawara Vinod Navasu

5 Parva ra Akash Premsing

Tution fecs and exam fees for ST ( Freeship /ST) 2014-15

Name of student

@Pawar Sachin Kailash

,ffi,'r\ry

SNJB's Smt.K.B.Abad Homoeopathic Medical College and

Shri. R.P.Chordiya Hospital, Neminaga,Chandwad

( Nashik) 423101.

2014-I5 l{inority (Norl uw)Sr.No Name of studnt

.::/RINC

I Jaia A.nkifa Anil

2 14indlecha Arushi Ash0L

3 Shircn Salecm Ahmid4 JanArda \rrfi n Krchard:ls

5 Surana Vishal Anil6 Kothndil'a l{r.rishm. Sunil

7 Kh.n Iaizal Ishtivaq8 Binaykiyr S}rald,] Sunil

9 \edar Jahiavrm Seh'lliumarl0 I(h ir aser Alishr l<umnr Sa nji.l ku marll Sheikh Hoora lllur*12 Zishan Ahrned Aari.i Wiq.rnr Ah,red13 Bor. Amit Srmatilal14 1fomin Qu rratu lin Azizulhh15 Dhnnalai Saprira Sugrrndhlll16 l);.hr Fnral Raiendru

17 Lodhn Khrsht As,1r:r

l8 Klan Sadinaaz Sajirl

19 .trin Khushbu Saniaykumar2{t Chhaied Nikita ltajendra21 Cu rrtleche Shlstldha Ihjendr:r22 Shirrgar i l\lccnrl<sIi Anil23 l'okhaura Prachi Aiay24 Ilrka l'u.xm Ash.ikkumrrz5 .Iain Samata Suirlashchand26 Chopda llusht}lr Saniry27 Jairl)iva l)evichanrl

28 :)h2dilr-rl Krlr,*.}i Suesii

29 .Iain Glarim Ashok

30 Ab.rd Karirhrna Srrnil

31 llora Lina Sanjay

32 Chhaied K0mal Viiay33 Laler ani AksI:rda IIanoi34 Kothari Prcrrns IshwarcLand

35 Mutha Scjat Yinod36 Nahata Payal Raiendra

31 Shrh N.lali Suvashliu.rrr38 aaruqtli Za;ltab Zaraon Abdurraheam

39 })orhi saheli Sudhirkum:l'40 .{.nsrri Afsari Riyazuddin

41 ?ane Srn.alrL Sunil .,r:.=12 Jafu PIadiI Asholi /7,.P-:;l:4\\43 Lodha SaurrLh Pnrka.h<ha4rd4- \-A

li;,: t ''t<;oo_ IPAL

SNJB's Smt.K.B.Abad Homoeopathic Medical College andShri. R,P.Chordiya Hospitat, Neminaga,Chandwad

( Nashik) 423101.

2074-15 Minori ENIW)Sr.No Name of studnt

1' A]izad Ankita Tejmat

2 .I;in lllolini Kantilnl3 Sleeba Naz Mohammaed A:r.if4 ,Iain -,\iislida Nare:ld re

5 Jain |iiliita Bhuramal

6 ,I&in lta!}rl1kumar ah:rBtinl1 Chhaied Pril a Ajitkurur8 Gardlti Dh*t!shkurr Prlrkashrland9 l{uka \idhi Dintsh

IO AIizad Akslrr i,arasnlal

11 Shrikh Rlrlarsar lllusa12 Ansar Abrahcelr Mohd Shareef

I3 ttlad I'Ilr}l.ial SatiaykuIr]*.14 Kunral Yina."- R*j endrr15 Jr.gadn NJay!r Bhikcliand16 Siddiqui A.ri.Eeen K:tusar Anlrrrulhaqrq11 Gulsaba.Iafir Alit8 XLar Alrm Gulrej

19 QaziRaka S!akeiaddin

20 Shaik Shcrbenno llohtl Ilrrrar21 Sal'_rred Firdar.brno Alt:lldi22 Khan Fateh:. L'fan Atmed)l lat.ni Sryali Asholikurn.r21 Chordiya lir.hika lltrjmal25 Gangr'*l Kornal Sunil26 I'atani Dr.r 5 ani \-irnalkumar

Thole Neha .{ril28 L:rbad tlllrita Dh.rrmch.nd29 Sh.li Ruprl Bllarat30 Farheen Dr.llaswood Ahmed

4+PRINCIPAL

SNJB'S Smt 1.. B. Abad Honre(ir,ritrli[4ercilCnll.. q i'- i? : Chordry.(.srfir r. : I i.!.j,J:,-r' t' 5 rsliti"..ri - ..;,r.t ;esea,,tr

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SNJB's Smt.K.B.Abad Homoeopathic Medical Coltege andShri. R.P.Chordiya Hospital, Neminaga,Chandwad

( Nashik) 423101.

Government of maharashtra scholarship for EBC 2014-15 (NEW)

Sr.no. Nrme ot stlldenf

1Aher Gitanjali

S unil

2Chordiya Sejal

lshwarlalii

3Gandhi Aishwarya

Balchand

4Ghogare Dhanashree

Dadasaheb

5Gaikar Monali

Hiraman

6Joshi Nimisha

Arvindbhai

Kachave NandiniNarendre

I KalantriJagruti

Jaqdish

Nerkar Maheshwari

Chudamen

,10 Rayate Santosh

Namdevrao

11SanchetiShruti

Dilip

12Singh Pragnya

Satvendra

13Thakral Prabhneet-

kaur Jaspalsinqh

14Thakkar Ayushi

Mahesh

15Wabale Samadhan

Vilas

SNJE's Sml K B At.rd l"tlm.ecn:lhi.Me.ircalC.t. .' r.5,rq i c../rir,

!.\rit;i i Pi- .,,r 1., L n- b ri.r'4 Lr'p Chr . ,' --

SNJB's Smt.K.B.Abad Homoeopathic Medical College andShri. R,P.Chordiya Hospital, Neminaga,Crrandwad

( Nashik) 423101.

Government of maharashtra schola rship for EBC 2014-15 (RENEW)

Sr.no. Name of studcnt

1

Achaliya PiyushDilip

2Aher Sonal

Vitthal

3Bachhav Megha

Jibhau

4Bakliwal Karishma

Vardhaman

5Bhandari Mahaveer

Niteenkumar

6Borale Poonam

Dattatrava

7Deshmukh Kiran

Madhav

8Dhodage Swati

T€mbakDube Kalyani

Raiendra

'10 Dugad AnandkumarRaiendra

Gandhi Mayu.iAbhav

12Gupta Pooia

Munilal

13

Jain KalpeshVinod

14Jain MohitParasmal

15Jain Nayana

Raimal

16Jain PrachiChandulal

17Jain Priyanka

Raiendra

18Jain Pooja

Nandlal

19Kalantri Surabhi

Shrinivas

20Kapase PoojaRamkrushna

24

Karhale ChhayaKrushnaii

22Kenge Prajakta

SudhirKhatik Sameer

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/ r/C. San\f,\. .l /* -'*n SN

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Sr.no r\itnlc olxltl{Iem

25 Kothari RushabhAbhav

Lodha KomalDilipkumar

Mishra AkashSaniaV

2aMore Nayankumar

GorakhnathMore Kanchan

Saniav

30More RanjanaAnnasaheb

Naziya Parveenlshtivaoue AhmdNikam Suvarna

RaiaramNyaharkar Dattu

Ratan

34 Palod VedikaVinod

35 Pachorkar RohiniKailes

Pahade NehaPrakash

37 Panqavhane MonaliBhimreo

Patil KalyaniVishwas

39 Rajole DarshanaPrabhakar

40 Rakhecha DipteshSatishbhai

41SanchetiAbhayPrakashchand

42Sayyad Samreen

Ghazanfar

43 Shah HimanshuMahendra

44 Shinde JayashriLahanu

Shinde JyotiNamdeo

46SomaniTrupti

Ramprasad

47Suryawanshi Yogesh

Yashwent

48Tatiya Karishma

Satish

49 Tutiya SafiyaShabbir

50Vishwakarma Priyanka

Raiu

. PRINCIPAI

SNJB's Smt.K.B.Abad Homoeopathic Medical College andShri. R.P.Chordiya Hospital, Neminaga,Chandwad

( Nashik) 423101.

Government of India scholarship for ST (GOt/ST) 2015-16

Sr.no. Name of student

I Pawara Vinod Navasu

41PRI'{CIPAL

SNJE'S S'r,l X. B.Abad Homoecoathi.MPd c,!l Colle(€ 4 Shl R I ChorCr!;

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SNJB's Smt.K.B.Abad Homoeopathic Medical College andShri. R.P.Chorctiya Hospital, Neminaga,Chandwad

( Nashik) 42310'1.

Goverument of Iudia scholarship for GOUOBC/2015-16

Sr.no. Name ofstudcnt

I TASKEEN ANSARI MAHMOODMAHALE MAYUIII RAMESI{

3 RASAL SHAILESH BALASAH EB

4

5

JADHAV SAMADHAN KARBHARIQURAISHI ZAIDANJUM MDAMIN

6 BHOIR JAGRUTI ASHOK7 AHMED SHAMAMTULAMBAR SAWOOD8

9

KHAIRE SUPRIYA MADIIAVPATIL NIKITA KAILAS

10 NERPAGAR NDI{A PARESI-I

11 THUBE VARSHA GOPINATH12

13

DHONDGE DIPTISHA MADIIUIGRPATIL NANDINI JAGDISII

14 KAPAS!] THAGYASHIiI VI.IAY

t5 NIKAM AJAY VI.IAY16

17

PAWAR PUNAM MANGESHPATIL VAIBHAV RAJENDRA

18 PATIL HRTSHIKtrSI{ ARVIND19 PATIL PRIYANKA MAHENDR A20

21

THAKARE K-ARUNA SIIBIIASHTHUBE ASHVINI SOPAN

22 JADHAV ANKITA BALASAHEB23 NIKAM JAYASIIRI ARUN24

25

MALI SONALI RAJENDRANIMASE POOJA IIA.IENDRA

26 PATIL MANISH NANA27 MOHAN SNEHAL BAPU28

29

GANCURDE SH UBHANGI S4\J {YIIIRE SHIVAM RAVINDRA

30 DIIOMSE VISHAL SAMPAT3l PATIL NEHA SURESH

32

33

PATIL SNEHAL BIIAGWANKOTWAL ASHWINI RA.IENDRA

34 ASBA SAMEEN PAIGAMULHAOUE35 UI' bfIiYIAI\ U NII(I I A ROTIIDAS

36

37

JADHAV RUTUJA RAMESHKOLHE MANGESH MANIK

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SNJB's Smt.K.B.Abad Homoeopathic Medical College andShri. R.P.Chordiya Hospital, Neminaga,Chandwad

( Nashik) 423.101.

Tution fees and exam fees for Freeship /SC 2015-16

Sr,no. Name ofstudent1 HIRE ANKITA ARUN2 MORX NAMITA SUNIL

PAGARE I(ARISHMA PANDIT

Tution fees and exam fees for Freeship /VJNT 2015-16

Sr.no. Name of student

I PAWAR KOMAL GANESII

dr^'&q:/PFINCIPAI.

SNJB'9 Snt. K. B. Abad Hcmoeorrhic

MedLcajCorleQe E ShriF F Chord;ra

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SNJB's-Smt.K.B.Abad Homoeopathic Medical College andShri. R.P.Chordiya Hospital, Neminaga,Chandwad

( Nashik) 423i0.1.

Tution fees and exam fees for Freeship / OBC 2015_16

PRINCIPALSNJB s Srxr t B. Acd,t h.rioeo0/tric|./leoica Clleqe & Shl p F anorJri,

ros!r{rl. tr t irrt.srrSrrvc r.r tilc L.r,\,tr3!! -1

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Name of studcntCHAUDHARIRAKHITINJAY-PARDESHI PAYAI, R_AJEI\DRA

SO NA W A ]\ E A K SH AT-A S U-DTTM

KHATAL ANKIT!_SINJA YBAGBAN] ATAS GAUHAR AEI_XTI,

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( Nashik) 42310r. _Minority -20I5 -2016 ee-'v'\'(r,,! -/-.$.4-

Sr.no- Name of studentI RIDDHI MANISH PATNI2' SEJAL DtrEPAK CHORDIYA3 NIKHIL ILA.JKUMAR JAINI SHUBIIAM ASHOKRAO SONTAKKE5 SONAL SATISH PAHADE6 SHRADDIIA MANOJKUMAR SUNDECHA7 SUYASH MAHENDRAKUMAR DHADIWAL8 HITESH SIIANKARLAI JAIN9 SAYAI,I RAJANDRA DUNGARWAL

10 SAIIINDDA AZIIAR I'ATHAN11 DANISH AIIMED ANSARIl2 ANKITA ST]NIL DESHMANE13 SE.IAL VIJAYKUMAR BI{ANSALI14 RAKSI{ANDA R{JKUMAR A,IMERAl5 NIDHI DILIP BHANSALI16 PRAGATI NANDKISIIOR CHUDIWAL11 RONAK PARASI{AL JAIN18 ANUJA ASHOK BEDMIITHAt9 AMIT PRAMOD SANKLECHA20 APURVA BHARAT .IAIN21 SANDESII NANDALAL KOCILdR

CHIR.AGKUMAR RAHULBHAI .IAIN23 TEJASWI SUMATILAL CHORDIYA24 BI{AGYASHRI R{JENDRA. PARAKH25 ANKITA MAI.IA\'IR DHONALIiAR26 RUCHI TARACHAND SONI27 DASRSITANA RAJENDR{ CII0RDIYA28 PRITESH SANTOSH (]I]GAI-E

29 KAJAL }'IJAY PATANI30 PRANJAL DILIP GI]GAI,R

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SNJB's Smt.K.B.Abad Homoeopathic Medical Coilege and

Shri. R.P.Chordiya Hospital, Neminaga,Cirandwad

(Nashik) 423101.

2015-16 Mino EW

Sr-No Name of studnt1 Lordhc Ka 1l')a BhtlE.1ran

1 SeLhla SrLshi Niksh3 vtxll(llcch:r Arushi Asholi

I lIurot P.itnrr Satislr

5 illrandari !'oo.ja Saniav

6 lial Shubhargi Rikhab

1 Chudiwal l{a:t ani Dhtntnjy8 :,urr$1lt []bxvili'.r Ch!ndr.kat9 llhr.srli Srloni Sunil

10 Ka[kariYa Shilpa l]rirrrdrr11 ,lain Mohiri Xemlilal

12 ,lain Nikita handrtkl

l3 .Iain K.!run, Ajrtchand

t4 .Dosl:i Saheli Sudhir kuar

l5 Qurashi Abu Sho.ih Abdul Latcef

16 Xlren Faizal lshtiv:rli1',l S}riklr Moinudir.l*nlat

SNJB's Smi.K.B.Abad Homoeopathic Medical College and

Shri. R.P.Chordiya Hospital, Neminaga,Chandwad

( Nashik) 423101.

2015-16 Mirorit-v (RENEW)

Sr.No Name of studntI Aliznd Ankita Tciaml

2 l|ahiilr al Kartik Mahavir3 llomin Qurretulair Azizullth

4 Chhaierl l\'iya Ajithrmar

5 4.lizad 1l.hr1 I'crasmrl

6 Sheik lirrhshar ]{us*1 llangrez Mohaaed I$r& Aldul Azzaque

8 Sllaili Hina Musa

9 ALm.al llirastta F'a],Yirz

l0 Savrad !'i|doleb::ia,1ll*lali11 Siddhiqui Arnbreer ]<ausar,4.n}t.rulhaque

12 N:Irooqui Zxin.b Z.rren Abdurahem

13 Gulsaba .Iafar,{li14 Gogri ,Iill Clr( t.rn

15 |,rdLa Saurabh l'rakr.liehrldt6 Kaslirral Sr;-:rli l)ilip17 'f hole I'r,r.hi .4.jiilirrnar

18 Saved Tlirdaus Nissar

19 Shah Saian.4.iay

2ll Chc:.divr Chetanhx$t:. Palvrnlal

2l .Jain,A.kha.l:. il.i'rrcndra

22 :\lluDot Ja,ypr.lish l)x gdumal

23 Jrngad Mayur llhikchaDd

24 Suran Vishal Anil25 Raka Nidhi Dincsh

26 Thole Ncha Anil27 Chordiva Ruchika Rajmal

28 Jain Pradip Ashok

29 Jrin Anldta Bhuramal

30 JaIrgada Nayan Kachrrdas

31 IGla Riya Manoi

32 Rchman Osama Abdul33 Ansrri AB mheem mohd Shareel

31 Chhaied Teiasrvini Saniay

Bhansali Leena Aiitkumar36 Nahar Samiksha Paras

37 Bhandari Ankita Kundalmal

38 Blralsat IlritFllt<&ierdra )-- n

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2015-16 Minoritr' (RENEW)

Sr.No Name of studnt39 Khan Falirnn Irfan,4.Iemad

40 Khan a] lLrrx Akhlaque

4l Sh.cbr N:rr Xloh,rlnmad A.ril'42 Ansrri Alsari Ril rzzuddin,13 Kothari l)arshana R:rsiklal

11 Kumat Vinlt raiendra

45 Binaykiar Srr r rda Sunil

46 Gandhi Dhaneshl<ur11ar I'rakashchand

47 Alizad I'uia Sushil

18 Cagrval horlral Sunil

19 Patani Dcvyeni Yimall<uamr

50 Shii ccll S!leenr Ahmad

5l Farhcen Dr. I\{ashood Amhed

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3Nj6 s Sr{. ( B. Abad Hom.eo5,}1'ri'

(tClcilColleqe ! SfiiR. P. Cr!'l i,'

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SNJB's Smt.K.B.Abad Homoeopathic Medical Coltege andShri. R-P.Chordiya Hospital, Neminaga,Chandwad

( Nashik) 423101.

Governmedt of maharashtra scholarship for EBC 2015-16 (NEW)

Sr.no. Nanle of student

1Aher Renuka

SonyabaDu

2Chobe Damini

Kishor

3Chobe Deryani

Kishor

I Deshrlrxne NikitaRohidas

5Deshmukh Ash*ini

Santosh

6Ghongade Monika

Bhausahcb

1Hingmire Anhifa

Jitendra

{lJoshi Tcjaswiri

Pramod

9Joshi TruptiArvindbhai

l0 More Rutuja

Yuvrai

11Navandar Khushbu

llemant

12Solanke Vaishali

Vitthalrao

13Thombare Deryani

I(ishor

44PRINCIPAL

SNJBs Sllll (. B. Abad HomoeoPathic

[^edicalCn]lere I ghi R P Chordiya. -.ri lBh]n1;arhShr V D

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( Nashik) 42310i.Government of maharashtra scholarship for EBC 201S-1G (RENEW)

Sr.no. Name ofstudent

1Aher Soral

vitthal

2 Ahirc Dr:epali

Bhaskar

3 Bhavar BhaktiBalasaheh

I Dakrle DiwaAiay

:t Darekar AshrviniRaiaranr

6 DesLmukh KiranMrdhrv

7 Dube K{lyaniRaicndra

8Dugad Anandkumar

Ilaiendra

9 Gupta Pooia

Munilal

10 Gupta SaritaRadheshvam

1I Ilardas Pradnt'-Ashok

t2 Jadhay TusharBansi

13 Jain PooiaNandlal

11 Jain Nayana

Raimal

15 Joy Paul

l6 Kapase PooiaRamkrushna

17 Kalantri Surabl.iShrinives

18 Kasat AshwiniSunil

19 Karlule ChhayaKrushnaii

20 Kengc PrajaktaSudhir

21 Khaiure VikasSudhir

22--:-

KshirsagarSamPada

-tsOrr\\ Saoiar

r*::iq N.F

PRINCIPAL

Sr,no. Name ol'sludenf

23 Kothari Rushabh

Abhay

21 Maralhe LaxmiChudrman

25 More KanchanSaniay

26 Pahadc PoojaShanlilal

27 P:rndey AartiSuhhash

28 PangavLanc MonaliIllrim lao

29 liaiole Darshnna

Prabhakar

30 Relan Jaycsh

Mukesh

3I Sawant NutaiSuresh

32 Salulrke Priyanka

Baban

33 Sharma Satl am

Shivprasd

3,1Shinde Jyoti

Namdeo

35 Somani TruptiRamDrasad

36 SuryawamhiYogcshYashwrnt

37Thal(are Vaishnsvi

Rarnesh

38 Tatiya KarishmtrSatish

39Variya BhumikaRaicndrakumar

,10 Vishrvakarma Priyanl<a

Raiu

11Nyaharkar Dattu

llatan

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44PRINCIPAL

',11.*l :ifl i,X;.'ffi ffx?,,?i#i)Folorlal. 8 Eh.nagh rh Si n V' 0 f t€Mta

-ur ' vrl?.)

' c G hstrtrle oJ qomoEop,lny 4'e5'?rl

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SNJB's Smt.K.B.Abad Homoeopathic Medical College and

Shri. R.P.Chordiya Hospital, Neminaga,Chandwad( Nashik) 423101.

2016-17 Minori EW)I CHOITI)IYA SI'J.dI- ISAWARLAL.]I2 GANI)}II AISHWARYA 3AI,CHATiN3 SANCHETI SHRT]TI DILI?4 JAIN SHaiBHAI!,t SaISItIII<Ul\.|Ali

5 PAHADE POO.JA SII.\NTTLAI,6 JAIN N'A'! ANA RA.]MAL'7 DAI'A]-N D]VYA AJAY8 SHAII RIYA SANJAY

I PAI{ADE SONAL SATISH

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18 JAIN DIIryA DEVICI{AND49 CHOPADA KHIISHABII SANJAY

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I Gaikrvad Gouri Ra.ju

2 Kedare Shubhangi Khandu3 Waghmare Tushar Kishor4 Borse Jayesh Pandit5 Pagare Aswini Aril6 Aher Madhuri Sudhakar7 Dushing Neha Kashinath8 Jalgaonkar Pooia Decpak

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( Nashik) 423,101.

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10 Gharat Bhakti Subh:sh11 rylomin MohdAnzar Snakeet12 Kadu Namita Tulsidas13 Mundlik nniket lshwii14 Nikam Sachin Appasaheb15 Deshmane Nikita Rohklas16 Jadhav Rahul Dharmendra17 Mohan Snehal Bapul8 Jadhav Rutuia Ramesh,,9 Nikam Aiav Viiav20 Nikam Javashrri Arun

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26 Kapse Bhaqvashree Viiav27 Sonar Siddhant Purushottam28 Patil Nandini Jaqdish29 Patil Neha Sures630 Patil Bhaqvashree Sharad31 Patil Kalyani Sarnadhan

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38 Ganqurde Praiakta TrrkaranrDhomse Vishal Samoai

40 Khaire SuDriva Madahv41 Jqdhav Samahan Karbhari42 Patil Nikita Kaita.C43 Mahale Mavuri Ramesh44 Bhoir Jaqruti Ashok45 {nsari Taskeen Mahmood46 Rasal Shailesh Balasaheb47 Quraishi Zaidanium Mdamin48 qi4mamatul Ambar Sawood Ahnrea

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Sr.No. Name of students

1 Dhende Prerna Viiav2 Bansode Jaydeep SiddharthJ Kapadne Pratibha .Arun4 Tayade Vidya Raiesh5 Hire Ankita Arun

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4 Pardeshi Payal Raiendra5 Chaudhari Rakhi Saniav

Pangavhane Savali SandeeD7 Khatal Ankita Saniav8 Patil Roshani Satish

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Sr.n'o. Name of student

1 Mali RahuI Ravindra

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3 PAWAR KOMAI GANESH

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3 Manali Mahavir Choughale

I Sujit Shervale

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Sr.no. Name ofstudent1 BORSE JAYESH PANDIT2 KEDARE SH L BHA\G I KIIA \ DI3 WAGHMARE TUSHAR KISHOI{4 PAGARE ASHWINI ANIL) BHORKADE REV {TI KALLAPRAO6 DUSING NEIIA K-ASHINATH7 JALGAONKAR POOJA DtrFJPAK8 AHER MADHURI SUDHAKAR9 Gangurde Taruna Dinkar

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Sr.No. Name of student

I Paithanl{ar K:rmlcsh Krcharu

2. Patil Amruta Shvamkant

3 Zaltc Shreddh, R,lmesh

4 Mali SonaliRaicndra

5 Patil Hrishikesh An ind6 Patil Manish Nana

7 Nimse Pooia Raiendra

8 Thal{rrc Karuna Suhhrsh

9 Kotwal Asbrr ini Raiendra

l0 Gansurde Shubhanei Saniav

ll Jadhav Rutuia Ramesh

12 Nikam Jayashrri Arun13 Patil Nandini Jasdish

14 Patil Nehn Suresh

15 Patil Priyanka Mahendra

16 Namra Fawaz Ahnadt7 Mohan Snehal Bepu

t8 Nerpagar Neha Paresh

l9 Dhomse Yishal Sampat

20 Kolhe Mangesh Ma11ikrro

2t Nikam Aiav Viiav22 Chaudhari Umesh Anil23 Gancurde Praiakta Tukararn

24 Jadhav Rahul Dharmendra

25 Patil Kalvani Semadhan

26 Patil Bhagyashrcc Sharad

27 Patil Nikita Ashok

28 Patil Vishal MaDik

29 Sonar Siddhant Purushottam

30 KaDsc Bhagyashree Viiay31 Ansari Taskeen Mahmood

32 Bboir Jagruti Ashok

33 Jadhav SamahaIr Karbhari34 Khaire Supriya Madahv

35 Mahale Mayuri Ramesh

36 Patil Nikita Krilas

37 Rasal Shailesh Balasaheb

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39 Quraishi Zaitlanium Mrlamin ^€)r!^

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4 Pardeshi Paval Raiendra

5 Patil Roshani Satish

6 Almas Gauhar Abdul Raz-zak

SNJB's Smt.K.B.Abad Homoeopathic Medical College andShri. R.P.Chordiya Hospital, Neminaga,Chandwad

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Minority students ( .,ain,Sikh, Muslim,Christian et.) 2017-18

Sr.no. Name of student

1 SAMAJANNAVAR JINENDRA JAKKAPPA

2 MOULVI SHIFA SI.IARIQUE

3 BL]BERE AYESHA MLN{ZIR

4 MIJNOT JAYPRAXASH DAGADIJI,AI,

5 SANKIECHA JUIII SANJAYKI IMAR

6 RIMSII{ FAryYAZ AIIEMAD

7 KHAN BUSIIRA AKHLAQUE

8 NAMRA I.-AIYYAZ AI.IEMAD

9 JANGADA NAYAN KACIIARDAS

10 ANSARJ ALQAMA SI1AWKAT ALI11 JANGADA BHACYESH AJIT

72 JAIN YASINI'A SATISH

13 SHAHA SAMI{UDHI PRASIIANT

74 ALIZAD PUJA SUSHII-

15 KASLI\\TAL HARSHITA RAJENDR{KTiMAR

16 KHIWASARA AACI]AL JI'TENDRA

17 NA]]AR SAMIKSHA PARAS

18 BIIALCAT RACHANA RAJENDR A

19 BIIANDARI ANKITA KUNDANMAI,

20 TATryA SHWEJAI, SIIRF,SH

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22 S}IAIIA KOMAL SUNIL

23 MAI{AJAN ANACHA AJAY

24 JANGADA I&{YUR BHIKCIIAND

25 BHANSALI LEENA AJITKUMAR

26 JAIN TEJASWINI SANJAYKUMAR

27 OSAMA ABDT]L RAFTMAN

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29 JAIN DIPAT,T KTSHOR

30 DL]NGARWAL SAYALI RAJENDRA

31 PARAKH B}IAGYASHRI RAJFNDR A

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33

KIIAN MOHAMMED OSAMA MOI{AMMED JABIR

34 CHORDIYA DARSIIANA RA.'FNDR A

35 SALMANI KAUSAR JAN4II,

36 AFEEFA KHURSHE'9&MAD37 AIN HITESH SHlf@UQ1\

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39 DHUNIYA TAHIR ALI ABDT]L KAI,AM

40 JAIN APURVA BHARAT

47 PATANI RIDDHI MANTSH

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43 ABAD KARISI.I\IA ST]NIT,

44 BEG ADIBA YASIN

45 BORA AMIT SUMATII,AI,

46 BHANSALI SEJAL VIJAY

47 WARE TUSHAR RA1NADEEP

48 SANKLECHA AMIT PRAMOD

49 DHONDALKAR ANKITA MAIIAVIR

50 CHORDIYA SEJAL DEEPAK

51 BHANSALI NID}tr DILIP

52 SUNDECI.IA SHRADDHA MANOJKUMAR

53 AJMERA RAKSIIANDA RAJKUMAR

54 BEDMUTIIA ANUJA ASHOK

55 KHATRI DRASHTI KALPESH

cb JAIN MOKSHA PRAKASHCHAND

57 JANGDA DEEPII'{ SACHIN

58 SANCHETI SAI-ONI PRAFUL

59 KOTECHA KSIIAMA PRAKASH

60 SANCI]ETI ANJALI SANJAY

61 ANSARI SILABINA RABBIL

62 KOCHAR SANDESH NANDLAL

63 EDROOS AYESHA MUBEEN

64 SH,{IKH ASMABT YL]}IUS

65 KHAN SADAFIRAM JAWWAD AI]MED

66 CHUDIWAL ]'ALYANI DHANANJAY

67 LLNKAD TEJAI, SAN,IAY

68 CH}]AJED KOMAL VIJAY

69 CHHAJED NIKiTA RAJLNDRA

70 CHOPADA KHUSHABU SANJAY

77 DHADIWAL KALYANI SL]RESH

72 CHOPADA K]RTI SANJAY

73 CHORDIYA SEJAL ISHWAR

74 PAHADE SONAL SATISII

75 CHORDIYA TEJAS WI SUN4,ATILAL

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79 JAIN DIVYA DEVIC}IAND

80 JAIN SANtr{TA SUBHASIICHAM)

81 SHINGAVI MEENAKSHI ANIL42. CHUDIWAL P]TAGATI NANDKISHOR

83 SH IKH DASTAGIR RAFIK

84 S}L{IKH ZAID AI]MAD IFI'EKIIAR AHIIAD85 MUl HA SEJAL VINOD

86 JAIN ANKITA AN]I,

87 I-ODHA KHUSHI ASHOK

88 JAIN GARIMA ASHOK

89 LALWAN] AKSIIADA MANOJ

90 PICHA PAYAL RAJENDRA

97 ANCHETI SHRUTI DILIP

92 .JANDHI AISHWARYA BAICHAND93 AIN KHUSHABU SANJAYKUX,'AR

94 POKIIARANA PRACHI AJAY

95 BORA L]NA SANJAY

96 DHARMR.AJ S UPRIYA SUGANDHLAI,

97 KIIAN SHAHID GAYASUDDIN

98 CIIANKESI{WAR-{ MANASI SANKRT

99 CI{AN KESHW,^.RA SIDDI IALI SAjAN

100 JAIN JACRUTI KISHOR

101 JAIN DIVYA VARDI{MAN

702 MOMIN SITAHBAZ AKHTER SHABBIR AHMF,D

103 SHAH SAJAN AJAY

104 JAIN AMIT KAMLESIJ

105 THOLE ABHISHEK ANII,

106 AJMERA SEJAL SANTOSHKUN,LAR

107 THOLE PRACI-II AJITKIIMAR'108 NAHAR IIITESH TEJRAJ

109 NADAR JABAJAYAM SELVAKUMAR

110 JAIN NITIN RATANLAI,

771 JAlN SHUBI{AM SUSHILKUMAR

112 PATI{AN MAAZ AHMED N]SARKI.IAN

1!3 PA'IAM KAJAL VIJAY

714 SONI RUCHI TARACIIAND

115 BHANDARI POOJA SANJAY

116 DAKLE DTVYA A]AY

777 KHIVASARA AI<SHAYKIMAR SANJAYKUMAR118 CHORDIYA ARIHANT DILIP

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120 GUGAIE PRITDSH SANTOSH

727 R{KA PI]NAM ASIIOKKUMAR

122 SANGOLE IIIMANSHU MANISH

723 SA\YDD AYMAN HAMEED

124 GHTYA SANKET ANILKUMAR

725 JAIN SACHI SAGARCIIAND

726 OSTWAL JAIN PRAVAR VIJAYKUMAR

727 SONTARI<E SITIIBHAM ASHOKRAO

128 PATHAN S,AIIII\IDDA AZHAR

729 II]NAWAT BHAVIKA CIIANDRAKANT

130 .IAIN KARI INA AJT{YCIJTANI)

137 MUNOT PRITAM SATISII

132 QI-IRA.ISHI ABU SHOAIB AI]DUL LATtrtrF

133 SI{AI{ NNH,dI,I SIIAES]IKIIMAR

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135 SAKIIAI,A SAKSHI NII,ESH

136 SHAIK}I TIIBTA MOHAMMAD ZAID

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Sr.no, Name ofstudent,|

VANSHITA RAJENDNABHAI DEVRE

2 NAGMA BAAU PATHAN

AISHWARYA KIRAN GADE

4 SHITAL SHIVAjI GAI|(WAD

5 PAWAN GIRISH SHARMA

6 HARSHAL SUNIL CHAVAN

7 MANOI ASHOK SADGIR

8 AMAY ANIL KAPASE

9 HEENA SUBHASH WAGH

10 SHILPA MUNJAJIRAO SIRAS(AR

11 VA!SHNAVI ANIT SH'NDE

72 KOMAL RAJENDRA CHAVARE

13 POOJA SAMBHAJI NIMASE

14 SHIVANI MANOJKUMAR SANGHAVI

15 JYOTI BABURAO YETVE

16 SALONI RITESHKUMAR SHAH

17 HARSHADA DINESH KAKARIYA

18 PALLAVI MAHAVEER PARAKH

19 SAURABH SAHABLALYADAV

20 VAIBHAV DEEPAK VAIDYA

27 RAHUL RAJENDRA KOTHARI

22 RIMSHA KHAL'L SHAIKH

23 YASH SURESH OSTWAL

24 ANKITA MAHESHKUMAR RIZANI

25 PRA]AKTA BAPURAO CHAURE

26 VAISHALI VITTHAT SOLANKE

27 TEJAL SHIVAJI AHER

28 AFIRAH ABUTWAFA FAROOQUI

29 DIVYA DINESH JAIN

30 CHANDANI SANJAYJAIN

31 CHAITALEE SHANTILAL BHANDARI

32 HEENA SUBHASH WAGH

PRINCIPALSNJBs Sml K. B. Abad Hcm,loD3ihi'

r.Frl^, C.lea. a shr P PCh.rCta

rusortai.l -: r: r, .ir, - . ; . ' li D1" .'' tG ns:Ltuli ol. d.mcFoParh\ 8 iri-''.'

Cenrre Chandwad. t\st l'ltsh i

SNJB's Smt.K.B.Abad Homoeopathic Medical College and

Shri. R.P.Chordiya Hospital, Neminaqa,Chandwad( Nashik) 423101.

GOr/ryJNT 2018-19

SNJB's Smt.K.B-Abad Homoeopathic Medical College and

Shri. R.P.Chordiya Hospital, Neminaga,Chandwad( Nashik) 423101.

Freeship /vJNT 2018-19

Sr.No. Name of studcDt

1 Tejsr ini Vasantrav Pa rkh e

2 Pratiklra Shir aji Badne

3 Sakshi Gangaprasad Ghuse

4 Dieviiay Premrai Rathod

5 Bhagyashree BaDu Pendharkar

6 Smit Sariay Bhabad

7 Teias Sudam Malwal

8 Punam Raiendra Gosavi

9 Vinita Subhash Jadhav

IO Harshada Ramkrushna Nagarc

11 Mona Binnal Mashal

ees

Sr.No. Name of student

1 Ashrvini Raiu Chrvan

2 Vaishali Mohan Shinde

Ar.hana Bhrsk,r Somvansh;

4 Chal,hAn tlarsha!ardhan Dit)ak

5 Manasi M0nik Srnap

N.\*ll

/.,/j

4E

oi{

4o2

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Name ofstudentSuraj Vilasrao ZanzadShrayari Rajarrm Kamta

SNJB s-Smt.K.B.Abad Homoeopathic Medical Co ege andShri. R. P.Chordiya Hospital. Nem inaga.Chandwad( Nashik) 423j 01.

SNJB's Smt.K.B.Abad Homoeopathic Medical College andShri. R.P.Chordiya Hospital. Neminaga.Chandwad( Nashik) 423101.

GOI/SBC 2018_i9

Freeship /SC 2018-19

GOr /SC 2018-t9

Ireeship/ST-2018-

:l_1"j^aTj.n ? ob.ad Homoeopathic Medicat colese andinn. R.p.Chordiya Hospital, Neminaga.Chandwad

( Nashik) 423101.

SNJB's Smt.K.B.Abad Homoeopathic Medical College andShri. R.P.Chordiya Hospital, Neminaga,Chandwad

( Nashik) 423101.

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PRINCIPAL

l[1p"," !11, ! ^4,*...1 ltTq*o.rhr.

Name ofstudentPratibha Arun KffieVidya Rajcsh TavadeJaydeep Siddharth Bansocle

Name ofstudentWaghmare Tushar KishoiJayesh Panditrav BorseShubhangi Khandu K reGouri Raju Gaikwad

Sr.No. Name ofstudent*I

"7:a !u L(t:^\i

,4'*e'",,6-\'('

SNJB's Smt.K.B.Abad Homoeopathic Medical college and

Shri. R.P.Chordiya Hospital, Neminaga,chandwad

( Nashik) 423101.

GOI /OBC 2018-19

Sr.No. Neme ofstudent

1 Prfltik\hi Vishnu Vallc

2 Karuna Subhash Thakarc

3 Shraddha Rrmcsh Zxltc

Niliitr Rohidas Deshmtne

5 Anil{ct Ishlvar Mundlik

6 Mayuri Valmik Jejulkar

7 Dn1 ancsh*ari Gancsh l)aogrc

8 Nnmita Tulsidas Kadu

9 Pooia Raiendra Nimase

10 Vishrl Manik Patit

11 Momin Mohammad Aizar Shakeel

Shrveta Vinod Gulvi

13 JYoti Sartosh Belote

14 Sachin Appasrhcb Nikam

t5 Pun,a Krishnarao Jagzap

16 Gopal Lahanu Kolapkar

t7 Urishil<esh Ar-vind Patil

l8 Urncsh Anil Chnudhari

19 Ansari Danish Ahmad Zamir Ahmeu

20 Sushmitlr lshavar Patil)1 Neha P:rresh Nerpagar

22 Srushti Milird JagtaP

23 Kelvani Samadhan Patil

24 Ashvini Avinash Patil

25 Nikita Ashok Palil

BhacYashri Sharad Patil

2'7 Amruta Shyamkant Patil

28 Praniat Prakash Chaudhari

29 DbiraiAnil Manl(ar

30 Manish Nana Patil

31 Bhasvashri Viiav KaPase

Siddharrt Purushottan Sonlrr

Nandiri Jagadish Patil

l.l Neha Suresh Patil

35 Priyank:r Mahendra Patil

36 Taufiq Jakir Teli

MANGDSII MANIK KOLIIE

38 Rahul Dharmendra Jadhav ,L.39 tln-.ut nuiyyu, Lt cmad /16. ctltta>\40 poor*- ttlu"s"rl P*rvar i/$i/ ! ;{q\ ,--, -,,-z

/F.i 9= \ r\

t3'\ ?3 r"i PRINC PAL

(;ot /oBC 20 l-19

Sr'.\o. \anc of studc t-11 tr'[unazza Khanrrl Laccquc ALmed

42 lrahrecn Ghuhm l{asool

tl Sonali llaiendra trlali{{ Shubhansi Saniar Grueurdc,{5 Karnlesh KachIu Prithrnliar16 Ashrvini Raiendr:r Kotwal

41 Ankita Saniav Khatal48 Vasurlha Srrdhake r .Iedhav

19 Kiratr Jibhau Borse

50

5tCharch:rl Nandkumar Pagar

Shivam Ravirdra llire52 Jayesh Viiav Nikam

53 Kirti Bharat Anturcl(ar5,{ Ansari Shaan Raza Raccs

55 Aiav Viiav Nikam

Itutuia Ramesh Jadhav

51 Javshri Arun Nikam

58 Vaibhav Raiendra Patil

59 Snehal Banu Mohan

6{} l'ranita Chhagan Kamble

61 Pr atiksha Laxman Bachhav

62 Mrnsi Vlsrnt Shelar

63 Praiakta Tukaram Gangurde

64 Ashlvini Sopan Thube

65 Vishal Sampat Dhomse

66 Lonarc Pooia Chandrakant

67 Prili Raiendra Jadhav

I

4e+

SNJB's Smt.K.B.Abad Homoeopathic Medical College andShri. R.P.Chordiya Hospital, Neminaga,Chandwad

( Nashik) 423101.

Irreeslip /OBC 20I8-19

Sr.No. Name of studenf

I Mulc5 Kunchan Narayan

2 Ketan Dilip Gotarne

3 Akshay Shiyaji Narle4 Choudhari Kavita Ravindra5 Snehal Bhlrg$ in P.til6 Nijol L:r trnan Patil1 Siddhesh Vivek BhirudI Jagruti Kishor Patil9 M:rkarand llalu P:rtil

l0 Sneha Vinod Patil

II Siddcsh Manohar Gangurde12 Shraddha Nivruttee Chaudharil3 Quruishi Saqib Ahemad Maheboob Khan14 Payal Raicndra Pardeshi

15 Manjiri Raicsh Bhavsar

16 Jigneshkumar Dilip Pawar

l7 Rakhi Saniay Chaudharil8 Asra SadafAbdul Mulik Ansari

19 I(omnl Navnath Shinde

20 Saloni Chandralont Deshmanc

21 Sayli Sandip Pangavhane

Hena Kausar Mohammad Ynsnf

Roshani Satish Patil

24 Nikita Pandurang Patil

4+

SNJB's Smt.K.B.Abad Homoeopathic Medical College andShri. R-P.Chordiya Hospital, Neminaga,Chandwad

( Nashik) 423.t 01.

Minority / 2018-19

Sr.No, Name ofstudeDt

1 Yuti Bharat lain

2 Nehali Suaeshkumar Shah

KhatriDrasht!(alpesh

4 KomalDilip Bhandari

5 NidhiDilip Bhansali

6 SejalVijay Bhansali,7

Prerana lshwar Kotharl

8 RuchiTarachand soni

9 sonalSatish Pahade

IO Yashashree Pravinkumar Sancheti

I1 Juhi San.jay Sanklecha

12 Anuja Ashok Bedamutha

13 Abhishek BhaSchand Chudiwal

14 Abhishek Anil Thole

15 Saneole Himanshu Manish

r6 Pravar Viiaykumar Ostwal Jain

17 Kalyani Dhananjay Chudiwal

18 Anjali Sanjay Sancheti

19 Saloni PrafulSancheti

20 Pragati Nandkishor Chudiwal

21 )eshamane Ankita Sunil

22 Roshan Rajendra Bhandari

23 Ankita Mahavir Dhondalkar

24 Sejal SantoshkLrmar Ajmera

25 Pratiksha Rajendra Bhasme

26 Pratiksha Ra.iendra Bhasme

27 Shubham Ashokrao Sontakke

2a Nida Muskan lrfan Ahmed Ansari

29 Tahir Ali Abdul Kalam Dhuniya

30 Shahbaaz Niyaz Ahmed Ansari

Mohammad Waseem Mohammad Vakil Khan

32 Ayesha Mubeen Edroos

33 HITESH SHANKARTAL ]AIN

34 Shabina RabbilAnsari

35 SHAHID GAYASUDDIN KHAN

36 ALISHA BANU JAHANGIR SHAIKH

37 Ayesha Munz;rBubere 7fRJ8 Amit Kamlesh rain /"&y{{ad\39 Ayesha Sufiyan Kudai /+.'/ S ;\3\10 AnsariAreeba tmtiyaz ilE f 6 E

.t\ EPRltunrD^

Minority / 2018-19

Narne of studentShifa Sharique MoulviYashika Satish Jain

Fatima lrfan Ahmed Khan

Zeba Aslam l(han

Salmani Kausar Jamil

Sadaf lram Jawwad Ahmad

Masum Saniav Shah

Shrdha Sunadecha

PrachiAjay pokharana

Meenak!hi Anit Shingavi

Sejal Deepak Chordiya

Gandhi Aishwarya Balchand

n Kachardas Jangada

Anagha Aiay Mahajah

Pooja Sandesh Gandhi

Chaitali tshwar cugaleSejal lshwarlataii Chordiya

SaloniSunil Bhans3li

MahaliManoj Bora

JAGRUTI KISHOR JAIN

SejalVinod MuthaDivya Vardhaman Jain

Pathan Maa2 Ahmed Nisar Kha;Amit Pramod Sanklecha

Kshama prakash KotechB

Lina Sanjay Eora

Karuna Aiaychand Jain

Tejal Teresh Jain

Akshaykumar Sahiaykumar KhivasiiShweialsuresh Tati

Arihant qilip Chordiya

Ajaychand Jain

Jain Sachi Sagarchand

Deepika Sachin Jangda Jain

KomalViiay Chhajed

KhushiAshok Lodha

Punam Ashokkumar Raka

Darshan Ravindra Jain

Samata Subhashchand Jain

Moksha Prakashchand Jain

4+PRINCIPAL

$NJB! Srnl. l(. B. I bai lroirrDeln alhi'"

x,15/ E i )"ilil*\ 5-< | ,i

Mi / 2018-19not.r -lSr.No. Namc ofstudcnt

81 Bhagyashri Rajehdra Parakh

82 Khushabu Sanjaykumar Jain

83 Shruti Dilip Sancheti

84 Shivani Manoj Sanghavi

85 Jain Garima Ashokchand

86 (irti Sanjay Chopda

87 Khushabu Sanjay Chopada

88 Divya Devichand Jain

89 Shaikh Zaid Ahmad lftekhar Ahmad

90 Nikita Rajendra Chhajed

9l Asma Yunus Shaikh

92 Apurva Bharat Jain

93 iayyed Ayman Hameed

9l atani KaialVijay

95 Teiaswi Sumatilal Chordiya

96 Darshani Rajendra Chordiya

97 Alqama Shawkat Ali

98 RAHUL RAJENDRA KOTHARI

99 Akshada Manojkumar talvani

100 Dastagir Rafik Shaikh

101 Saurabh SunilPande

102 Amit Sumatilal Bora

103 Adiba Yasin Beg

101 Sanket Aniikumar Ghiya

105 Mamta ShantilalGandhi

r06 Sanjana Mahendra Kumat

107 RiddhiMenish Patani

108 Rakshanda Rajkumar Aimera

t09 Yukta Sandeep Bora

110 Se.ial Lalitkumar [unawat

111 Sakshi Nilesh Sakhala

1t2 Osama Abdul Rahman

113 Afeefa Khursheed Ahmad

114 Ankita AnilJa:n

115 SejalSumer Kasaliwal

lr6 Karishma SunilAabad

lt7 Nitin RatanlalJain

118 Shrushti Pawan Jain

Il9 Bhavika Chahdrakant tunawat120 Dipali Kishor Jain

1:1 Tejal Sanjay Lunkad

PRINCIPALs^jJass'rt ( B AbaJ Nonoeopalhi.

Mitn 2{Jtti-I9Sr.No- Namc ofstudent

Kalyani Suresh Dhadiwat122

121 PayalRajendra pi.ha

121 Payal Ra.iandre Nahata

t2s Sahindda Azhar Pathan

126 Sayali Rajendra Dungarwal

127 Gautam Sumatilal Tathed1rf sandesh Nandlal (ochar

t29 Swarda Sunil Binaykiya

I -t0 Aarti Re.iendra Oanole

131 Shruti Bhausaheb Shendage

132 Nagma Babu Pathan

113 Saloni Kishor Doshi

134 Siddhali Sa.ian Chankeshwara

135 Menasi sanket chankeshwara

I36 Saloni Ritesh Shaha

Suyash Mahendra Dhadiwal

13tt PranjalDilip Gugale

139 Gugale Pritesh Santosh

110 .iabajayam Selvakumar Nadar

14r Supriya Sugandhlal Dharmaraj

142 Samrudhi Prashant Shaha

@PRINCIPAL

SNJB'S Snt (. B.Abad Hom.eoPalhic

r,l.4l.rlCo eee & ShriR P ChodYa

;csD La , :,1- _

'eir"r D€!'V i\' PG nsl(uie n 50nf"rrr'h/\!a(Eirr

Ce.lre Chlr4{2n Disi ilasr i

SNJB's Smi.K.B.Abad Homoeopathic Medical College andShri. R.P.Chordiya Hospital, Neminaga,Chandwad

( Nashik) 423101.

EI]C / 20I8-I9Sr.No- Name of studenl

7_i",

.' J.

I Usharani Elango Nadar2 Farooqui Afirah Abulryala3 Hansali Vil{as Prtil4 Aditi Chansh)..m Mall{a5 Chaitalcc Shantilal Bhandari6 JJ,oti Ilebtrrao Yelvc

7 Vnishali Vitthalrao Solrnke

8 Priti Shrirang Shahanvale

9 Suiata Raiabhau Basvckar10 Mahesh Madhul.er,Ioshi

11 Vaishnavi Govardhan lalekar12 I(omal Ashokrao Chakor13 Shital Shivaji Geikrvad

11 Prachi Pandurxng Joshi15 Gayatri Pundalih Patil16 Sudha Ramjeet Mauryal7 Saur'!bh Sahablnl Yad,rvl8 Sujeet Ramsumer Gupta19 Swati Shiv Kunar Sharma

20 Shubharn Saniav X{ohite

21 M.noj Ashok Sadgir22 Sayogita Saniav Shinde

Parvan Girish Sharma

21 Vaishnayi Prakash Gavhane

25 Pooja SanrbhajiNinrse

26 Pranjal Dn] aDeshwar &Iandhare

77 Rutuja Navnath Parvar

28 Harshada Dinesh Kakariya

Swarangi Saniog Jinde30 Payal Laxmarr ]Iandhan31 Chandani Sanjay Jain (Bedmuthu)

32 Yash Suresh Osfwal

33 Prerak Alay Sharma

34 Anldta Mahcshkumar Rizani

35 Nimisha Arvind Jostri ii!36 Gitanjali Sunil Aher 'l

Vaishnayi Anil Shinde \Iti Nandini Narendra Kachvc

"*,,., ^ FRtttctpar

SNJB's Smt.K.B.Abad Homoeopathic Medical Coliege andShri. R.P.Chordiya Hospital, Neminaga,Chandwad

( Nashik) 423101.

lluc / 2018-r 9

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Sl'lJB s S'rrr K B A bad llo nrceoDathic

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Sr.No. Name ofstrdcnf39. Scjal Chandmkant PatilJO Ilecna Subhash Wagh4t Vaishnavi Rahul Kusmode

12 Harshal Sunil Chavan

43 Suparna Vijay I(cnge14 Prajakta Bapurao Chaure:ls Tejal Shivaii Ahcr46 Shrveta Sushil Rana47 Aishrvarya I(iral Gadc,{8 Manali Mahaveer Chougulc49 Amay Anil Kapasc

50 Nikita Sampat Shinde

51 Pallavi Mahavccr Paralth

52 Pravrsini Pratap Majhi53 Ganesh Mahadev I(adam

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Dear Studeif,

J icar tlv CongraLu .titonslll

You hot,e bee t1 :;cl(,a:tt,d

B t';i.t) k c ch (t rtt).i I J 1,.,- ) Etr.

on thc b.tst,; of your ment::c)ltlrrsl)ip i;t tt,;ijtt1 jct t,

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1 SNJB's t,ote Sou. l{dntoboi )

?. shrimonsurcshd,;"j,;,;::i:;:!/i,1,:l,,';l!iiiilrl;]l":liii,'' ij.. S.ltriman Decpchondjt t.akirchantlji Lodl.,n fno)*ory Cutt"-q"'ID. t,hr,rnory) ,4. S^hriman tjiralatJi Hastincttjijlin Bra:helQolgaorl ntrirrir,, '"',,

I5. Shrimoti Ujwolabai prukqshchon(lji l,unl,c,i t:ov:; H'ostei I, '\.imdti pal ...,Jot \la.ttot:t tatJt)o u,,,. ttr"r.t ,,tnt? I

Please procure this document as it js L\sentrdl ri)ou pl.rnnrng tU take th!:dvailge ftrr theso m,, t "

'lhc:;e schalar:;hips are valid Jbt lollowinll inxitu[es af Sl!JB lbr 20] S 1G:

Nnt(: lht- rlo,,tn.ent , ,-".,ta,u.,,1t\ "€

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D,ile: 26rr' ocicbci 2017

lo,

!\4i. Akshay Khivsara

tlirku

Dear IVr. Akshey

Thanking You,

With Regards

For Ranka Charitable Trust

,\"r,,\-

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l8/A, KIADB lndunralArea, Doddanekkundi, Whlte{ie d Road, Banqalore- 560 048

Tel 080 41281838. Fax:030 4128 3819.

With reference to your scholarship appiication from SriAll India Swelhamber

Stankvasi lain Conference, please find enclosed heredth a cheque bearing

no. 087212 dated 26.10.2a11 fat < 7,0A0/- (Rupees Seven Thousand Only)

drawn on ICICI Bank in favour of "K B Abad Homeopathic Medicalcolleqe" towards schoiarship for yoLrr 3d Year BliMs

Kindly send us Xerox copy of receipt after paying the fees.

PRINCIPALSNJB s Sml. ( B. Abac HomoeoPathlc-l,ledlcaiCotreoe

& Sln R. P Clotdtya

ho\oilal.4Bhairr56rhS:fl V.D [irehrirl]euvrraY

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3 Ssiclcicd amount she b. pa:d by Chcque cn y

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PERSONAL DETAILS

Full Name (1,1rlllliss/[/]rs)

Enra CurncularActiviiies

Bank DeiaiLs

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1) Narne ofBan

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EDIJCATIONAL DE-TAILS

rntendeo rolre PH r ' D"_ton {,r.w .rrnJ hcLlp \!!t_

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%Scholalship received irom

oswal Bandhu Samaj

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we slatc lhat ihe scholarchip provided by rhe T.usr shal be sotely utitizod ior rhe purpose oJ siudics onty.We solemnly declare ihalcontenls in appicarion frorn are lrue 10 rhe best oi our knovr'tedge.

Dale: Fathcfs / Guardian's Signature Sludenl's Signalure -

Prr r e,r

tnal4!!r !iE!!rl!!q q.Er ii.ndrru

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BECOITIMENDATION : (From Colleqe/lnstitutc)

is a Bonafide siudenl oi rh.

Co Iege and is reslstered undor Ro L No. 3 orcu.. Ttul -1p..r The infonnation

given is conectand lhe studcnt deserueslho schotaEhip.

@,)-M{"ip,i'" sisn"r,,"Date I l4/D/ 2d/z

BECOMLTENDATION : (From Member ol Oswat Banclhu Samajorany respectable person {rom Jatn Cornmuntiy whois nol a close relalive oftheApplicanl)

Postal Address (in Jull)

Vicws about the App tcant

Coniac No. : Signalure

Docunrents (Ceniii-.d \.rox copies) to be aitachedwrih ihe Form (please lick the erpropriate)

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3 S.nLtion..r anrilJrr shat |e p. d by Crreq!. on y

l-ll:]:n:I!... l.:]: r |'.e '] ]

Plr (1.:rC)2ti45052r !i:i .::urt b:ndrr!(r/r !r!).

SCHOI ARST]:P APPLICAIION r'trRM

Et.r 1l .]I]LPAK]f a H CP-\)1\lA

PERSONAL DETAILS

Ful Namc 1 .4-,,lvllss/1,,1€l

PermanenlA.Jilr.ss

Birlh date & Place

Ext€ Curicular Aciivities

Bank Deiails

?illllll tt c t,s,-r -'' c, -sc

c I e'i '1 .-AD/]psHr rn 6Ap lJApn No- r slln. pnHl up

1)Isl - AHEt-'1D1-\A(AR

sIlR]RAHPLTR3 + o I

9,q44/ o ttslconiact r,,rob e No -! 3: 213 (! J 1 ,**

^"21,' t o. t95] (sHzrRAfl puR) o"no",,

ske1(itfNG R eA DTNq

4Ncil6B1Pq

1) Name orBank& Branc6a66p5" B4Nts 6F 84RCD4

srilVAli R6n D. s/'tPI R4NPUR

(l.4idd e Nrmel

trEY4L€

zr a,,c No0!h*010001(lqg 3) J,sCCode BARB0SHRLPA

EDUCATIONAL DETAILS

Institute srii.k.R ABAB HdMoeop4lrr"a deDlc4l (oaaf.l f ToiatFees

ClassObiained / oui of

% Scholarship received from

OswalBandhu Samaj

x 1ol3 391 / Eoo +9 20D! PaI/ L 6llc[qH fi6ErtiH'rHI6H sddsA.EHSSAr$frr R

xt 20 l5P$NB'O[LECI.S) IRI&qHPUR

BHHS Lele 621./tooo 61 TisHl k B ABAD H6H4€dPArAr

crrfqL c6LL€(e ,f*it+#

rntended corr::.. er^c ilE L0 R aF tl0Hoeopnlllfcr',i c L'I cA L sc-!e^lc6- Duran.n 5rirq eq rs

aaa,ess oflrstirute: 5! ILC_!I!i!!:11€ r-,\r NA_ql R arlAripr,r4D,Dl!t- N^\rllt<

A onqen...olfuno< o.D: n? tol -otee S;l0P

#1AJ L\o"' J ho o-r 'r

\:;----fpk,iyiji pl,)irE s st,i I I ;.r.j I A;r ., .. _;

. llElrcalCol+,rp t.r o"l'--i',FlclDlri , p6,-. ,:: - " '' i trr\lj.-

r-iii rer:r I G!.r ;rri ,.ri : ti4t,a 1il\i t. L li,,i.lirr't/\1ri'1 r'l-'(!ijr:) (rrr.. rr.nrr,t (s r:r:n!.)

F:ihers/Glarr.nsA,icre..,lrll|ytlirq.q,y]r.iir..,( sf(rrJii /,ll1lp-.i,I r..Aar^N .. r ,r.., , ; f;l I l; L

ita:.j lL) ) : ..-.!)( .

ofclDat.. liiti:iN[: iflo ol Fan;ly lren]trcrs : l)

/,nf rrl hxrnne : I-.r..f a

Nc. oJ Memb.rs Stud,'io

Its. Fem ly Hs t5+a a a

kil. l^q4 Lr C acP or 1,1 fi ail'J l)-al al

Brl s

r,lslER

(ir 11]141 adoRDi,lA s€t ilt.

2.

3. i( Lr 4-r l4 U ailcRD-I,lA af!rcR 141'l

We slaie thai ihe Echolarship providcd by lhe Trust sha[ be sole]y Lr ized for thc purposc ot srudes ofty.We solemi y declaro lhat coNtcfls tn appii.arjon lrom arc iruc 10 rhe best ot curkno,,vledge

s.4*Sluclent's Signature

BECOML,IENDATION i (Fro,n CoIeoe/tnstilute)

Appricanrk$ clJoRDlY A 's€ JA (is a Aonattde slud€nt olthe

Colege and ls reqlslered urderRoliNo. lzofCLass

s I BHI'lt

glven is correcl and lhe studentdeseves the schotarship.

Prih6ipal's Siqnaturc/1"Date: | ;lollu t7(v--...+FECO[4IIENDATION : (From Member of Osyr'al Bandhu Samajor any respeclab]c pcrson trom Jain Communitywhois not a close relalive oftheApplicani)

PosialAddress (in Ju l)

jlg ABHAyt Lir$Ar+3ryBA44lr BAF^rA

Views aboui the Appliceft 'iioc e; c c[,qd,-r'en I Ho n esL

N€1.cr5( Po c{d " _

3 + cl l)

", n,..,",

" /i>1!iJ!::'. 91

' ) 1283oI

=nd.rsiara.l Es[<rie

( hllcunl ,11r

Uocumaits (Cedificd xeror copics)ro be aiiached wth tho Form (pte;sc itcK the ap!rorrtale)

r. i, s, . r-o:'

5. Pareiis lrcorne Proci 6- SluCett il:rnk Cancelleil C.eouc cr B:sk r:ssho.k X.nr

j,,,! - :

O\\\\l B\\i)HUS\Mr.t o.."ol;321/A 3 V;rdh.rflran ttah.trna l,r,!ir pclh Shankaseilr RlrLt rLn: r rr o.u \-;/

Ph.(020)26450521 Enr. os,,i.-Laidh!@yahoc..c,l

SCHOLARSHIP APPLICATION FORl!1

I o .. \ ,:r,J..l D .,-. .

Notc : 1. P e.se fi th. Complete ioim n Cep t.t I ete s 3nd2. Ering allorigln;ldocumcnls ai ihe lime oilrtctuielv3. Sanctioned amo! t shall be paid by Cheque only.

2ur i

in clig be handwritrng

flfiTrN0Ah BHAi'JDHRI(1,/rddle Name)

7

PERSONAL DETA]LS

Full Nanre (i4 r/tl ss/l!4 rs) l

PermancntAddress

Birlh date & Place

Extra Curricular Activiii.s

Bank Deiaib

(s',niame)

4 I \ L o 3

conract Mobire No. 98 o-q 6 4 14 ! \ Mobite No *8o5(41(14

c*a"', N\ A I. P

1) Name ofaank & BranchAddress:

zy e.rc No 3\3744154oS oy rrsc coa" ' SGItl o.ozlRs

EDUCATIONAL DEIAILS

-, Du,,son: i l- t.:.-r ---&-t411= ." r* 6l o. / ..-

o!nA

Scholarship received from

OswalBandhu Samai

x ;5olAL4 1-t I A9hti Public Sci-"" l_

XI Lo\Q- (oolqst 568. Qnn$T r^,..^L.-l^/

It1e.r 58 lo0

qrfi k.L.A,u^A,/..\\^-,

rdk.'r /7ol( ?a.l 4q, "qe'l 5Rr.x.l"-Abol. l.i M crri.r? 4 o,o"o l*

rnst,llre : sl\|. !:h rahqJ Hdre!rr4!!i\

r. h.r:_ / c,rrt,.r! tjJ.: Jllil t l\11,;..I

4 L, o

r,r,ib g4a-6 isal13 ?,

'oo,,,,, v., 4Fam," Rs. ,

l-4]! 1r!r

2_

Falh.rs /Gu.r.riads A.rrres", ai +s1.. !-t.E r"is fLri ff r.,r, c.r tlj b j;Loiin+3!\a!L L1l-t-J)e,Hrl ila:,r.. BCF-L Pi,,.o,rn

^,rf!al ncoJie: pcrsonar Bs l!, r::r:9

No ol N,leinbers Studying

1

o".,p",,,,.5j\ lf 9 {irsN

3.

Y: ^1Y:]i:l,l: schokrsr F prolded by rhe rrusi sha be sorety uliiized for tho prrrposc or srudies onry.

wp so,.r''1/.r .'tr,6lt\ot, ont. t rs.n.pp', r.;on.rona.et-u"totnebn.o.or,tnol!edge.

D,re \i\?12qt? -

tho,'J.p-tr KP .

Father's / cuardian'-SEna Studcnt's Signaturc

BECO[4lt4ENDATlON : (Froin Collegdlnslitule)

is a Bonalide slLdenl olrhe

College and is registered under Rolt No.

given is correct and ihe student deservesrhe schotarship_

@-n,t", q1 \7 iz" r'7 Sealof ihe Insiiiuie

7* of Class

Prlrrc-r pal's Siqnature

BECOMIITENDATION : (From Memberof OswatBandhu Sarnajor any rospechbte person from Jain Communjrywhois nol a close relaiive ollheAppticanl)

PoslalAddress (in fu )

Vaws aboutlhe App icant

*. **'etCcntact No. Siqnature : Tg6

Documenis (Ca,lified xcrox copies)10 be arta.hed wiih ihe Folm (pteasett.k the appropriate)

'|..Yed" ks-.,r. ..coleo-t .ru.t... ^o["ge po. .d"ce.:ti ...

5. Parent's l.c.me Proof 6. Siudenl Eark Calrceted Cieo.u. or Ba.k p:.:bo.k Xer.r

l/e.ilng Datr: Se".u.ned AmoLni : Rs

OSWAL BANDHU SAIUIAJ321,,A 3 Vadhaman ' Mahalm a ph!]. p-Eih, Shankarseth Boad., F!ne 4ti

ph. (020) 26,15052r En a : oswat bandhL@yahoo.co.tn

SCHOLARSHIP APPLICATION FORM

Fom s, No. 000212 Da\e at iss\)e:\ 2

/2a:€

Noie: r. Please fillthe Comptereiorm in CaptralLeners and n etigibte h3ndwriling.2. Brn! a o rig ral doclments attheUmeot nletucwto.vericaiof.3. sanctoned amounrshatlbe paid by Cheque /NEFT

Bs. 10/-

0t2

PEBSONAL DETA]LS

FLrll Name (Mrl\4iss/M€)

Exlra C!rricu ar Aclivlties

, ka,kl*a C,,,.:1

(Name) (sunrame)

I.,IAHARAqHT(A

civ--NANInGATN pincode+ Z 3 I 0 6

(t4iddie Name)

conrac Mobire No. +, +14q 6q-31 Naosllgx6..(93o969311

Gender: FeMA LF,

1) Name of Bank & Branch Add,ess.gfA-rF RAr.lk cf a OIA

4 Nc. Na ?3qa61Lo 18r, 3) |FSC code:q Alr]oooo+3+

EDUCATIONAL DETAILS

:rffi*rScholarship rcceived ircm

OswalBandhlr Samaj

x 1,ALL 4zzl;os e+edfl#:ff.HffiI .ri

xtl LaL+ :1+ I cs" 3L oA r::'1:9..Il- 6rir.rs !osl tsoo 6q. oL fi'--i"?^.2#;ffi?^"-tylt:y

5+r I tsaosar' k e.Aen.D, H;i:bpaafi.

rnt"noeucou."",BHMS orratron: 51/r rrar

nstrture :letA!:-ir:r]-,lr6rA6fio |.ar. a,r r drlalA^rnkd TotatFecs:

^.rcrress of lisriiLrre rNqi!.iNA&AR , eH^rlrlrjo - ajgf:1\l +(H Lk ryl+Elil

^r"@Arraooem:,,r ciF-unds jcr p?ymanr of re.,i,fj.9 tees _i,f!r{"-j4tt14 I]! i4L1E. , slJEISm r. . r rlhl.,::le

.i 1e..,,/jt!,Expecrcds.hoa*hp:Fs z1ao<lfffi)r., r";fl#'i\/ .^\..[ ;,:

FAIllILY DETAILS

aatireis / Guardian s Namr ':

Falhels/Guardian s Acdress :

. Rnr+sr e.E_r .. Agtfp

) 1_ rlr a

'MA!:IftRAiHTRA Mob q 81cq6 Hq,occlparion : SHnpK trF- PE R .- No. of Fam y t,rembe

Farn y Rs. 60 r o oo /-

-htj! tu rO!

Annua lncome I PersonalRs.

No. ol N,lembers Studying

NarG aab&! Educalion Echorarsh o Granred

]rcIr S!r!!l Earll!

1.

2

cA&P( qud, AGAo _ q(r-l.iI 4 EN (rr..r i a Bi ^r.r a.. _L5_latLl

We siale thal the scholarship prcvided by rhe Trust shali be sotely ul ized ,or the purpose of srudies onty. wesolemnlydeclare thal conlenis in applicalionlrom are 1rue to rhe besl of our knowtedge.

\,i.'cYgP-,

Date i

-

Father's / Guardian's Signature Stufenl,s Signature

College and ls registered underRollNo. or Ctass Ttr y€ar BHM-q The inrormarion

RECOMMENDATION : (Frorn Co lese/lnstilute)

T5

glven is corect and lhe studeni deserves lhe

RECOIIIMENDATION : lFrom Mcm

is a Bonallde studenls oi the

*

who is nol a close relalive ofthe Appl

Name

Pcsta Address (in full)

,/ -u aboll " . App icant

. Signalure l

Dccumeils (Crrillied xercx copl.s) to h. :i!.hed wilh r.e aom (Plea:e irc( the appr.p:tare)

l. Lasi Yea: iij;rk Sheels ?. Ccllege Fe:s Sirudrure 3 Co le6e tsci.ti.je CerUiicaie

5. Parents ln.ome Proof 6. Student 3a* Can.elled Ch€.ue cr Bank Pas.bmk Xemx

:,,,ira

19\

:'rGE:rf*dFiei:.,i* a jliq :$+qq

fi-".]s

r"l

rjll

,j

l'=ni r-.

qft;

i?9. qciErd..r +EF qpf, gr) s,l1o8?. i$rs : oio iirqlzgz

sFiq qfiBr'r i Fd qari 6 Rtl Er-{i} -]fEilt Fqal f6ird 6tIe) ulr 6r tTrnn +-*rr:I g,a,,,s*(f1r..,rg,rr!- qial{ir Fqi6 9s1o-154.,,,

.sro ^", t+etr .rAEF i,4 .,,1,o ,rl/^r/-ttr^

.drmror g.fr +!e+ rr,1-rr.,', ( {tt, ^ r+"5 ar 6+;;E{J It- sT qrao 6r {a -rc ;--"4",, {6, +.r.^$ fi.r or,.

1

€rs {er H-,r+ tre, e ",)_ j,L, l/+ "L"t ,,.g;a ,rt.

{)t) Errf+ tul. qFJ B\ .llta ?

var{ -6r E}ff? rien oT x{ qr".tu qdr +,,qs ,-dHZ-a? 3j4;fiq. ̂ 1R!-Ag+g ,-,.i j

YT*1T' Ji.r .r,,. -ragFzdz*s=51qarg4-3iliq Fdd qftsn Jtf_r ,-ffi l{rtel?"o sji.}t: fd crEi6 n i qqerr- ts.+affi qr f+ r qr qrd6 E 3rq@-F1f

t.'"1*F(#)+",oo- {a {LEaFAxp ,

uowotr*er 1-o;o , *f6i$, r--fidfi qSi qr €en r} rrEltadr ffi d qr sn+fi ftjqr E} d vsat nq. qo air rog

'frdT . _ {Eg__

.ili 3r.=<- q.J.-! .,ji:ili:i -E) .f iifi t*)... -{; rnr,..r ;eir ij litrrI:n-. q; :r iriz: i.i -d!rJ ! rt i.= ,ii ,7;i..tq-ii, !'--i 3rntrr6 drlr.-:+ i;i {-{jl i; i

"1,rli,i ixrtt 3d: i.r; i.-:q.. ri.ri eG.:.i ! i.,rh rrlr i;.r ocnre iar, +6 _r.ri, j3lir .Tn r,ir, r'-,"r, :r,, i.:.1 qml:r,; i: rm; I ir- a, i.=:z ilel ael is; i+rr 3mrr:r .d

I::rili-r '; nrrr El{i6 A !i firlr. .:..I,f}*e :,it a,i.,s *r nOe S

".+"i6 1,..r, .*if t,4: tc-n '.f, n - izr e q= \ h jr-+. .q."., ;l

1ia,,.; :c ..ri} .7o 11

v)

e)

r)

o)

3)

3o)

z) Er4* ft'{$'qr6i d? qF - *.i t( Fr}t =-rr,Fl b.roro qai olq.FqBFq6r<ot, _ri."? .1r,_ ,15, 1i,t-ad +

"rorar r..o ft{ r{+qi E ',r. Td d? ,q;, .,. ,,^, ., 1-.t i,iX, .- 7qrr] @r qdir qrEi

El?

-r,

t. B g-,ryr. s ( r.D1D .4<.DraaN €f+63rmrn=i+l3,ll-lr?+ltl ,io +r nq

ie)

et)

'r?) **oiE;.i'n-IFSC No

ir;

,-' rqi". r!1, i l.riirl

'.1 n

!;.. u- =irE rrin ,_kr;;- (

- , i.l:iJi,r:.r ,.1:':T :i!li,i a rir.rii

r) 3r!::,.E<i11,6n;i?;t.iEr,ii+'iilii6ni'.]iqrtrffliil:-ri,:i.i.]l" arl.rii {,1$ f,i,r:rr .ilj-::r{)

-.rr llrnI . r1?i a]ti:-i,. oofr r.rSa

1J) I !

r)

l)

cqiirr Ii.irl ra, yd Ei7 i E <{ or.-ole rnq f.i qdfud tr

ffi, 1o 161-t3u1,

i6ts"r am Rznsr

';:Einu-, q. /Zrd4 <f3;ttgtttf l.liqqtR

s{r!, eqr $r farrtrr +6 tr Er.aS 6 ftT {d cra tJ

(+€r 6l gEr)

EmtE'ardq/andqq rg 6{.n -tl

f t<f ou/ *o2L/

eftfud s-,rc 6 ltffiiiar

or+o sriq6 srr 1d Eq+ gEffi d S

Ernler ftR}lqol sitqriro

($qlq * Br< {r{€r 6} ql 3nq; ftSfli qdl tr)

e{ vr+ar irrigf rs

t4 qal q]. FJi6

tlr. * qftdii ff qfifss r{ffi

orz 6t arl jl qrq& rrq

ficio :

wtt td? $ r) Eo al- rr{rfteltalqrqqE 616iJq 6r A ffie Ea qqs{ ff ErRt-d 61 6l fttu Ealten adTamn od [v,l atrq rr8ffie ]c-] ;qro ftqr gsr +6 [q

r.iE €Ar& ff 8.

qE do r+{d /

aiRr€ + ftc

Gr$gd / €1{nr

,/ T6 gld q

/ T6 5rd s.

q-rd r'l

r{{

44PRINCIPdL

SNJEsSml K. B. AbaC Homofoo-rrhi.lledical ColAe & Shx R p ChonJv,

Nospial 8-!ha-.)ashrh r'triV O MFhr: D;r vr,!" Lt nsttule o[ Flropo!rth! B r?.q ;i

.r.r-lA:l '\/:].:r::,r, I |i:iiiri i)tr!i-- p.lir :tiri:ri.i.i. irF..ri F;rc.:1tj.2Ph (02012a.j5Ca2l lmal: oilat brnch!r-jv.ri,... n

SCHOLARSH]P APPLICAT|ON FORI/

F-ms.Na *fifi:95 D.reoirss!e it i 7 t 2o1t

N.:c : I Picr:e n lih. Conri,l.l. i.nl n C.!i:r Leiters ard .2 Driro a or ginal docr,m.rl:r at ti e :in,e oJ ntervicwjolij. Sancti.aed amount sl-.,1 be pa d by Cheque or y

PERSONAL DETAILS

I'uil Name (M r/l\4 rss/ivlrs)

Extra CuricularActiviiies

Bank Delails

rv$1ryIrr!1ry8! 1Af{4Y krlu! i!, t{H:r]v!\-!r.-ra^ .

(Name)

ATIPr:.tr- MUkTj R 4rll j!\ANDiR aF{AL,k

]A! -Dll !!a, r: uLE , rYlAHAR\sH 1-(A

4 { o I

contact i.4ob re No __l4obirc No ._Sl]lL!]pl t _orr J.rruzl,y ce-,er ryg!3. .

.t"Jhes" ct)rLct'

i

r 1) NameofBank& BranchAddress: Bq-rlt of r\tLh4 ratltra

>o, ror' ., tc^V , N.dr r1lL rncd: ,ocpit.,(1,

rr ei" r,ro 2l_911693 i!]L., n-" "oo.

MAHBaaoDL<+

EDUCANONAL DETAILS

lntended Cour; : ' t ": BH'tr/l.li Durailon: J:t 11 \ 1A !"

lnstitute: Srv\r. r.A A I A, .N

or4gqr.f A rHEk ./)r€r..f LToi,at Fees : 696+0/,-, or I F(rt

Ad.l.ess oll.stitub: SN rBr -4Q3ta I

Arransement of Fuf ds for payrn.il of renrainiis ,.ees : tr R.I4 F4 mi:Ly fat 14 Bt R.\

Erp..ted Schola.ship : Rs 1t:)'' a c t -

% Scholarship received tromOswalBandhu Samai

x"l{ 4l I J s-ro ]6. J-ls-rl:1.8.(Ha.r,,t/4,

Xl {o rA 333 l6ro'].{3

J-R-ar.l, HI.0.HscriooaTU{ro( CcLr€GE,DnurE

?.o16 4IBlt3ao 6N.(1s.nak.raBAD.a.M.

a rl4 N D !JA.D . HA cd rr

1or+ \4€ /e aa ts-}J srq .; k.8.aa40.H.ar.zthanrDwan,N4rBr,/C lS-o oa 1-

F:xn.a:, /.j !r:aj,rr. N.nr3 !r.i, /,i r rrli( l'il ).t,t\:t1i rt,t.,,,\t.:rlirrr./,'rr rt L tttt)t,\t)L

,:alh.rs,G|,-L.Car:Aljrtiess r ]!j tt!'. ra,rril l,t.t!1 t.,^t,Jt)1Q /;tt,',.,.

I I/lr- r]1r11- . !l!i . r"'1iIi , r4rt ir A{A.r!4,::r,. \

- lr'ob

occri:r:Lru illtP tvt i'( No o, r amjty g. :5ers l

Anniar rrr.ome: p.,!ona FL 1t: ,: :: l F.,m,,y Bs.

No. oi l,!emb€rs SirnJ,ing i) lLL raernOt,z.:,Edslqr Ed!.aiq

p,,"",r" lI,.'ia[T;fll

,.'l,iA,t ) t .tu:ylJl (r,r.I .4.A-rr. v",.

2. Ak-s iJ A 11L LrrYlg f,r I. f H L,v /rrn34 l! Le A.-\\-LE:)!!,!.3 j\stl rlNr ! krlrAJnqfi -srJIF{\ - l).!bgq I:!:!ta

we slate ihat the schotarship provided by lhe Trusl sha[ be sole]y uliiized for ihe purpose ol studtes onty.We solemnly declare ihal corrents in appticalion Irom are irue lo the best ot our kno\rledqe.

'+YtaX,rt,frlVEei ttb, t i 3l ;ii€"ltti (l14q1fl( { \{1) Y-"1 w'FathEfs / cuardian's Signature

6

. Student's Signature

FECO[4[4ENDAT]ON : (From Cot ege/lnslirure)

appttca",-M- - |L\ot*.r. /tLsl"o

College and is regislered under RollNo. =9-l ofCass

given is coffecl and the siudent deserveslhe schotarship.

2!46a Bonafide siudent of the

aaa, 4f 22f 2"12 Sealol ihe lnslitute

FECOLII,IENDATIoN : (From N,tember of Oswat Bandhu Samajorany respectab]e person lrom Jain Communilywhois noi a close ralaljve of the Appticanr)

$a;J"rLaJ s l-,a o.fi Lql nt"JPosta Address (in iull) , {'o t, h oJ r,rz va! t'i a r LooJor. -<om Li ar ih

iL pcst . ToJ- c,l,onJ bal pin"nao 2 <lt

Vlews aboui iho Appl caft . GooJ in Lis q6.,3;"5

coniu"i N.. , 02rs6 - at2rrL / ?5-88or ",n*r*,-$l$--"*#.'flRl5

D..uman1s (Ceriiiled xerox copt.s) to be altached wilh the ficnn (please tick the approprtai3)

' "Y-d'V . 'ee.s 69.8o....d Cp' d6

s P.rcnls lnccme Prool 6- SllCent Bank Can.elled CheoLrc olg:ik Pas:t,Dokxebx

Prfripal's signature

n

4{-A-PRllilCtP{L

".iE 5 S4rt X. B. ALrat hol.r Lr-.,i r

OS\\AT, I]ANDiIU SAI,IAJ Rs. 10/-

::lli\ 3 V:raraDan M.latm. ph! e i,.ilr Si.rk:,s.th H.:d pune ,il lt,i (020)2a,15Ci21 Err.r .sLr.: t:falr!a.ti.h.o co nl

SCHOLARSHlP APi]i JCAT|ON FORM

s. tiilL,t.rr D -

Note: 1 Pi.::e iri the Cc.rp ete form in Ctjpital L-ettcrs .ld . erigib e h.rdwrting2 Brnllall! ci.. r c..umenrs ar th. lime of inte,, iry ioi v;mcata i.3 s.ncucned amolhr sh.lt bc paid b! cheque.iy

PERSONAL !ETA|LS

Full Name (lrrrlilss/[lrs)

Extta Curicu ar AcUvilies

Aank Detais

l-1 il€s h rr3_(Name)

j At posts. lrl1|,r

O i.!

\ .c 3 o

cont.ct rvobito No qgfotJ oYg ]- r,tobite No. ,,o 83 o I r 20

? rFdl . 'o 16 ti Lrr gqo n .s o^ fO. e

Oloqir q r€j61 .l e t,J€r HOq

-

Rood\Oq qqno.\ o.l k bL! Og o hooi<j

1) Name ofBank & BrafchActdress: Shdle

fc' e l-'1

EDUCATIONAL DETAILS

2) ac. No q43lEqtl6-io

:) rrsc coa., SB-I\100cr616r

Du,atiorr :i L'2 tq',nsrirlie : s []]BL,-:fa!:t:8. A6bd . !r',, o. ",r9!fLror.r r..s, --.

Co llsg-

ii ;| '4rr' - !

1 ,'a. "-l'"o, r'

holaEhip received fom

5f,ae. SqaqsL,(U uld.aol"",1\€G,rtqM6 -sakzn\t.

ql r /6so

Addre.s Dr hstitLrre : N!@"Los,5oa, SlIq ]as!r. : gbqr:d qqd_ qa-1f

h ctq Fq td 1+

Expe.ted Scholarslr t: Rs

.fttgfdll-r j

96 'ooo/ -

Am.genent oJ F!r.:,..i oaym_-i: of r. mati in( i.es

EI,T]LY T]ETAILS

Fail!is/Gladan: N.nre I€l\(\ \l\tdqLo.\L f!.g(:rfif.:. . I

- o,rjarr,me)

No. of [4ombers StL]dying

j llllesh T. No.}.o-r , Set I

, s?: +qr

:sllrii-

-ffi69Student's Siqnature

Falfrrs /Gij'r.J an's ^.rnr..s

,- il!,\i+!L lli,qr+qsnn -:l1!sf]:i!t+Iq. rir L.hGEqx' ! Lf- Bf].!\lq. o, _prn..a. E..f .i.T,l

M,,b. _..q 8"!:r-!l l ll:is-

-

No. or Famtly [iemOere :__-_.'=r.

Annuarncome:personatRs 60'oOO

-

Fanty Fs. 6ooto

2. thouoq .T. -.loio

3 Sd]AL r to.io _ 1th S.i

irv" "tur"

rtnt tf," schotarshtp provid€d by the Trusr shal be solciy urirized ior the purpose oi studies on]y.We solenrnty declare that conienls in appication Jrom are true lo lhe best oi our knowtedge.

--r H. N\ol Ir2-

Fathar s / Guardian's Sisnalure

B.H.rn._s

12s sci

l)-- 61 - 2-a 1

RECOI\IMENDATION : (From Colleoslnstituie)

Collcge and ls roglstercd underRollNo. 5t ot ctass

given is coreci and the stu.left deserues tho scholarship.

ls a Bonafld; sludenr orlhe

aDate. l3la2l>o t ) S€alolihe lnsliiute

Na.me . =loLoor;q.r toJ S habL.f lol Abod

PoslalAddress (ln ful)

FECOI,{MENDAION : (From ]Vember of Oswal Bandhu Sanrajorany respcclabte pe6on fromJain Commlrnjry wtis ror a. osa rerar:v" oliheApp;ranr;

,4r,p.. tq ebqnci(nod erncoae IZTTETIT

views aboul ihe Appri.a.i , Sood -io his Sfudier ,

) ?l I

c*,"o^..,or.s< zrzlsz . s,0".,,,",991135jDocum.nrs (cenif ed reror copies) r. be aiiached I : , - Fcrm iD "*,

-r ,ro ",1,.n,")T-r!:js.:|]it:r.",",r,..

1. Lasl Year Ma* Stuai: 2. Coll..!. Fe:s St .lnre 3. Col.s: Bonalide Cellffil-itdsar' Chalcvad Dist l'itrs"i!

5. Pareri': n.omeP.ccr 6 SLrd..1tsrnx Can.el..l Cir.q,Je or Bark P:rssbook X..i.

v.r-:\-r'q Bh.L^cl qr

14eeting Datci

---

S:nctionedAlnor,rt Bs.EAJ

(-)!l\)r,A^i, RANIllri tl !-4,MAJ421,'A 3 'Var.lh,trfi,r l/.tt.iirna phrie r-ct. :ttri .elh Ro.d ,

pu.-",111

lh (1120)2a,1!0521 Emait:o:.rar !a.a.u@y.hoc co rn

SCHOLARSHIP APPLicA IICN FoRM

N t/iriit1.1 / J:tFor.!. rt, ( l

fle;se illthe c,Jrpl.te io'.r i CapiLal LeneJs.rt.j n ericrtr e iridwrlinq

Sa..tioned amclot shaitbe p? d by Cheq!c.nty

Rs- 1C/-

PERSONAL DETAILS

l !ll Name (rL4r/tliss/[/]ls)

Extra CunicularActivities

aank Details

A PTTRVA BIIARAI l/\l N

-8!f4! j!!l{r_ BqlllllilrQ, Fr0I N0- 3o3

NiAR oUBllL,tutPA S r^t tO,u oono

tn(nr604t{, l/\r NIPHnD D]JT. I,]AJH] K

LASAL604I!c,ty q ) 2 3 o 6

co"r,a uooiru r.ro 44130149Q a r/.bire No 7D5gq g77lt

6fhNov lgq7, NAJHIk c-a",, FFMALTRrAurruo BooKs, hlAT0-ltN6 I v, coouNG

1) Name of Eank & Brancho*,"..,stqtq Bqrr ! -91-I r' !&Losc! qoan, t.till comoound StqbonTo.il

,1 ," "o

3IJJ!1I!44 ,1 ;15sgo6" sB J Noool9 6 3

tnrcrriectourse: :'BHMS ,,.,,", 5 '/r Y eq rs

,n",n*., €E!3 B ABAD H0[10E0pA]t"]1C.. CL( ro1.r,".,. 3 lrl, o8o

Addrcsscirnslirure Ni FllltJR6n R, llqRA R0 A D, CTl O]J DL,OA! E'3]O I hJAS]K

ArEngeJrert of Funds for payment oi..mainifq ieej.

ln P r lli l:-8 ;t!lJ 5Tll'l-illI

EDUCATIONAL DETAILS

% Schola6hip receivcd fromoswalBandhu Samaj

x 20t3 \\Lf c,oa 7t33 5DI\ Hiq he r Seaondo rvc.l-6^1"1 lC.SF Roo r., I

XI 2015 tr6lr / 6 so t 1.3( NUtdn Y P Colleq.of'

l\rll , (Cr0n/P Ondmmnn

l s,feor Ljl6 ltql.c]oa 7r.9 SmlfBAbadHorn.med ic al c.,tieor Y{5 (loslqeor)

F.lr JS / Gu.nriiaf s Nanrc(i]ai,:) tri.r.r c N.ii.)

-r Ril.l

F:,ih.rs/G,J.r.ri:n.sA.r.rres. lrtYllt ill lllli ULriI rJl I.JG

i.1!iik 6tl?i.rr-rtlr')llrr.':l.lllaN ii!:Ill, pnr.c.

i i'rr/riliitlr,r illl''ljll;ln il rr1! | i'rli!1i:.

i l/.1] i.ia ra .r

tr ,il (,

: 1C'l 4 ': t) ')

o.-10Il

Ainua rncome: pL-,sonar R" 1, ! !l , l r 6l'lo.iF.*irvtliembers: /

a,"y n' l,5l 7l!No. of t/lembers Studylng

. AD L.t) Vq lol nt 4--AaKosh lo-l n Bro ther

D]]N]C\\Ll L)rir I r

l2th co-jrF s td

s.ho.,$lp Qra!r!!!lilq !)rY;i Bo.llxl

Ye5 ( lqrt!€qr)

2

3P r.ld hr I c,.l n 5ls+er

We siaie ihal thc scholarsh p provided by the Trust shal be solaly rrlllzcd Jor the plrpose of stu.les only

We solemnly decare that conlenls in afpllcalionrrom are lrue lo the best of our knowiecjge

A4!-Father's / Guardian's Sionature Siudent's Signature

BECO14tI,4ENDATION : {Frorn CoLie.lellnsiitute)

isa Bonaflde student oi the

out". 1z)o-f>o t> Sealof ihe lnstitule

RECOI,ILIENDATION : (From lverl]bar of OswalBandhu Samajorany respectable person lrom Jain Coftrmunitywho

is not a c ose reLaiive of the Applicanl)

PoslalAddress (nfu l)

. DU VlJAY \i-r.RAGLecll+

M.L eo*A t M Ai-.r F,

D1( l- ,+J i f4 L a c

hanu)' i?,n Ll ie-q i ) LJ .'-I -

coll€ge and is reglslered undcr Roll No. qr d cl?fls :ZL f3/'?'i l1re infomaiion

gNen .. Loreu( d1d I 'e -lud-rl oes"nrs lht' srfol.r-l_ p

Vierv5 aboul the App lcant,nr&ra

conl".l N" c\L\? 2 r a( J g.i ,

Doclmen1s (Ceirlfie.l xer.x copios)lD bc aitachedullh the Form (Flcase lick lhe approp.late)

l. , F ',Mo,, - 2.' a .cl" '- "

inB'-)',o 'an' d',p

5. Parcnl s lncome Proor 6. Strdert Eank Caoce led Cheque or Lln( Passboo ( X3:cx

1',

ffiiidrPaLlN rri's Sirl ( B ASdi iio'nrre0lithii

Plrncipal's Signature

\ *"'i$"

i ;t. tr. / Guarlia.:r Nnire i I i:'i.i p-t i lIl t.t D -t il r l.l

(r]Jfui Lr,jrrcr. N.: i.)

l/Al N-c l(iFath-i s /G!ad,an,s Ad.rres. ,lll']v[]! jrf jllj Il l:ltrl I DI\li

ill.'llP 6!ri'-i1-11|r-r,11-i . j]ij]f i{i?(rA i pn!r_..J.1 , (,

i ililii(rtj:,.i illi. f.ijirilA ir Dlii i.'r.,!11 Mnt'ttt.1tlLl))['il J 0 l-] ylrr('/)r,lt

No.rF..,vN1embe,s: 7

Arnu. lnco.fe : P,..i.Dal Rs1t alO, 'l 36 Fa,nily Fs l7f,L-l 1-:1, 5 o, 73 6

sq{ BllNi.s---P,rothe) l2'" tr,m

. 51.5+ e r --a5,,, 5 f 4

We slate thal the scholaGhip provided by lhe Trust sha be soely uliized lor ihe pupose of siudies only.

We solemny declare that contenls in application irom are true lothe best ol our knouTe.lge

No ol iVemb.rs Snrdy ng

- ADU) r'q l'\l a

, Aq,(o5 h .loJ n

. Y !'lq!! r '!l n

s.ho.r.rrlp rjralrEd

&!r Q.!iL€@du

Y9: rE4trgsD

Father's / Guardian's Signature Student's Sisnature

'I

Collese and is resistercd under Bol No. --aJ- ot Ctass JL '/3,/"'-' r

The in,onnation

glv€n is conecl and the studentdeseNes the scholarchip

oa", 1y'o-l'z-c t--

is not a close relalive oltheApplicant)

Name

RECOMIIENDATION : (From Col ago/lnslitule)

is a Bonali.le siudenl ofthe

De Vliqy m.gAQLecI-i+ -__ -

M.L ro,d i MM6^-r.l

Di()- rI/rl' iL 4 L / 3 o C

Posta Address (in full)

V . u . "oo

.r rh. applr . nl 1n'le hav,.t-l l?,- U ie'q rlJ c-,'-r-

ql\zz-Lqtt{o

Documcois (Ccdifico xerox copies) io be attachcd uilh lhe Fom (Fleese licklhe appropriate)

r. .\. rv.... I co- .l"p--r...1. 3. Lo oidbo- 'rd e.Ii dl6

5r"' .:' r,.or"Droo' 6...1D'8'r.L.'4..dr"q or' D" 5oo Y o

.,.."- . {1?.'p./.1

iFi-r',frplr-q\.18's Sml ( B a5aC l"iomileOl,itl'ia

PUfcipal's Slgnalure

RECOi,ILIENDAnON : (Frcm N,4ember ol Oswal Bandhu Samaj or any respectable porson irom Jain Communitywho

\r"tA"'

n lr::: Lr :::Lre ' i ,, , I tlO,t

1 P eas.l lire CoirN.1,'!rm n Criril. Lrll.rrs.rrl .r r !.rtrs li:r.,!Jrtiig

3 S:lrcl of..i .,nount si.:ri L,e paiC by Cl eqlc oir r,

OS WAL rl.Ah-Ilil U SAI\4,{ Jl,r'114 : V.rChamafl!4.lr.tnra Ph! e Pditr Sl:ii(arsetir ltlad . p!..r.r l

PL (t))c) 2ta15br't tma :!i!.r r-.ndh!(iinhoo.. in

SCHOLARSHIP APPLICATION FORM

H II- C.i i-J ariiAr!r-ail-LAL

(Name)

A-T Po-'T - -1-A Li^

(surn:m.)

Rs. 1Cl

PERSONAL DETALLS

F! N..re(Mr/[4iss/lXrs)

Birth dale & Place

Hobbies:

E{.a CuricularAciiviiies

Eank Deiails

:l /l..l ri

a)ls'r FRi({HAR

city :1 4!!lAD R

tZlttltlS-l ( 'TAtr^tAT)F) cenoer: fYlFlI,-1-.-.1

1) Name of Bank& BmnchAddress:

2) A,/c. No. 20 2s I i 6 24 o 3 3) 1FSC code r eA?t+geeffi+esB:tNoooo3s+

EDUCATIONAL DETAILS

o/" Scholarship received iiomOswalBandhu Samaj

X,-o 13

3s B/ rs-o rna-r,cgo^ Gu!{ t€ R s h',(<h.al ac-6t(\dJo\

N F.b -1ol.5-

3sa/ <to P cr' f,"^i:l ",t&'r'r"

9 "

1016'6?Y1ooo -< rn t k.8 4toJ (cf\.

- co. .irr."l ..h^6.lt.lo.J\ lo. oo o /-

B. H, M.5 Dlmtion: s 1/'/ YeaTs '

tnsrirure: SttSR'S .srnt. K.B.6840, Hotr: f'1LpTot rr."", ?SSaO/-

eaa,.o "r

r".tit,t , siprq::rrncnR. rt6leS"'i555

cr.,RNor,lRo- +r3to I

AD/+. TAL - YrFRnn-la.R:l)

4 c ( o 't

contact Motile wo.3t\9?35681 Mobire No g+2\3 i 2?so

tsqE

DA HA NU RORD BANT 8 i]TLOIN

6-*'-oAnangenrent of Fundsforpaymcnt ofremaining fees :

tAr!'i: ila l /,il :

iaiilrrsrcLr:rdrajrs],i.r.. rr, ir'' irl.irrt {:rr'ri.ri.,t\ll.,i-J ir I r.1

.l,r:l .i.lr.r,'i,me) ., t_Fari.f./c!a,daf.Adrress rtj- i'i '. l arl l i.,.l ;-r',-) i\ 'i a l ,. j i.I'r!,lth /!l

F"..ii i;,J.Ilar{.]-lr!,lob i ':,'ril -,,r

a...tri'.tt.: :.a:. i' I ';'l

Aniir: if.!il. : r-,eir.,,.r Fs

! ir.rrb,..s ., ( ' ",

No. ol l"l.iib-ors Sl!Cr |rl

q:.rj (s 1s ]-L e.

llr{allo..

R. a <i. -Lfj4L jr- I A:r N -

2. i< A-q Frr.r'l F4 5 . JAJ:f.i

s. 8f.i!t€l r'r r! r ..I4!c

! r:l)6 -'j.c.(r{r_r. s. c (rr)

we slate tlrat the schorarship provided by ihe TrLrst sharl be sorcy uflized ior lhe purpose of sludres only.!V. solemnly declarc lhri conicnts ii apptication trom arc true io the baai oiour knowtedge

-9ia- 2,-5'.'r - /"JDate :

ij 1: o'rH E i1

Father's / Guardian's Signature Studenfs Siqnature

RECOMMENDATION : (From Coficge/tnsrilure)

is a Bonallde studenl o{the

.SEcoNO iEAR rhe inrormarionCollege and s registerod underRottNo. 28 of Ctass

given is coriecl and the siudentdescrues ihe schotarship-

Dale: t 4lof 2d )RECOMIMENDATION : (From l\,4ember of Oswaj Bandhu Samaj or any respectabte person from Jain Communitywhois nota close relalive of lheApplcanl)

PosialAddress (infull) . Pan[.o] Kat Vo.,i--f1 B I-, o q c,( ol1 -c o n-.' LJ d?-

n'r- Fost, .fq) - .-l,oodoaJ PtfJ.

Documents (cerrified xerox copies) io be atrached w th rhe Form (ple3se lt(k th" "pp,"'piL[1

;'n !!a nae.hrry.J];8.i., . !. . ,_....: Diiit []3shi,i

1. Last YearMark Sheets 2. Cotege Fees Struclure 3. Cofiege Bonafide Cediicaie

5. Parenl's lncome ProoJ 6.. Sludent Bank Cancellcd Cheque or Bank passbook Xeroi

21 7 a

views aboulhe Appricanl . Goo.l Si \is sf1.tntiee .

conracr No. . O atr6 - 2s-2rs2. ?t880l2t3t signatu;11-i-SEEietrary

For Oillce Use

lla \'\',-\l, 1:i-l\l\rlll Ll'l,l!lvl,1!1lr2lrA 3 'Vardh:rrarl [']:il,.1rr3 Ph! -" Pr ih. Str:rNk.r..ilr ll.:c ?rtt:4114/,2

Pl t.t2A)2i45ffi Ema :o:rua trardid(Olahoc €{} |

SCHOLARSHIP APPLICATION FORM

,\l

Noi.: '.1']!i:.!r i ii. Comp.i! lDrr ir ilr l. Lctier5 iirtl ii. g.l. :.r,at'r:ti.g.', Erin! .,ll .r ! n.! do.Li ri.r ls at tfrr I .. of iftetu E!\ l.rr v.rrl.: i..n

il Sanction:l amount s ri: I be paid br' (llieqLr.' orlli

I

PERSONAL DET/\ILS

Fu i l.le n.r (MrM ssll\4rs)

PermanentAddress

Birth date & Piace

Extra Curricular Activlties

Bank Details

a lr I R/lq i! r"i /), R

(Midd e Nanre)

aA- sA.jqnp A

(s'rn,:lrne)

.DT IvAR F,1AoA

6 €LA F18A

gttaa6qaqL+ s.+q6 416q q 3Mobile No

SAgBhAA m4aeGender:

"" rni"nii"J Cdro"',

tz*. vP B r't't'r's

cREclcr, Srti4f rrQ

1) Name of Bank & BranchAddress:SfAre BAr{\ ot J.flDlA

BRArr(lt - sAq BARA

2) r.," r.roil!11l]lji1 3) lFSc code:s 91116o 11o2'i

i/z* tYR LN f€Prl(1.,!Duration :

B. ABD, . Hcr'1r.m€tt(AL <'r Le(ETotal Fees :

e83 24

SljRt NeMtNA'EI .].ArN

City

Contact Mobile No

\(lo:'l \qq r

(N.me)

Po SEIA r. B/l

Jlri\r

a 9 I rl 2 t

EDUCATIONAL DEI-AILS

Class MarksObtained / out of

o/" Name oflnstituteScholarchip received f rom

Oswal BandhLr Samai

X a4l)- 3zs iEoo 6s/ rh.)] fari{cbdn.l J<s vidlql<elD1. "h".ro.d Frn( - C,

t

Xl zat \ 3qq I eoo s9.h /_+d rdH{&",d Ji,le Jani c1r

.orrra. .ct ia.L.n6{ Pve rJ-

'-! 20rq g3ti l3oa 64r srYT. 1.8. ASAo- ?leot<,ALcoLr{(e cll^NoNnO

eh.n. r7t 40lr qi+l 6ao 6l /.

tr,1.i. k. B-ABA5. Hor]1q M€lt(Atcal!<q€. (HANo1^lAo

I *ia-r ' 20\6 eqzl tqoa 6f, ir'r.r- k.C.; ABn t. 14€rtc4LcdLL(<6. clA OnlAD.

,t,oo. )

ds for paymenl of remaining fees

(r,Rui( rl L / t'lEt^!t\/AQAR, (hANSd49.

0inmry;

f-1. u l I c(ri.-rn.) (,,1rliI. N:ri.)

n N ..ttiri:ii1)(:ju iad

I alir..r s /Crrar.JiaIl s /,d.n.s. 11

llo. ui f.rri ! i'1enbcr5 : :

Aniir., r aome : PeE:,n;i Rs

No .1 L,lenrbors Siud\,n!

jnl)i\i'rVaf{ Q jDt r't

&El!n

E PciE1,-: (

Edu€i or 6dr4{lI! ]imnl.,o

1_

2. 5^( A I R :i7)rhl BRofH ei\

we siate lhat the scholarship provided by the Trust sha bc solely ulilized for rhe purpose of stLdios only.We solemniy declare thal contenis in appticaiton fmm are true to ihe best ol our knowtedge.

Daie l,riollll

.. .ra'Ll1 a^rri,p'Father's / Guardian's Siqnature

@-StudenYs Signature

RECOMMENDATION : (From Colteqe/lnstirute)

is a BonaJide sludent of the

iolTege and is registered under Rott No. ? 4 oi Class

given is corrcci and the student deserves ihe scholarshlp.

Date : tZl02fd a I > Soaiof the lnsiinne

Views about the Applicant

Contact No.

The infornaiion

.nn *"t

RECOM[4ENDATION : (From Member of Oswa] Bandhu Samaj or any respccl,abte person from Jain Communitywhris not a close relalive oi theApplicani)

Name

PostalAddress (iniuli)

en{.*HSiqnature:

ipal's Signalure

qcrtr alA

Documenis (Cedified xerox copies) to be attached wilh the Fonn (please lick the appibpriate)

1. Lasi YearMark Sheets 2. College Fees Structlfe 3. Co ege Bonafide Cedificate

ro,or'"nu"/.6fXA\,.a\4. Ration Card arcni's lncome Proof 6. Sludent Bznk Cancelled Che.iF ff Bank

Lrs'r!,!i, iJAl [i i t,-, .i,,tivlA,l Rs. -1lli

321/A 3'Vardhalrtaf, Mrh.tma t,lrtrle pelh S r3ikarscth Road , p!ne.i11Ph (C2C) 26450521 Enrail:oslvat b:ndh!@yahoo co in

SCHOLARSHIP APPL] CATION FORM

t12

Forn, sr No *t0+E,j D:;r or :sg. l) I ) t :t't1

Note : 1. Plcase li;ihe Ccmplete form in CaDital Letir:rs and tn etioible han.tu/.iltno2. Bring alt original.Jccumenis atthc iime of ift(]rviewfor veijrcalcn3 Sanciioned amouni shall be pal.l by Cheque of ly

PERSONAL DETAILS

FuU Name (Mr/[4jss/Mr.) , K0l{n L \/TTi]Y(Name) (iViddle Name)

Permaneirt Address

(Surname)

contact Mobite No 992285o330 [robite No. 860011 g90o

euna..:--I[IYALFBirth date & Place

Hobbies:

Extra Curricular Activities

Bank Details

q ,. 4 2 o 6

'1) Name of Bank & BranchAddress i

lnlendcd Course: .

lnstituie: CM l, kaoL.LE G E . I![tr1

Address of lnstilute :nir--ii.l.-

2) tuc. No 3) IFSC Code :

EDUCATIONAL DETAILS

Class l\,4arks

Obtained / out of./"

Name of lnsiiiute Scholarship received fromOswal Bandhu Samaj

x /Ql2 4st / sso t t qsl. NLN INGLTsl,r SCXOor,Jrl o

x aol q 4t,z I 6Eo 69/. Nt& Ewr.Lr:il scH oor- IQa(\, r FIli IAM^,Eo No

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FAIII]LY D:TA]LS

Falhers / Gljardian's Narne :

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(Nar.) (,ltd.r e Nanre)

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No. of Members Studying

Nanle

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Rs. 6u,!1:n L.- Fam y Rs. 6 o , Oe0-1= -

.tSchoarship Grail.dtofr Oswal Bandhu

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2.

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We state that th6r scholarship provded by the Trust shall be solely utijized ior the purpose ol sludies only-We solernnly declare lhat conlents in application lrom are lrlle to the best of our knowledge.

Dale : Father's / Guardi5nis Sionature,/.@Mi_

Shr.lant'< Sinnrhrrc

RECOMMENDATION i (From College/lnstitule)

f),,,,Appljcant ---fl t !1 is a Bonafide siudent oflhe

'**@E# Soal of the lnsiilrne

\'.,. 3 aboul th. ^o-1..nt

Contact No. : Signature

Corlege and js registerAd under RollNo. O1- ot Ctass :772 B.4zzJ rhe intormat,on

given is correcl and ihe studenl deserves the scholarship.

Dale : 49,[6 2/ 22,12

RECOM[,4ENDATION : (From Member of Oswal Bandhu Samajorany rcspectab]e person from Jain CommuniiywhoiJ r. I c r:osc .'rli\e uJ LheApp:rcarD

Name

Pcslaj Addiess (in iull)

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IV BHMS57880 41Ztl '7020

08 JALGAONI(AR POOJA DtrEPAKSC/chambharr1)

IV BHIVIS57880 11ZO '7020

FREtrSHIP / SC - 2017-18 ( Relq1

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StudcF ts List - SC schr,larshil) / Frcshiir (Renewal 2017- 1 rJ)

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SiiJg's Si,it i:. B.Abad ilofiftopathicl,ledical ii,r, .,ri 3 Shi R. P Chordiy.

rrasiilai, & Ehaor.il3h sriiV D. L4ehata Dev'uja!' PG ifiai:rte of- Homo.opahy E Research

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:lion€d Lces

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Name of th e colleger Smt.Kanchanbai Babulalji Abad Homoeopathic Medical college and

Shri.Ratanlalji P;Chordiya Hospital,Neminagar .Chandwad ( Nashik) 423fta:

Under Gradute I BHMS RENEW

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D. Mehata, Dev-Vijay Pcst Graou.te Institute o{ Homoeopathy &

Research Centre N eminagar, Chandwad

Atq.

GOVERNMENT & NONGOVFRI\i MENT SCHOLARSHIP RECORD

Academic

year

Total No

ofstudents

Total No ofstudents

get Govt.

Scholarship

Total No of

student Noi

get Govt

Scholarship

Total No ofStudent get

Private Trust

Scholarship

Govt.

schoia rship

Percentage

Private

Trust

Scholarship

Percentage

2073-74 328 166 L62 67 50.60% 47-35%

2074-15 367 166 20L 85 45.230/o 42.2A%

2075-76 204 183 4A 52.71.% 26.22%

2016-77 476 188 224 2; 45.19% 12.28%

2077-74 43L 242 189 61 56.740,4 32.27%

Average % of last 5 years 50.s1% 30.88%

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\ie!.ica! Crile(e & Shi R. P Cir0diya 8{l .-1.\ l. t ts\ Lnlsh,r :\' ! t l.,pl'air lre Vil..

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SNJB's S,rt K. B. Abad FiomoeoDafiic\,€{icar Coriege I Shrj p. p Chodira,rr" 'r | lnrn,shJh Shr V 0 M€hata Dav-Vrrr.

" -r .,1 I - !: H1r496alhv & Rps-.4i:hael.. ._'!31i|]:,1

D ii',rir. I

c. B. GHH4NJED QIIAR:TAELE IRUSrElectric Mansion, sth Floor, Appasaheb Marathe Marg,

prabhadevi, Mumbai _ 4OO02STet.: 43445j00, Emait : cbctrustgg@gmail.com

Dear Student,

The scholarship sent to you js for meeting your eciucational expenses and tobuild your career in future. The trust has not put any condition for repayment ofthe said amount, however, the trust appeals to you that in future, as and whenyou sian earning, piease cionate back the amount or more to the trust whjch willhelp the other students in future for their educational requirements.

C. B. Chhajed Charitabte Trust,

sd/-

Trustee

C. B, CHf4AJED CHA,RITAtsLE T.ftUSTElectric llansion, Stl' Floor; Appasah-b Marathe Marg,

Prabhadevi, Mumbei - 400OZgTel. : 434453 3 8, E ]nai t : chctrustg g@g ma i I. co m

Dated - 0410112018

Dear,

Ms. Chandani Sanjay Jain

Jalgaon

This has reference to your application for Scholarship. We are enclosing a cheque

bearing No.295416 of R5.5.OOO/- as scholarship towards School / College / Hostet

fees.

You are requested to kindly confirm receipt of the same and inform us from time to

lime your progress in education.

Yours f"ithful!),.

C. B. Chhajed Charitabte TrustSllJBs Sml. K. B. Abad Homoeopatiic

MedcdlColege E Shi R P Chod ya

H^solla. t AF.r3.rlh S5r V D [fehatn Dev.\4]ay' F G. nsl,ruie il lairaaor',r: l 3:rs..,c'

CenrP Chand\4ed Disl N3shr

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-]jtouBNLQl_ fA&AkHMalo / Female : frnrclie

D ,rp or B;dn ta I tot t11 6Address: Aa._aMLeAOo __ pOU l f-oNtpllI_-

-l--AL CdntfS-qnOu.- _ or5.L TRL(Ro!_ pitcode:.,!tLetr-t €Telephon e N0.l lVob'i No.. ?t1r 1r3".qoEmair : &\rjq:htlprd!L!.n@)Total Maiks 9O&51: I fq,,,, pass out in year

l\,'larkS % -sL-\'L'Fathers Occupation 5tq I LLLLT & Annual Income

category: sc E srlJ oec Ll orHens i4Religion: t-tinctu LJ Muslim I CnristianIj latn E otners tlrd o!j5u,r.q ILI-.0.. ..J). fll,

)--Col'-.. \arr.. ,'l.i(.8,^,r j-N _, r*

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-C,nraero l1.c,igr.. L=i Engineering f l t,,tanagemert ll Orleis Lt

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IDLCLARATION

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,",1;" :;,'Ji: '- '"''l, \ve.. ee t t ra r rle! ,rno

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rcgulaiions.r te Irusf

Si lr rlurE of parer 1

ol iny / o!. kno!,r'lerl.r.tlie sclrol:rship orarri

6l*'*)..t,.Sign"trro of StrO"nt

i"lil.*",1:;il:l nuru'rv" ,-

P, D(lttl-&Hi( [r5-a8l=1?a,!rg! _

v]-1o+:ot -r t",]""u,atio t-L

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I l|'i,,|?r_:ll ", : l-,J.,ll: "t" r,:,Lo, y co,,ps' .,"e .r,uc;_-, i.i.;;";"1,:r,:::':.:j jf ;":Blr;- 1g-,zz-z.a rrNor-^ $hi,"^t;'-,No te:

1)---r'tiA,t -. .,u -uu-.

er onornically wealer sect]onsapplrcallons tor any reasons.

IjoH o FF rcE USE i

Date of.eceipt

ComrIe ntsCheckecl by:

-@+PRrNctpAL i

su,s' 5-., J'i'iriffi ,ro.rl",.\reoir _ :)fsrn.

" p.r:ii.,

Fa /. ltr' r: i.O.l:a.,J..,,t(Ai!ltA '.".1-.,.t,_ e;ni;i1, r'

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(;)

OSWAI- BANDHU SAMAJ321/A 3 Vanihaman' Mahai..a Phue Peth, Siankarseih Road., pune 4ri 0,i2

Rs. 10/-

Fo,n sr. No 000305 Date 01 issuc : lti /

7 t2018

Note: I Peas.li tlre Completelonr n CaptialLete6 andin e tgibe handwrtrirlg.2. Bing a originalCoclrneits al the me otjnleNjew icr verifi.arion.3 Sanctoned amoirnlsha be paid by Cheque/ NEFT

PERSONAL DETAILS

Fu Name ([4rlN4]ss1N1rs) :

Ph 102C) 26450521 Ema; :oswa irandl.!@yaroo.co.in

SCHOLARSHIP APPLICATION FORM

(Jviddle Namel (sumame)

,2le\\qq1 an,-{ 4t rfl A^/rn ABADG"nd", , .FfNAlg _Corract l,robile No. 9qq?6q q1 22 N4obile No. qq22-o{6r,'1 ?

Exla CuricLlar Acrivii es

nink De1. s

q 3 o o

-T\) \loLl.E\f\ALL wFN"r {rpTo D1:(-ttR{,T I EVgl

1) Name of Bank & BGnch Address :C

karsH a C-HAN BERq, N.pE c HhutK )ANTATNAS$R/ Ar)eA[&AgA0

2) A,/c. No..qq44? q q 39 s) tFScCode:CArtJ[2-R3\\O

. lqrr- o*or"" , 11"14s1--nstr.r., 5mt-r{ A Aho4 i llt\I/rcpA rh rr- NlFnr,}irci rrora Fes :-

AD rrd

EDI]CATIONAL DETAILS

9;;

:fr=.ffi;;prli{til'ii

(NaiXI:n'. ,i, r.i ;;i.i,:i.I..,.",

,j:1.

Lt, \

....

Rank;: Charii;r bie Ti-ust

r('. j .ro\rolQ.I / '/.,N

L iq h.h r. dP urqr,rJdron)SCHO].ARSIJIP

Faiher's Name: -PfltNT IMNISl] s tLtNlx!r.11

i\xare / Fomare:iluA LE Da'e o, B,nF: 0l - lQ -t1o 7

Acrci ess _ X!r!!i M!A lllNl,-hq!ftv mru&1!tL\t0rrl , !l!t flalnlk . ..pncod^. q23 q0!

Mobire No.: ! I2?-%=fgJ I

Ful Name Plf^Li R.t DU: fYlANiSl-l

lelephone No -0 !1S1t66,301

rm &iadn4olne J @ gmo,\ corrr

Totar r\,1arks s-itftnO pass our in vear Q01l__ tu1arks % S:1g Z,

Fathers occupari". _L\].!l Nl[ll[l AN Annua] rncome

oateciory sc fl sr il osc il oruEns EReiigionr t-tindul livusiiml r Chrstianf_l lainlU Oifrers fJ

i am pLr.s,Jirrq lst yrl2nd l,/3rd yrt j7Z- U.. E4tzzZ, S:.:,

cors.e Nane Sltrl lLB,lI$A0lNt t, cIrANIDuAl)

Efgneeflfq L J lr,,t:nagement [-] Ottrers !araduiion I rA.ts LlCirmmerc-" iBscience *;

R!NCIPAL

lr'v/e re'eby cerrify thar the above partrcu.ris are lTula and corect Lo the besrI \' L l^ )ta' .I : . ,'d.) or rl o aoo. r ..iJd a.F louro ro o_:-cojlp tsh ril i e(afrelled

l/ f,/e aqree to the l!les and regulations ot the trusl.

ol my / out Knowledge.the scholarship granl

D:ileS qnature of Pareni

.VilW.Signatfre oi Studenl

rny / our colleqe.

I / We rio hereby

th-^ applca|t is a

cert fy rhal W / [/s.bonafide sludent of

1 Pholfi)opy of the latest l\,1arks Card certitied2. Fee SlructL_tre letter from College for fees to

p"h : - 6/a>/>z:GN ote:

(a) Scholarsh p may be a,,varded(b)The frust reserves the riqht lo

by Collegebe paid.

lo slucients from economically weaker secttons.approve / relect applications for any reasons.

!.on orrnr usrl-

Date of r-.etpt: Checked byi

Corn e n ts

ffil{,

RA}.IKA

s.4x\{a\^o\3\,*) /;/,/8 / .IAIN SCHOLARSHIP

i{anka Char itai,,l* -i-l"risi

REG:STPT-I IC'! FC'1 RAN(/\ J;:\I{! ;CI-iOLAii::i]IPI o,srnrcrbrroa:.;r,,rr..highcrsrurjest r!r.r!!.i;nl

i- _:_ . --1,

ial:L:'i at--:ti : !1 :!,i!)

Furr Name : nnK ngll R1TE 5E LUHflJtO_ .

r,^if a L1.d.rrn,s,\ nre t. tlJL . , /t',1 lcy c44nlIr)

Male/ Fenrale: NpLE Date cf Birth: 25 e c] 13 11

Address: Afjg_s! PfHPARA t'rfiL- pUpBNDBp_ .

DAST_ PONT pin coa., 4 P.993-

72t3blB6qXTelephone No.: 7'- 6 4 o 6 2-o 6C), Mobile No.:

Email : t crlcct5h e,h^

Total Marks 650 -

Pass out in year ,!!ru,. Marks% 5v 13

Fathers occupation - f,D R m € & .

Catesorlr: sc I srl oac il orptrns ZReligion: Hindun t\4usltm I Chrisrian- Jain Z

Annual Income -?o'o n o /-

others fl

. (crarroweJ'\ {{Asr,itl/

I am pursuing lstytl2nd Wt3rd yr/ T y ?^'.- 2.Z.Zn-5-

College Name:

Graduticn lnArts ICommerc-o f IScience 7Enginee.ing I t,tanagement l 1 tr

Z-r.o HoDrvPt-n'.'4 Iio. s8/A, i(I{DB IldEsiriai Area,

ll;.4 danekkurd!, lvhitcn.ld Road,BANGALOLO - 56C O..n

OSWAL BANDHU SAMAJ321/A 3'Vardhamai N{ahaima PhLrle Pelh, Shankarseth Boad., pune 4ll

Ph.-(020) 26450521 Email : oswat_b3ndhu @ yahoo.co.in

SCHOLARSHIP APPLICATION FOHM

Rs.10/-

Fo,m sr. No 00 01!2 Dateorissue:2, / 2018

Note: 1. Please illlthe Compele lorm in Capita Letiers and tn eltgible ha.dw.irjng.2. Bring allorlgina documents ailhe ltme oJ jnrervtew tor vertitcaiton.3. Sanctioned amdunt shattbe paid by Cheque / NEFT

PENSONAL DETAILS

Ful Name (lv1r/,Viss/L4ls) :

(Narie) (N4iddle Name) (Sumame)

A/91:fl r"rEf J _ i!Li_-9u-RE_N sE_p,_,,

ciry -P!!E --pincooe L 2 I o 3

co"uo rvooir" ruo. 9'I6 3E4 93 o6. N" 7213313 6l 6

25 0C1 l9g9 ,r KFRT.IFLA ENLE

Exlra Cu rricular Activltes

Bank Details

5rNGaNq., REA pt N 6.

PLn\INq, DhrltLrI\t6.

1) Name or Bank & Bra.ch Add,ess: B,4lJ/< (rF aN DaF

EBRNCH - Pf .g RR1/ Fi IA L. PLJ RR NDDN,/ O19T-PUN E

Nc-No.oellTlAElOoolO4l s) tFSccode. BkID 0O 0o 617

oLrraricn: 5 ) rE R5 .

tn.rit,r., 3FT' k.o 4Brp..Hon. ngplcFL cpLLtG6rohrr"*, .16 , 3? a /-_

iri rNAGRa , 0H!lQ!jp r4110ti?191 ./!r1r1!L @^*p

p:ymenl.i rerrifing fer :,'D)t n r I S .' t1 ( fi - .- s > , eF"rdrp*r.

cHt:tfr7ED

EDUCATIONAL DEIAILS

a i-). n.5

Scholarchip recelved nornOswaj Bandhu Samai

3oo /500Wc,th; Le bLt L3 (,

{N AsH l( }

25,000 /*i,idts s.rr : n ;;""""-- ,

R; nlri: lnari;ahit: Ti-usl

RTG]STRATION FOR RANKd. JAIN SCHOLARSH]P(Fns{udenirlho :;pursuinq hlhcr srudies rd!,ad!.,ri1

iFitl lN c_€itAl i!-El.-c)

Full Name :

etn iooe: 4 14 . 63

I'ather'sName: SHRI, RNENoRA PoPATI Al-Tr RtsllJ\DA

Male / Female:--lYcrLO Date of Birrh: 3fq7] lSa+-Address: A*r posr. N,t EHFR GAt=t_f ,_Ash+i

Telephone t\o:

Email :

Total Marks

Category :

Pass out in Year 2=C,\ R tr,,larts % - --G 7

Fathers occupation -SALESMAM Annuat Income -Bi-Oaal_

sc E srE oec iI orHEns.&Religion: Hindu n Mustim l] Christianl Jain G otners fl

I am pursulng '1st yrl2nd yrl3rd

Coliege Name: Sl:aT- k .R. AE

GradLrtion inArts f Commerce !scicnce E Encineerinq ! l

No. 3a/4, ;ilADB Indrstrial Ar.a,Doddadcakundi, u'hiterield Roa<l,

BANGAI.ORD - 560 O4A?h: oao - 412a 3a3a / 93422 4a3a3

a-HAr..\ar\,AD .

Managenrent n Others E-Bi1\''\s

I

/:'::1, i'.,i::i \

liani';i; {- irarii;ri:rle -Irits; i

PRINI]A 1 DILlP

Fathers Name; (Ufnit DTJT (i4 N I'i 1,4 L

[4ale / Fe mal-^: f'f Hl t E Date of Birlh: -l.t l A f;I tsg1

Address: 1fQ4, fup eS_!O_LO [/ L .ru&]ROII1 PUNE

-Jeiephon e No

e ,uir ,lrarrrfnlSrga]r s @1m4i1.1 oL__TotarMarks 5A4jAO pass out in year 2 oll fi4arks % €A:442..

Falhers Occupation ,\lLrRKE RAn nua I lncome

cateaory: sc I I srif oec i ] orHEns iZ-Rell.riori. Ft nduL l ll,tustirn I Ctrristianlj Lain/ otnersL

Iam puisri.q 1stytt?n()yiJt-ltt 5jfcU ts.tf-E

colrege Name: Jfiji,L 4Dl Q l1d\t1 1,19:DiCAliiolaE0E, IIlAlSi\]t/DGraaulio,r ir Als -c'o,lm--rce i lscler:,- !- Engl;_.eering L ] i,talageme ri ,, -) t:tt,er:yif

Nc. 33/4, liirr])B irdusr.iai Ar.a,D.Cdanehkun.ti, tvbiteli.tC Road,

B-{NGAIORE - 560 o,1El'hr 060 ' 4126 3335 / 93.+22 4E3S3

i i,! ir.,r,1 ,r!rl

Fu|Name,6uGALL.

scNot Ait.t llir

r\,4cbite No.: I att I S g SgB

JL

c

r.}ry / our kno\,vledge.

s.holarship grant

Signai!re of Student

I

I

t) :l AIiATION ]

1/ \,1-- h.rclrl/ rr:r{ily tt)iri iijcL/ We tndetsianal tltal lf ilrv:rltail be CairIelledl,/\(e agfec Io the rUleS a.d

r-,are: l2l+llg

above lr;iriiculars:rr.o Iue an.J cirirccl fo the bes{ olol'L" I , ' Ll rr ,a tul: .i, . L-,,r.oI , ,,.

re!lulaiions ol lhe trust.

r,/ we do hererry cerriry tnar t'r. r us. Q.9 IALE pR4 N JA L_j I l-Le' 'd appr..anr a bo,ldr:op lLd.rto,rv.oLr.Lorl.ge.

q@

r\.4ANpAroRy cERTtFCATESiTO BE ATTACHED

1. Photo:-opy of the latest Marks itard ceftilied by Co ege.2J e- \t'J.tLr-'etLAr ,ro.-r Co, egp ro rep to b- pdid.

)Qzfc! ' /a -o) -4ottNote:

I", ), norit\n,p.na/ be awdrdFo tO.tLtCJe']t\ rror,1 e(ono*icdr,/ weole, -^.t.,,ns(b) Th' -1 , .1 16,.1ypc lne. 9'tlo epp.o\e / -e1e. f app,i.r.on- ior "r v reasor.r.

.\ acle,-

Palhic

Dev.Vilal

FOR OFFICE USE

Date of receipi:Checked by;

Cornments

,JAlN SCHOLARSHIP

XTANKAhShri/D

SNJB's !- ( d.Ar.d -r.

Lledl." : rl.j€ & S,t, il P

l

I

I

. -. I t.ri i- 1 i ,, ,1 i;i;1 -,

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ijr. i! ii ,r i r tt

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Mate I t emate: |-SBLL Dat_- or Bir.r.h: ]:198I !91J.

rairrei s Nanrc; Bli rn {ff.Ku(lull{ ]?ATqANLqL

Address: t_IuLLioA\,_caI0Nrl=_Gl-=sa Na_0-r5I, N.qSH-.Lk . P..oiP: rJ9!3O

J

Telephone t,to.: f-_ _ l\4obile No.: 9 \:.l81g&a

[]CgDr--Toral [4arks ryS4So-q pass oul in year 2q]L Marxs % E1 55J,

Fathers occupation 8|ES lrl]lSSI\al\ Annuat tncome

calegory : sc L] sr !l oec !j orHrns E'Re llgion: t-tircu L J l,tustim ll Chrtsiiann Lain El- ottrers I

lam p!.sutns lstyrt2ndyrt3rd vrt j.lil3t E!llq

corieqe Name -1mj .fi jjgE] H!fl . flltsTeX L &l L IGL C/]A lvgofl?

G'n.lirllon inAls IlCt,rn,"." !Sc,encc Ll i.irGifeerlnQ l l l,lanacenrent i l Ofiers []

lio. 33/1, (IADE ifi.slrial Area,i)oddin€kkuxdi, $lLitrfi.ld Road.

I]ANGNLORE 560 C.18Phr O80 -.1128 :E3S // 93122 46383

=\

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"'l ' Fa'+'.r {irro. Tr'"qVani_ DiJt:j.ri ltoaC/ t.;h6srul, r.ta5ii:k _ 422 OL

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:T -?T€JLi rjf -Tt3 \ Dr. Sa*deep !, Grrnd.eM.E.E.S., t:.D.

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',t :.':;- I ;-,ri 31'ftBm/tlETaf4I ?rtl

e!.&r-i+'1<1

f ,J.

OSWAL BAI{DHU SAMAJ321,'l 3'VaJdhanar' tvlatraha ph! e pelh. Sra.k.rscth Road.. puie,rr r Da2

Ph.(C2!) 2611!uf:l Ema I o: . b:n.truOyetroo c. in

S Ci';CLlrR SJllP APPLJCAITON i:ORt,{

Rs.'l0/-

.,,,i. si. rr. Lilll1 s 5 t.i€ oli.s:E 21 _) /2ot8

No'. : I Pl.es. '/llrre Ccmp ei. i.m tn CaDii: Leli.r. ara i . .rotc ha.dvxiiNg2. E..c a or -ot.: d!.ur.nls alhe tme ol in:etuev r..+rii..iicn:r. San:lrciei arnou s rai be pai.j r! Clcq!e / NEFI

kr)c rlr TI+iIR( H r\ND

(Name) ([4]ddle Namel

DlSr - A uFlr( 6OBA.D

ciiy GSdGSPLrR

PEBSONAL DETA]LS

ELll Name ([4/Mistirrs)

Extla Curicular Aciivtries

.{oNt(sumanre)

conrad Mobire No '1E'10-5O5J3

6 r,,I"oir" r,r" lfa{84J5o8, oB /r2l lqq6 , pFX Hd,RA c*0",, EEI-ALE

1) Name of Bank & Branch Address:

2) A,/c. No 3) lFSc Code

o,.,"",472\t-q\€

rnta rees: -F5, g4o I 1\r

S\IEL LIN

6Ap0{:.

iDUCATIONAL DETAILS

%Scholalship received f rom

Oswal Bandhu Samaj

x 2rr lI] 4/1 /sso t4\t) RmD l<4r\ri prq3h6l4 Gp.rixlt (bts qrr i 6.so i3.d), Pi! D l(o,riF Pidlh4l4 6,Pl

| \eqY qo\6 s33 I loorl xaz K.E A]!qd. l1dfl . rle.l.& (q

I ,l€ov QalT 5Z6 I g^6 x.22

Address oi lnstilule: D Dlst-r.l AsHri(

Affangemenl ol Funds forpayment of remainingiees:

qN lP ( (mt r- P !..i l]nn ro^.,1;PTO

rArllrl ! lE rAILS

liii 1.r:,r aila .r ar:.l\ienr.

F.ii:r:i ar.i. .i.r: ,',(:..:

l l',r i

iA iit:r .jl LNla r r A r il i{i.'n Lt .! r; r \ T

N;l: |tL. i,Lrl:. .!.'i it,.i1.. irj,:r 'l;\rii-.,lll.lti'''riiii',trrl', 1.ri,tl ei,,,... [f I iT.

r\,r.b t{r.1rr i a:lr lfl

l

2

lllllls n.

.'NoiS lrl , llTo +h el: Bg A

...,,,,.,,.. irA!i.!", E R N: cn;arry r,4cnr,:,s: t:

/1..Lra ,.orr. r ]reB.Iij F5 Far I iis.

t\. !',rnLe Srrr r \ V )l

liti ch i

EaL'!!!

rei n c ha+t*.I

S!hora6hi. GIanl-a.l

We slate thal the scholarships.i.-.m n iy de.la re llrat contenls

providcd by the Trusl shatli. applicalion from arelare to

be solely lrti zed for the pleose ol sludes only.

the best ol our knowledge.

Falher's / Guardian's Signalure Student's Signature

nEcalrll,IENDATloN : (From college/insrilute)

appttcanr ^4f+t 4'c,2, Rqr.L 7'q ra, r,taaz) is a Bonaiide studenls ot the

Co lege and is registercd under Rol No. 2,"- al Ctass -72-= ,t< r./22 j The intomaion

given is cor€ct and the stud;nt deserues ihe schotarship.

44j-fficipal's SignatureDate - /+-u7- zlo tP

':'FECo[4i,,1LNDA'I roN : lrron Me roe o,o ra B.n)hu <"aaj or any rospeclabe pe6on Jrom Jain communirywho is not a cose re allve oilhe Appllcani)

PostalAddress (iniull)

Views aboul lhe Applicanl

Signalure:

Documefts (Certified xerox copies) 1o be altached wilh rhe

l. Lasl Year l,4ark Sheeis 2. Colege Fees Struciura

Form (Please lck lhe apprcpriate)

3. Co legc Bonafide Cerlificate

6 Siudent Bank Cancel ed Cheque or Bank PNbook Xercx5. Pare.is lncome Proor

l\rleeling Dale :

OSWAL BAT{DHU SAMAJ321,A3 ler.ihaman t\1afi.1fita phrc p.lh Sirinktrrseth iica.J, p!..1i1

Pr (0?C) 2a.t5Ca2r Enra ..rn: b.nr]r:rat!.tr.o.o.tf

SCHC L.A!SHtP AI]f i.ICATIOI. FOhI*

i..,rn:,. ri, ji!rlli':. Deie r,r ssL,e-7llr ( r:.rtNotei i Ir..s.li tne C.ilt-ate fo.mr.a:!ta Letcir ai.j:..ii. btc l.:.rl$rrif.

! lj:r.io.ed am.:j:lsha be ir. d by Cr€qu. r tiEFi

(Nam.)

Conlaci l\4obile No.

Rs. 1 0/-

FERSONAL DETAILS

Fu| Nade (r/r/r.lrsri/r!4rs) , 6Hnq)fLifr(]- R A.l tN.tt)Lll irAlAL|l(sumame)

n r. lr. r | +l'\ tIJ pr ^hl

Ciry-- pi..odeL1 1, q {

q\qtl5,rqu

Exlra Currlcular A.livlries

Bank Dela ls

lrllq)1116 L oN0i a

RLFtr Ir.-,c 8t

1) Name of Bank & Branch Address I

3) IFSC Code I

:DUCATIONAL DETAILS

Marks o/.Scholarsh p received irom

oswalBandhu Samaj

X Zo13 hstritso sl(! dnirlur'l \rrl)YRLBY

xf6 46 .a9r 111 I ::R-I ::i-.""1

q\fli ! ?,-16 e.r I loo o (rr l 5r1 LB i1q-&"& iirlq t,c,oo r 2016

2011 <?.r I qoo t,i t1 l" s l \(R AnBoi H ! 2.al1

rnsrilule :

-

rolaFees:_ dg^+,.. "1,Aoo .-s o ...r.-.p il,.;r.1+"|Arrangemenl or Flnds ior payment or,emainins iees - :i:ji;;l j..,i'r'l;i ''J;ji:::l;

4..r.tr :r:1rrii1 i.r fir.i.PTO

!,IJ'f'

} AJ'iILY DEIAILS

T"lrH rr .!n!Nrmo RRlf,Nrf I i'l l riltf ri |,fi l. f ft'lH r r]

i:irir. ..,cr.i...: A.d,ess ,i il! rE,!11.., !r..t tirr..tl'rrIiilt ll-lL.r!.,r]ar., r.It r 'r:il i,Ii!r.t r,._r., jr_lll .1 1. ,fi

nab 1 i!. LLl | .1r r

o..lpairor. !Ll!i/ ! I.EEI!: _ No. orFanrl! r/embe,s: 4

A.iLral if.on. I perc.narF

,]

]!aEe Bat lion Edu.zl.n

llHr..lt R.1. el-0Ell-iM{r. ,,niir1l r'1. <i LF

we slJLc tlrrr ihe scholarship provided bv rhe Trusi sha| be sotety utitized for the puryose of studies only. We:ol-mnj de-.. . ' I to",ents.n apD,cr ion frorn are ru6 ,o ln6 bei oto_r lnowteooe.

6l**lhStudent's Signature

S.hol.Ehocradcdl@h OswalBandhu

36 r ooo l-

Falher's / cuardian,s Signature

RECOMMENDATION i (From Co[ese/tnsriture)

.is a Bonalide sludenis ot lhe

College and ls resistered undetRoltNa. lf, at Class 17f /? //.4J The tn{onnaton

given is cotrectandrhe srudenl deserues the schotarsh b

6)*bDate: j4,")<ot! _4^A__-

Pffiipal's Siqnature4cq-a

RECOtIhtENOAT|ON : rf or I,,/erber ot Oswd, Bdndhu Sarajwho,s nor a ciose retalve otlhe Appticanr)

or any respe.table person irom Jatn Communily

PoslatAddress (in fu )

Vjcws abo !i the Appticant

Signalure I

Documenis (Ceniiied xerox copies)to be anached wirh the Fom (pteaselckrhe appropdale)

1. Lasi Year Ma.k Sheets 2. Collele Fees Structure 3. Colege BonaJide Cerlificare

5. Parent's lncorne Proof 6. Sludent Bank Cance ted Cheque or Bank psbook Xeox qi+r"leeling Date :_-

-

Sanctioned Amolni: Rs

,",;'t'; "

;'11.. ' '-.,,_...

OSWAL BANDHU SAMAJ3?l/A 3 'Varo'lrama. i/airalma ph!. p.1., Sirankarcelh Boa.l, t,u.e,11l

Ph.1020) 261su521 Enrai : os,ra barn.lolahocco il

SCHOLA;SHIP A.P F LiCATiai.. FOnl'r/,

Ji ,,, | ).

Noie: I Ptas. il the C.np cle iornr ln CapitaiLeilcrs and . e jg be n.n.twriri.g: Er.g ai orilila d@lmcnls at lire 1m. ot i.1erljevJ ntrvcrit.arion3 S.r.toned t.m.Nnl shajlbe p. d by chequc/ NEFr

Rs. 1 0/-

442

(Mlddle Nan'e) (sulrianre)

PEBSONAL DETAILS

FulI Nrnre ([{./M].ElMr,

Extra CLrnicular Actlvllies

Bank Delails

(Name)

T\is\ BEEo

:lt4obile No

EDUCAT]ONAL DETAILS

2) A,c No.3\i-l 14 r+l n 4 oq3) trsc cooe. qi:.f N o oc., r q R3

4 4 2 d 3

\l.l Rrl-T Nl (; -T1-{C\ ( ) CrHT.q

1) Name ofBrnkS Bra.ch Addrcss:

ScholaBhid ie.eivcd nom

oswalBandhu Samaj

x 2ole 444 l55o 11.: ASh\1 Pq\r\ie Schootx 2011 3q / 6oa 5(,.A PlLt':,ris5\:5,-1,

as\ n i-6\3 600 I t3oo 5t .r ss+ k B-AEAi t{ '. \o, oo$ ?,o l3

ao\c 4Sslgoo sr$\.\<-B . AEldarorn. ao,ooo ,-ol6El'{ 2-o l

-'l l8a I t4oo 5r ISrooo aolT

Address oi lnstitlte l

#L4,pfirft-c-rpa1 PTO

FAIJ]LY DETAILS

F.l rlrs/GLr:r.l :i.s N.mc

(sumrme)

r..c,src!ai.', :, Add,.s: : A-\ !C,.,l LlLt \i R Gi-:n., GTLLAE-:,r\frr\rl . Bsilri .lAt: i\SFtr, , 1IF-EI- p,-"" dI[lafs

,.RNt ttDRA -llHAN,iDhla(Nam.)

Mob . c\ 4:ia7*71 !:.:l)

o.cr;ariof : -q, A L E:I1A1.\ Nc. oi Fa.r,ri! r,/embeE: +

" P Rl'oc /

N. cr ucmbcrs Slrdling

Ed!!di.r

1 lANkAl RH r\NrARr RRoft FR !_.PHhMA Rs. No.

2.

3. .,-, Rs.

Vr'e siate lhai lhe scholarship provided by ihe Trusr shatt be sotety urillzed tor the purpose of sludtes onty. Wesolemnlydeclare lhatcontents in appticalion lrom are rrue to the best ot ourknowtedge.

o.r", JB-] I I I?./t t:p!qra-l---

Father's / Guardian's Signature Student's Sisnature

EalE!.r Sdela1Eljp-ale4ld

R ECO M lrl EN DATIO N : (Frori coLlese/lisrilule)

s a BonalidE siudenis oflhe

given is correcl and lhe sludeni deservea rhe schotarshtp.

Collese and ls reslsrercd under Ro No. I "rcru""

]V+)X RHI\S. The inTormation

Sealol the lnslinxe Principal's Siqnature-#*-

Date: l/-02- z-oJ E,

aECOIfIIIENDATION : (From Member of Oswat Bandhu Samaiwho is not a close relative olihe Applicani)

Posral Address (ln iull)

views aboul the App l.ant

or any respeciable person lrcm Jain communib/

Pel\

pin"oo" 4a-3\ot, C:<-ro-l ir, hr<, s{udieq

Signature :

Documenls (Cedified xerox copies)10 be atrached with rhe Fom {ptease ticklhe appropiale)

lrjLasiYearl arkSheets u2. Colege Fees Srrucrule .,3. Co|eae Bonatide Cedilicate

!5 Parenl's lncome Prooi \-6rstudent Bank Ca,Lelled Cheque or Bank Passbook Xerox

Sanclloned Amount: Fs.

Siqnaiure

HDs!t61,6 !h3na!|, :i ', 1 r.lehat., r.ai,

Sr.tJBs Smt K 8. Abad Homceopailr

M-adlcalCol..e & Shl F PChoro,'o

OSWAL BANDHU SAMAJilrllA.3 'Vardh.nan M.h.lm.. Phub Peth, Sii..karsclh Foiid, FLne,1ll

P r. la2a) 2645Aa2i Enra' : oswal bi.ir.t|r agy.h...co in

SCI]OLARSI]IF' APPLICA'i')N TCRi{

Rs. 10/-

r,. rr. ijiji t, : I Dale oj iss!. -r:- i 2 /:ar6

I Piea:. i ilrrr. Comcele loim in CzftiatL.iers.nd Ln€ ! hte h!rdwiltf:-2 Er f-a allc. ginara.cuEnl!;t lir.1i$. 01ifr.tu.!r Jo.!.r:t.a1,on.

..p.o,r I .

PENSONAL 'JETAILS

Flll Name (M,/i,1lss/[,i:s) :

Permancfl Address

*ARuNB Alflrl,Hr.'r,, -ll11N(Name) (sumame)(I,liddle Name)

ciry -(Hr^l. I pi-.oo- tt J. 5 \ J

Extra Cuff icular Aciivitles

Bank Deta s

contn"t tvoorre No.-lZJil! g.I-Mobire No 7188qlarz?.s

3) IFSC Code : l'11+HR 0o o oqzq2) Nc-

EDUCATIONAL DEIAILS

%Scholarchip received f rom

oswal Bandhu Samaj

X tl\P-ea3 .(oo J18 tq 60 HR ?kIt[$ h se{,:oLx tB i.r . /t{q ({, oc,

i.lr( 2!it lco ol6 og 6,rci &$L K.B-ABAD H rY( .(hfU1i il crD o tD l?'Tfq

Y e aoli 3oD/ rol ftr(tsABAulr..

D,nar.n: rtr l/r !,rlnsiilule

Addre$ of r.siillre:_t4r,)r(At ro\\EG! \..tr

t!l!\\ l\R. t.H

ArlangemenioJFundsiorpaymentoiremainingiees:Zlr.:l.r

, E-:orf fg1L--AILef(u G"nd", FBkl+l E

'1) Name ol Bank & Branch Address :

N^ 6ol3rqst t6 6

M

i-JiIiiILY DETAJLS

i ::: ]'. / aiLr:. rliris Narrc

r i,i:!i: Gr ;:i:l r : Ai.ii!:: s

r:! I i iri r:l

ti;tr.) (r,ricdie Naq,c\

l;1N

'c! trlr:i'l'li ll

Famiiy F.'a,

/! f!a lic.rr:. i,eisoial tr:

i!o oi lVenrb!rs -ilLriylfg

, 1]l01xIR

Edu.alr.n

Ell i! s _

tar JdEil'lRPo,lltI L

We siale lhal the scholarship provlded by ihe Trusl shal be sotety uiitized tor ihc purpose of slud]es onty. Wesolemnly declare that contents i. applicalion from are irueioihe besi oi ou. knowtedge.

ltpye-Student's SignatureFather's / Guardian's Siqnature

, h.lt ,-.rli,r'l i . :iri:!,r:.ir lll,,_,

IIECCII!'ILIENDATION : (From CotLese/tnsrilule)

lls a Bonaiide sl0dents oithe

College and is reglstered under RollNo. ,/ / ot Ctass 7U) B,.f.zt S Th€ injornalon

given is co ect and the studeni deserves lhe schotarch p.

cocumenls (Canilled xerox copies)io be anached vr'ilh the Form (please rickrhe appropriale)

1. Lasl YearMark Sheets 2. College Fees Siruclure 3. Cotege BoiaJide Ceidlicaie

ffi"",n ^,u,.REcoMMENDATION : (Fronr Member oi Oswat Bandhu Samaj or any respeclabte pe6on from Jain Commrnityvrho is not aclose re alve ol ihe Appiicant)

PostalAdd€ss (in jut)

Vievrs aboutthe Applicant

Signature:

5. Parenl's income Proof 6. Stude.t Bank Cance ted Cheque or Bank Passbook Xerox

Sanclioned Amount:Rs.P

tt{ri,i;;i t-,- -- .

:r.l.lil s S1l K E ! la'i Flrf I"!1rr[

OSWAL BANDHU SAMAJ,

,,'o or \' d,,Ph.-(020) 26454521 Enra :.srar b:rri.!(lyarroo.o,l

SCHCI ARSHIP AF J:LICAT,Oi! FORIii

EA]L_!1]]Ir-Sfi lll illll

! a rr 3 o

Rs. 1A/-

F.,m s,. r.rc 00[]1 ,' ij D.1c or ssue:lil /7 i 2crr

Nolc : I Ir.ase li ih. C.mplete iordr tr Capita Leiitj:.fd n elig b,e i,i.dv/rtjn,o; irl.! aiorill..ia.c!me.1s al1nc iime 01 i,!ry:c!! ior v.ri ca,toi.ri SancroneC ain. i.t shalttrc ]ratd by Cheau. / NEFT

Ai'111rq119s,ltlllf !!!!L_ \.rlruq,,r RA

AT- P osr . 1}ru KTr(surn.me)

-TA L- DHU L F >tur- OH ULE

cfty T4u hT L

-Fjncode

PERSONAI- DETAILS

Full Nam. |,1r/iVlss/lvl, s)

Perma.e.l Address

Extra C ! dcular Ac1 vlties

Bank Derails

oenoel IIALECHess CADTNG Bo oK

lHlsrcAL FrT1..!c-s-s, Ro.ts e Liq BfN G

1) Name of Bank& Banch Addr""" . ]3AN k 0F 1I [N ARnSHTRA

oo"r"R coror.ry , tf eC( BuJ JfANT,CNAN;ffr3,

2) A,/c. No qs-oOs.6 5-a3+ar- 3) IFSCcode.mA!l3oood4{{/

:DUCATIONAL DETAILS

Class %Scholarchip received {rom

OswalBandhu Samai

tx Q! IQ 4Jll sro +6. sr ,. s.N,I.B . cHA/VrlrA,xtl qoll Z3Zl 6,10 n.{-? r. K. cI-f'{ H"(.tl J.H6oL

.T!'{f.P f rl , 17+,Dgd C

I9Hr4s ldt 6 .le?(l3ao 6o e ts,r7. k,B. AaRP.H, t/I, ( .l9t o oo {o16

1]3HraJ qol+ 196lgao sl." smr.h, B .A9 4D, H.m.c .?orooo iol+m ! Hr'I Qol8 +8s lt9oo -s+-/ S mI.K. A- ABAD. t.l,]Yl.a Q o, oc,o Qo l8

N (l TNAd{&C HAN! HA'

cofracr Mobije No. -9.g+o+€ q {4llNbb|e No. 3.t5? 3g 18o(

8.H,fl.-s purullon, J-1,r.2 Y eo{ ,-

i""rir,i", sl7lnK,B.ABA]. Hcr4oeopr+rA{rk mesfi.fFrltlrrccs : ?a,f ,lo /-Add,""" ol tn",i,i" , 3lol

A, o19pme1r ot, unds lor p"vrnnr o,,"".a -.9 r"-.. f p plr) F r' I A 1 t tr E .

Expected Scho aiship : Rs <> , uo z] t - . lt: :\.2.-9t aac I -

I

I:,rL:rllLY DtTAILS

f:i: rcis / clafdiers Name

',:,|::r[i!.-]. _.', 5 A.iCress

I ff I !.) HLIL L.

,!4].ry!\/1,!r44i !,! r r- cri A|.r ! fl,- _ E f. !9j I A14(Narie)

lii,/ ddie Nam.l (Surname)

A.1 1 ", r.e r.- ly;,,1 21 iil] f4 &iA \Li... t,rodt, )!-1l llLli : ph..re I \a

-- Fam iy Bs ---

-

, Tr]L!i. ll4qRe 1..!

Eltiiqr Educar .n

Moo. )-l - t

i... i.:, ,)i gAPrrla t No. or Fa,rrir Memberc : 6 Dllllg qR

,1f nral lncome: Pcrsona Rs

Nn. oJ Memle s SllCyrg

S.holaEh:. G ra nl ed

lromO$ralBandhu

l p lPALr k-,]!r/cJAEA SflirC< McA-.[v"qr""

z AE s Hq.\ -EIM,,{A: seL_F

s :\!tllr|f k irD'a,rrn t.I.-s reR

BHmr-E qp.rr o.--.,'',

.8-t lruO. r1el,ra".

Qo

We slale that ihe scholarship provided by lhe Trust sha I be solely liiized ror rhe purpose oJ studies onty. Wesoremnly Ceclare thal conienrs jn apptication ,rorn a.e lruetojheiesl of Drjr knowtedoe.

f..-6r$-flfir-) @qA\

Del6' L u rrJor'/ Father's / cuardian,s Signature Stud"ent,s Signature

RECOMMENDATION : (From colese/lnsiiruie)

npptica* j9n, K]Mv,-ts"-- *Vcs--v,--.,Q.:"*to-o,-,saBonajidesrudenrsorthe

College and is resistered underRoltNo. rt at ctass lIEi B,s.-zs The inlomation

,5" "'*' *"'r" s!'d^nr deseaes he scho!.sr p

9:->-Dale I ll-o)-2?re Seatot ihe tnslttule Prin7"ip"6 signutur"

RECOMMENDAT,ON : (From Member oi Oswat Bandhu Samaj or any respeciable percon from Jain Communtiywho is nol a close relalive ot ihe Appticanl)

PoslalAdd.ess (inlull)

Vielvs aboui the Applicant

Signalure:

Documefts (Cerlified xerox copies)to be aitached !.,rjrh lhe Form ipteaselickthe approprtare)

--11asi Year Mark Sheets 2, Cottese Fees Srruciure 3-Co teoe Bonaiide Cediticate

.,,5. Parent's Income Proof _-€:Srudent Bank Can:e ted Cheque or Bank passbookxerox

treeiing Daie i

,p!^.0PRINCIPAT

SNiB's Sa! (. E. abad Hofloe.g3lhrcSignaturo M€. er :ocje!S\.,c D.C-.Jr,r,..rr ':-i-..-..: \C r._,t..:,m Sanclioncd Amouni: Bs.

':laiil; , ,)il;1r'i1;;,1 l,: l1'1r5;l

RSai:l ,i:,--rlr.)l,1 rarrt i/1:1. . -rriifi !.1. :il] l:.r.:,,i]( .r.rnri:,r :., r rr.:!i I rrr .ri ;.rj i.i i., I r.l

rilll r.. i,:-,r'- .a' .;,:

FUIJNa]ne: RK5IIAYT<I.rXA( ..lNNJFJI.L]fiRA KEA\A.SAf.A

Falher's Name: 6AN.lAYl-rr-lnf- ?,, tstt-cn AltDJt p tl,jvasnP.A

Male / Fema{e: tytE l I D..t- ol B,nh: a4 lrD t11j .

I

Address: --l L.jqsl- lYuhTa. EAMF16^rDTF cFror^iR

:l A! 1 4:T - DH uL€ .- p,., c:aae: 4L4Za I

Total l\,rTarks Pass out in Year

FA RI.,l ER Annual lncome 'l9r:::l :

Il t.: ,

\rl

@l,Y€4 q warrs v"

B.H.r,t.sFathers Occupation

, B. RBBD, HO)"1- M6DACAL CALLEGE NEMA^'Rq6

i

Religion: HinduL J Mustim I Christianil Jain E others 1_t

lam pu.suing lstyr/2od yrt3rd yrt - 4$ YEA R .6:ll:11- -9 -

category j sc Lj sT_l oac I orFlrns Z

College Nante:CI.JANDr-(/AD, IJ A.IiTK

Gradulion inA(s ICommerce ]sciencc l Enginec.ing I Manacement .]] otners L]

No- 3alA, EI{DB IEdustrial Area,toddane&Lundi, Whitefi eld Road,

BAXGALORE . 560 O4APh: oao - 4128 383E I 93422 4a3A3

I

3\j3rj Smt ( .! .at.,.

DICLAR,/\TJON

Il V\iar !i' firy.c'. r. i;.1i/Wc r:i'r.rst:l,j i -t,i!Ira,ill L.: a:]lrccJleoi/ \ire.iri a-i, io ihe nrl.rs

l.r the LL!1 .1 rry / ar.,r <irov,/le.j:rii a inco t.t; i'_rt salr5 ai:r iip rlT;|r,: t!

enc

'/i,,/ \ l1

. l}$-\1 \i..'-'--l-'-S[

n-,:,t u rc ct si J jeniD.rt r .,,I

Y'' i" Sillr.1Lrie of P6r3|i

1. Photocopy ol the latest I\,4arks Card certitied2 feo 5'.r. , . 'alLe. I or-r I otleqe lor 16-\ to

f,.*t- ta/r>/zu,t,Note:(d)Scnor"rsn,pnaybeav..crcjeotostuoc'],S,tore,o"lo.t...il,l^ed\ers-,

lton".(b) lhe lrus're\Frv.s,n.-qhltoapp.o\e/tcjeL, dool:.a.ro.. ,o, an) .eason".

FOR OFFICE USE

Date of receipt:

Comments

1,1"':il,:*fi: ;:x:; l!:!x; Jt;i *, .71,,;" #LsL<t,,, rp a.,e,-) -yk/,u,,-

by Collegebe paid

Checked by:

w):-'' tCIPAL

p-&Nlcq\r'\GE

,r a. Abac H.rrr: .r i:,,. - - i. qhiR P rj!l

rti'cu,.

JAIN SCHOLARSHIP

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i?

;rblivar parira!ta...j lrle trLra irno crr,,.-t io llte besl al..... lJ,. ,, o ., ..t,.-

regulaiicns oi the tlusi

my ,'a ri kf to\4,'-C-^sairai.r:sII ip o rii ril

)tgnature of parenlSigna{u.,. of Sludent

certiiy thar Mr. / rr4s.-A]il€bonatde student cif nry / our college

IVANDATORY CERTIFCATESi TO BE ATTACHED. Ptsoro,oo\, '\ th6 dlcsr |\,4d.k - CrIo L.nttted bV I ollco-o,..'i. t' ,",".- l-rter I o.r .o,.Fctc,o, ,."_ ,o Oj pro",'

Qc.h:- la-oz-<at?

l/ We do hereby(he ap,rltcant is a

i Note;(a) Srhol.r5hrp may be awaId,-.J(b) The TrLrst reserves the nght Io

lo s'Laall- f om eco,tom,"ally \1 eaL F. \e, l,on>.dqp o!o / rp,e.t dpDl, a:,ons 'ot any r.aso 5.

I

Srqnature of pareni

OFFICE

Date of receiptlChecked byi

Commenls

!t SNJBs Sn{

iiedcalCol

tr.AI\KA.ti.

.]AIN SCHOLARSFlIP

4L'PRINCIPAI.

Slxr (. B Abad Hc

l),..

,/-n"tl ('"nr..l

Ranka Chai-it;l[:]e Trust

:l:rl,: :Ifi:iil io_R, RA^jKA Jr IN sc HoL ARs H I

p

F,ulr Name __qtL9E!1_Y4_selAL De rp4l<

Father,s Name: C l!o-B!ly 1_ pee pAK f.14Nq1rA L

l\lale / Female: I! !1nle Date or Birlh: L.! [91Ly1Adrl ress : 1! Pr.E r_L +? o uslNg Sq ta! ry- ADA Rs H N4 0 A R

I,tARD No-:1r-lL, sH RTR^Hpu RPirr code;_! !9109

Teiephone No.: to4obite No . 42lrg q lE q.t oi. r S g ."i:hg r dt t1a z 4 @ qm* l. <o"ntJ

Totat tvtarks. q sJ&9o pass oul in year 20 l+ Mar ls oo i 2!

Fathers Occupatjon bVl.s 1l! !11H4 \ Annual lncorn-. ._

calegory i sc Ll srll osc I orHERs Blie igion: t-tinclu L J Mustim i] christianl-j Jain E/others f]

t ".2'a, ).a\t .rJ r, gHl"tsI

Lro rlse Name SE I ts l3_^ E4 a _Llq fi . tte Df c^ r co r L elg St!l!!!4?G ailution il r\i. flC'orrrrur"u ils.re,rre L irrg nee,,ng ll [4:u;gr.oment L itthers [!-

No 38/A, EIADA I iuslrial Arca,Doddanekkundi, lvhiteiietd Road,

BANGALORE - 560 048Phr 080,'1128 3836 / 93422 483s3

I

l

sr.JJE'

K',Y!:"., '.

,/i7*^-0.,)[.,]\\<\rxcs,'"'f;'ii

I ,' lrcby cFrnf, tha{ I cl, r" L,trdetst,rn,l that rfa V

sh.ll lle cafcelled.,f/'/r'e agree io lhe rules and

Dr if:

i l=cr niarro"L,,.,*t

above padtrrulnas are lrlre and correct to tlte b--.st ol my / our knowleCoeof the airove pa(iculars are found to t" in.o,,."iL* .'.i;,.h;il#"rcgulation: of the trusi.

Srgnatu.e of paient

l/ We do her_"by

the applicanl s a

certily that Mr /lls-C!]0RD:tqA SeIAL DECP4Kbonafide student oi +}y / our college.

Noie:

(.r) .,hoLrrsh p may be awarded(tr) The Trust recerves lhe nghl lo

to sl.')ert' r'or ^(o on,.a,ly,{car,-.a.U.n,

,00IO\ e rel . ' aOOri(at.O, . ,O. a^, ,e.lS r,rs.

FOR OI-FICE USE

Date oi rece pt:

Comments

Che0ked byi

t'rerlcal

RA1\KA

r'6,tdi',..

,JAiN SCiIOLARSHIP

PEFSONAL DETAILS

Fu N.me (M/MisdrMrs) :

Jj

Bs. 101

4l a

OSWAL BANDHU SAMAJ32I /A 3 Vardhaman' l,lahaha Ph! e Peth. Shankarseth Foad., Irlne 41 1 042

Fh. (O2o) 2645C521 Emai oswa bandhu@yahoo.co in

SCHOLARSHIP APPLICATIOI.I FORM

Forms, No 0tr0l]18 Dare or rssuc,.:,.. / ( /2018

Note: 1 Pease 1l the Compleie lonn in Capita Leners and n ellglbiehandwriii.g

2 Srlng all original documenls a1lh€limsoi int.diew io Mincat on.

3 Sancuonec amgo.tshallbc paid bycheque / NEFI

Bi4Yla .@{Name) (Middle Name) (sumarne)

rl!LiEl<i,E q 4J-p;n-0"

Ex1.a C! rricular Acllvities

1

-tl d!E; k

2) A/c No.l 1 ,Zodo

f o oo 381)_33 o)l<f c..o tl24

niended coui.e i E.l+ t\l \S o,rarion: 5), Tele-

".r:r,,r" , -r k:1L4443 11g111f4 a r-nlcr-" F's: 7 3?5-eo =9

. t' l"vn a.-d /

Aaan.t.meni.l Flnds lor paymEit of rema nr.! r:es:

|2t'

"a"-!

SNJBiSn!.( E Abrri F:I'1eli13r ;61q" x ..]ii'':

'!i! f. i:rr.l rrrr;.,1

conracr MobiLe No.#f:+3Gl;pJMobrre No.

I to. la t1q/ Gendet:

:1) Name olBank & BEnch address:

< y,r/+Tl lja,J A-1o fi

EDUCATIONAL DETAILS

Scho arship rcceived irom

OswalBandhu Samaj

x 2j t9 s1 2l F ' J<</4 .: c&o I J( *x t-t> D 'rtrI6:;n 70 )l $'Ylto @lton,'-

7t3 f tood 7l' b3 1<-13 . ) bo-J dnJ; <"1

6,,.n a 1-lo-J -r1,^J *i7 tl k- f 1ao ,7'ol

]:,1i,i]LY !ETAIiS

:atrt!:E e.!ii.ar'! lL!i. iJ4l4 l ltc4v.rll

t"" lj ':-

z' l:')Lt'' ii),-, ,,., or -! -l r !7ltl:! J i- N. .,Famlry [1.rr].ts: l al &

A inl::ii..mc: f.:s.:rarffs- I 1,'a- e r: t, I .

',/',/ r.n , c" L{;o cro=" I' 21/

Ili oj l,,lenlrers Stlcy r_o

Edi!!! S..ola6h o GraNlel

1. _-

2.

Fs

ilrale lhar the schorrship provd.d by ihe Trlsr shal be sote]y lritized ior the purpose ol sludies ony. We111, d .t', ll.r onenrslaoocoor ton.,c 1e.o.,eD.. o.oL..mtrteoc"

Fathels / Guardian's Signature6)""-tE

Sfudent's Signature

RECOMMENDATION : (From Cor ege/lnsrirute)

Col,ege and is registeed underFotNo- s-g ot Ou"" Zr Onrnt The jnionnaljon

given is corccl and lhe studeni deservea rhe schoarship.

aEcoMMENDATION r (From Member or Oswat Bandhu Samaj or any rcspeclabte percon from Jain Communily..ls nota cose retaitve oftheAppticanl)

PostarAddrcss (in futt)

5\ ,c.,\\ \\s\\\ \e -!ai=\qi : --\S\q \\.\\5\ -slI\{al--

Pinode l}Lr\o \ -

Views aboLn ihe Applicani

contaci No : ci U 21L Sg \ \f -, sisnarure : \A\'J.'u''\lJ

Documenls (Cen fied xerox coptes) lo be atached wilh rhe Form (ptease lickrhe appropriate)

r. Lasi Ye N4ark Sheets 2. Coltege Fees Slruciure 3. Cotese Bonalide Cedtncate

4. Ralion Cad

Date: i.a-o?- 2-a )t,

/il"'s'!of

JAMIAT ULAMA E HELIEF FOUNDATIOIUlUrd-r SJp"'vis'or ot J"mi"r U,rT" F Malorosl-tra

lmamwaia Compcund, lmarnlvada R0ad. N,]unrbai 40! 00S. INDLA.

Ie : 022.2312 53i3 I 2313 5373. E.mal : janrlarulamamaharashual0gxraii.com

Iiabslte : !!!vj,.r.jumaharashlra.ccm

118 3 DatE 0f Applicati0n \ t- (- 2 "lq Due 0ale:A!picaliof Iio-

Sludcnl llame:

Faiher's Name

'1ob le Nunrber Address:

G,1j.J,-i JZ-tf+ c-lF,J-l

Oate of Brrrh : n \'' V LlL z:s9

Profession : S.L\tJ.Li ( ,

X,,P$'.P{5e;;;|,"""'tv Address : 5' N' T'BrJ'< mt r(' 3' A'itFt D

' SLnr nrq

----

il

D,,5- T[.!1..( Pin- L]d/)o5

School / College / llniversity Name : -S-rN-riL.fu15--s-UI_.Krr.,t.rJ_L JFr Ea P&fntc rnEolcill ccLLEGlt:

Lt }3lol Di,*t -I\td $l-k.'1r L, 2a. La qLl

Sl-.oo'd 6lo 12 Sirnoard- Div;s'ol- GR No.- Promoted to

,:;,,I.e ":jti.G. Course:

-l3toa + llLlo oo

P-G. Course: Bachelor's I

Annual lncoms of P.r€nllGuardian :

; -l .rr'L J*"-! P 1., u.'lrr

1) School/College luniversity is requested lo acknowl€dge the above related inlormalion by Signalure & Seal

2l ln casedi cancellalion oi admissi0n, kindly retutn the Cheque to us.

3) Cheque !r/iLlbe issued in favour of School/College / lJnivershy Name.

'YtVSiqnature

With seal of Sch0ol/College I University

eL]PRtl,lctPAL

sNJE'S Smt. K. B. Abad Hom0€o,J.ri',rc

@

,)Parent's / Guardian Signature

I hereby declare that,lhe information is tru€ and c0rrect t0 the besl of my knowledge and beliel

Studenl's Slonature

Student Academic Pr0of : I Copy 0f R€sl 1 ]l/arksheei al Fees SlIUcture L-l

"'/:''Parsnt Atldless Pr00i : tr Elertric 8ll -j Leave & Licerce I Hation,Card

(a ny one) Agrcement

Parent ldentity Proof : fl Pan Card a Voter D [l Passport

(ary one)

Note : Please Bring 0riginal Documents Ior Verilication

Zone I

ldentily Car,l

of SUdenl

! T€l.thrne

Bili

U Aadhar

, Card

1) Educallon aid will be provlded only 6th to l0th Standald (Urdu & l\4arathi Mediuml sludents

nbtained or above

2l For 'liqrer [drcal on Slude-ls 0bla ne0 65'- or above'I

3) Spec ally scholarshipti the name "shaheed Adv0cate Shahid Azmi Sch0larship" for the

students of La],v.

Nnte : JURF shall be entitled with its s0le discretion to extended Educational Aid t0 the

students a{ter deep investigation o{ the forms and documents provided bY the students

Name 0l Zone Jamlal Pr€sident lGeneralSecretary

Area:Ilist:

Bemarls:

Signaiure and Seal

(Ja[rial Zone)

Amounl Sarclioned by Head 0ffice:

D ale ol lssue Cheque issued in favour o1:

Cheque No.:

/1tr6tr, )\

(, \\

FI

e

il{\\,, ni$

PRINCIPALqN recsml h. B bad HomoelFalhl(

;.a;iColeae & ShflR P r horlla

r,,.-,.,S,.";' " '' :-:lJ. i: Siqnature

($-

OS\\AL BANDHU SANIAJiz:,A i tl_!:iira: l,la:.ti.Ft!.P.:: S.aiia"sclh itca.t P-.e4rl

!. (02t1 26,l5Ci2r a.r; osiN. oancrrrlqy..oo.o "

SCHOLARSHIP APPLICATION FORIi1

F.,rsi No rtrt : : Da\e.1)...,. /1)-t.7t).1a

Note: 1 n ea5. 1 lhc Corp ele Jorfr n Ca..la Lelie.s ai. . e.g bc haNdrr ri.g2 Bri.lr. org nald.clmenls al lhe lne ol .ier:ilorverl.alon3 San.lon.naholil:ria iepa.d!!cnco'e,/NEa'i

Bs 20/-

PEFSONAL DETAiLS

Fu Namc (r,lrlM ssrMrs) :

Pcrm.ncnlAddress

B ilAq1p5s1 7 , (tll /: M.r[p.

rryllr+/ nFH

(surn e)

TrlL afiArL\:qlt!t!!, .!a. r - TlllLRr)r\l

L4 ? 5 6

Fl-rN Cl-tI FA!I-N](/ R-6lct Pl A\r N0 /, AttrF-\

Name or Bank & Branch Ado,*", tl Sr.r\< o F d ftHll(ft sa TRftJffI ' lTO'HI f,

AD.!. lHoRlIft Rrpa, 4/o l.IAL\r RD.r}rnr!)r]F,

A/c No 6lla3oo 7 3r2],L o Lrscooa", htHE.-oaof i,9

tpL "o'.-o"",o " ''J 'o' L

@.4bn-lNclPAL PTO

c ry aH fll.Il a,.-$J

-ptncodeconracfivrobie No -X]lrl8i! Lr'r.r ru ruo

\t i tbltq36 L-oN)Dlti, G"nde.:

Exlra CLrnc!lar Actvt es

r)

EDUCATIONAL DETAILS

inlended colrse: I H N \ ou,u,on, !d l'.]-

rn"ri,r", i r-l T lc.B DADAa ha]6 a UFN-DOI1J rota Fees: i ,l3zzo I

Add,ess ol lnsllute rrl'T.E.[1 F].i\n-r H.lC NEflINhqftL. (HA D',rL] ,q2ll0l

Airangement oi F!nds lor paymenl oi renran ng lees:

Scho arsh p receiled jrom

' oswa Bandh! Sarial

X 20 tJ (7q1tfo t\t.r ql$!Ir( w.il qLrt.ir d-al riA^

^rX

x6 L6J\n (t q11h A!!f Hlqlrr(r ,-c. ! -/,,rt FA'./,+i^^

B Hr\t ! 't,11rnl. f.r:. hB 6d!. Jt! . _n lttaDa zoli

a HN5 .[ eo tJJFIT k.I q0dAt Hr]( (H4'r]!! :,1r

6tl I lzo., -rl ir'l 11.0 q6!n! iF( ll-r6Nlin lI_lrll L)-a-6

I 7

." -. *Iil'iiiri i roloLoglno

FANIILY DETAILS

F2lheas / G!a:aian s Naie f.Al r: ND( 4

Faihe r s/G larcia. s Ad.r,ess El ll&! !r1i! I'o].l, L[)r.]llhi--IfiL, ai-l4l.Ii..Lb. I t;'i ,rALrFo.J F"cod" I I,

Mab. 2-lt;ia7.-.'a i,,

occuparon: J-E!Lr, !.-E !! F.- _ r.ro. olFamry vemoers: 1

A.nua lncome: Pe6ona Rs Fam ry ns

-r-14!!rtNo. of Members Studyrnq , L ,

Ed!!all!!

IiH I FS

S6!laGhoGanledqtesrlalBannhu Samal

\Ji!!oI

We slale thal lhc scholarsh p provlded bylheTrustsha be so e y ut I zed lor the purpose ot stu:lcs onlv Weso emnly declare lhat contenls n applicauo. from are true to the best oi our know edoe.

(ilurd'-rtStudent's SignalureFathels / Guardian's Signature

2.

BECOtI[,IENDATION : {From Co eqe/lnsttrte)

College and ls registered under Rol No. 6 )- alCass aq -6,aaaa The injormalon

given is cotrect and the student desetues lhe schoarship

Applicanl Mrr:

Oate : /7-t7- "r?/1

is a Bonaiide student oi the

'"#;:;," ^,*,,.

Z.RA\li* Icr.n,,owro\ 3\l

\\<\trrs*tryqrlY+^'.--./"P/z\y

&Z.- RECOIvIMENOATION : (From i.lember 01 Oswa Bandhu Samaj or any respeciabte person from Jaii CommLrn rywho is nol a close reailve ol the Applicant)

PosrarAddress (in lu )

Vews.bolllheApp c.nl

Doclmenls (Cediled xeroxcoples) to be anached wth the Form (P ease r ck the appropriare)

1 Last Year l\.4a* Sheels 2. Colege Fees Slruclure 3. Coteqe Bonaltde Certficaie

5. Parenl's lncome Prooi 6. Student Bak Canelted Cheque or Bak Fassbook Xero:

Meel,nq Daie r .- S0clloied Amount: Bs