Social Justice & Special Assistance Department

Home >> Schemes >> Application Form - Dr. Baba Saheb Ambedkar Swadhar Yojana

Step 01

Applicant's Information

Step 02

Details for Caste Certificate, Aadhar & Bank Account

Step 03

Details of Admitted College & Course

Step 04

Educational Details

Step 05

Other Details & Detail Information of applicant's Parents

Step 06

Information to be given by an Educational Institution

Step 07

Documents to be Uploaded

Step 08

Sample Certificate to be filled by the student for R.T.G.S.

Completed

Application Registration Success

Applicant's Information

Full Name of the Applicant (Surname Name FatherName) *

Father Full Name (Surname Name FatherName) *

Name & Address of the husband if the applicant student is married *

Mother's Full Name *

Caste / Category *

Permanent Address of applicant (House Number, Road / street, Nearest Landmark, Village/City, Taluka, District, Pincode) *

Domicile certificate issued by Sub-Divisional Officer / Deputy Collector *

Applicant Mobile Number *

Is the applicant specially disabled (PWD) ? *

Details for Caste Certificate

Select District from which the caste certificate has been issued by the applicant *

Enter Information mentioned in the caste certificate issued by the Sub-Divisional Officer / Deputy Collector regarding Scheduled Castes & Nav-Buddhists (Format: Certificate No. - Date of Issue - Caste - Village - Taluka - District) *

Details for Aadhar Card

Enter Aadhar card number *

Enter Address mentioned on the Aadhar card *

Details for Bank Account

Name of the nationalized / scheduled bank *

Branch Name *

Account Number *

IFSC Code *

Proof of aadhar seeded bank account *

Details of Admitted College

Enter name of the college in which the applicant has taken the admission *

Admission registration number / General registration book number / Identity card number given by the college*

Address of the College *

Details of Admitted Course Information

Name of the Course / Branch *

Admission of the year*

Date & Year of admission*

Duration of the course*

Select Graduation*

Education Details

Class	Year & Date of admission	Passed month & year	Total Marks	Total Obtained Marks	Percentage
10th Std
12th Std
Degree

Other Details

Has the applicant availed the benefitof scholarship / freeship schemes for scheduled caste(SC) students? (Yes / No)*

If Yes then mentioned the User Id Number*

Detail Information of the applicant's parents

Full Name of the Parents (Surname - Name - FatherName) *

Relationship of the parent with the applicant *

If the father is not alive, an attested copy of his death certificate should be attached *

Occupation of the parents *

Correspondence address of the office/occupation *

Parent's annual income (in Lakhs) of the previous year *

Upload Salary certificate *

Information to be given by an Educational Institution

Full Name of the Student (Surname - Name - FatherName) *

Name & full address of the educational institution/college to which the student has been admitted *

Name of University to which the college is affiliated? *

Name of Course in which the applicant has taken admission in his/her college and its duration *

Date of the order approved by the competent authority for the college *

Enter Number approved by the competent authority for the college *

Address of the college *

Type of college*

User id number of the college for e-scholarship *

Student Admission Registration No / General Registration No *

Information About Student information

Name of the Course/degree *

Year of entry*

Date & Year of Admission *

Duration of the course*

Professional / Non-Professional / Higher Secondary*

Granted / Non-Granted*

List of certificates to be attached

Caste Certificate *

Aadhar Card *

First Page Passbook or Bank Statement or Cancelled Cheque *

Proof of being a resident of Maharashtra (Age / Domicile or Nationality Certificate / Birth Certificate / School Leaving Certificate) Upload any one of this *

Income certificate issued by a Revenue Officer *

Certificate if the student is disabled

10th, 12th or Graduation degree examination marksheet *

Bonafide Certificate from College *

Proof of husband's income if the student is married

proof of aadhar seeded bank account *

Certificate of Non-Resident *

Affidavit starting that the student has not been admitted in any government hostel *

Attendance Certificate from the college *

Result / Marksheet of end term examination *

Evidence of where the student currently resides (private hostel, rental agreement, etc) *

Upload Signature *

Sample Certificate to be filled by the students for R.T.G.S

Name of the Student (As per the bank passbook)*

Name of the bank *

Branch Location*

Bank Account No*

Bank IFSC Code*

Bank MICR Code*

First Page of the bank passbook or cancelled Cheque *

Application Submitted Successfully

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