ONLINE ADMISSION FORM
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Details entered at this stage cannot be modified later on. Hence the candidates are advised to fill in the details correctly.
(* Indicate Mandatory Fields)
*NAME OF THE COURSE:
*COURSE CODE
*Medium:
Please keep the Email and Phone No active at the time of Form Fillup.
*Mobile No. :
*E-Mail ID :
PERSONAL INFORMATION
*1. Name Of The Applicant :
*2.a)Father's Name :
b)Father's Occupation :
c)Father's Qualification :
d)Father's Phone No :
*3.a)Mother's Name :
b)Mothers's Occupation :
c)Mother's Qualification :
d)Mothers's Phone No :
4.a)Spouse's Name (For Married Candidate Only)
b)Spouse's Occupation :
c)Spouse's Qualification :
d)Spouse's Phone No :
*5. Gender :  
*6. Blood Group :  
*7. Identification Marks :
*8. Date of Birth: (DD/MM/YYYY)  
*9.Nationality :
*10.Religion :
*11.Caste :
*12.Differently Abled (Physical Disablity If Any):
13)COMMUNICATION INFORMATION
PERMANENT ADDRESS : PRESENT ADDRESS :
Same As Permanent Address.
*Vill/Town : *Vill/Town :
*Post Office : *Post Office :
*PS : *PS :
*District : *District :
*State : *State :
*Pin Code : *Pin Code :
*Mobile No : *Mobile No :
14)BANK DETAILS
Bank A/C No. :
Account Holder Name :
Bank IFSC Code :
Bank with Branch Name :
PAN No :  
Aadhar No  
15)OTHER INFORMATION
Do you have any working knowledge of computer? (If yes, specify the area)  
Co-Curricular activities preferred  
Have you ever participated in drama? (Yes/No)  
Are you fond of Art? (Yes/No)  
Mention if you have any spectacular achievements in the above areas  
     
Do You Want Hostel Accommodation :  
16)Furnish the following information regarding D.El. Ed. Entrance Examination-2018(For D.El.Ed candidate only)  
Application No  
Roll No  
Ranking Score (100%) :  
17)PARTICULARS OF LAST EXAMINATION PASSED
Exam Board/Council/Others Roll No Year Registration No Marks Obtained Marks Total %Age Division/Grade
18)SUBJECTS DETAILS(For BA Admission HS/PUC Subjects are only mandetory)
Subject 1 Subject 2 Subject 3 Subject 4 Subject 5 Subject 6 Subject 7  
Subjects Name(HS/PUC)
Subjects Name(Degree Course)
Subjects Name(Master Degree)
19)SUBJECTS CHOOSEN (PLEASE TICK AND SELECT)

D.El.Ed

BA Honours Course:

BA Regular Course:
[Regular students cannot opt. more than one language subject as DSC]
[Subject opting language subjects as CORE subject will not be allowed to take AECC in same language]

B.Ed
20)ENCLOSURES:[UPLOAD HS DOCUMENTS FOR BA ADMISSION & DEGREE DOCUMENT FOR B.Ed/D.El.Ed ADMISSION
1.Photograph[Photograph size between 5KB - 100KB] 2.Signature[Signature size between 5KB - 100KB]
3.HS/DEGREE Pass Certificate 4.HS/DEGREE Mark Sheet
5.HS/DEGREE Registration Card 6.HS/DEGREE ADMIT Card
















           I declare that I will remain obliged to abide by the rules ang regulation of the college if admited and all the statements made by me in the application form are true and complete to the best of my knowledge and belief and nothing has been concealed or suppresulessed.