Session :
Coure Type :	Select B.Ed D.El.Ed M.Ed
Full Name :
Father's Full Name :
Mother's Name :
Parmanent Address :
Correspondence Address :
DATE OF BIRTH :
Sex :	Select Male Female
Maritail Status :	Select Single Married
Nationality :
Blood Group :
Category :	Select GEN OBC ST SC PH

Details of Academic Qualification :

Subject offered in B.A/B.Sc/B.Com :	1.	2.	3.	4.
Subject offered in M.A/M.Sc/M.Com
Name of Guardian(If Father is not alive)		RealtionShip
Place of Stay after admission :
Place of Stay :
Address of correspondence :
Name and Address of local gurdian(If any) :
Teaching method combination desired	1.	2.
I solemnly declare and certify that the particulars furnished above are true to the bet of my knowledge and belief...
Draft No :		Amount :
Name of the Bank :		Date :

DECLARATION :

I    son/Daugter of applicant for admission to the course hereby declare to

to abide by rules and regulation of the college failing which my admission may be cancelled at any time.

I further declare to attend classes,library and tutorial asper prescribed of B.ed/D.Ei.Ed/M.Ed