Online Entrance Application form
	Form to be Filled in by Candidate in Capital Letter in English
	Date of Registation * select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31   select JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC   select 2017 2018 2019 2020 2021 2022   Type of Course select D.El.Ed. B.Ed. M.Ed. B.El.Ed.   select 2017 2018 2019 2020 2021 2022 1. Name of Candidate * 2. A. Father's Name * 2. B Mother's Name * 3. Date of Birth (according to high school marksheet) * select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31   select JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC   select 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 4. A. Permanent Address (with pin code) * 4. B. Temporary Address (with pin code) * 5. A. Tel No.(with STD code) 5. B. Mobile No. * 5.C Email Id * 6. Gender* Male       Female 7. Category Category General OBC SC ST Minority Other 8. A Nationality : Indian Yes       No 8. B Original Resident Select UP OTHER 9. Details of Academic Qualification *   Exam Board/University School Name Passing Year Certificate/ Roll No. Maximum Marks Obtained Marks Obtained Marks(%) High School Intermediate Graduate Post Graduation B.Ed/B.El.Ed Total         Note :         10 Photo with Signature(Size 15 KB Max, JPG./GIF format only) * 11 Caste Certificate No. 12 Caste Certificate Issue Date 13 Aadhar Card No. 14 Issue Date of Graduation Marksheet