M.A/MSW/M.PEd ENTRANCE EXAMINATION 2014 REGISTRATION FORM

USE MOZILLA FIREFOX FOR FILLING THE APPLICATION

* Indicate mandatory Fields

Stream*
Name of Centre *
Course applied for *
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Name of Student*
Do you want to change your Photo?* Yes No
Date Of Birth* Age
Gender* Male Female  
Nationality*  
Religion*  
Whether eligible for Reservation*
Yes No  
Community*  
Caste  
Sub Caste  
Whether eligible for any Special Reservation
(If Yes indicate category)
Yes No  
PH BLIND
NCC NSS
SPORTS ARTS
BPL in FC  
Name of Father  
Occupation  
Annual Income *  
Communication Address *
Permanent Address * Same as above  
Mobile Number *  
Email Id *  
QUALIFICATION
Qualification possessed for admission to the course*
Main subject/Core subject studied for the Degree course*
College/Institution last attended for the Degree Course*
EXAMINATION DETAILS
Name of Exam Subject University/
Board
Register Number Year Of passing Grade/
Class
% of Marks

SSLC

12/PRE Degree

Degree
APPLICATION FEE DETAILS
Amount*
Fee Payment Method * DD Challan
DD/Chalan Number*
Date*
Name of Bank*
Branch Name of Bank*
Additional Information if any
List of Enclosures
Enter the contents of Image*

   

-----------------------Declaration----------------------

I here by declare that all the statements made in this application are true ,complete and correct to best of my knowledge and belief.
I understand that in the event of any information being found false or incorrect ,my candidature for admission is liable to be cancelled.
NB:- Attested Copies Of Certificates to prove age/caste/community and qualification should be enclosed along with DD.