M.Ed. Admission form in english(2015-2016)
REGIONAL INSTITUTE OF EDUCATION, BHOPAL (National Council of Educational Research and Training) Application form for M.Ed. Course (2015-16) 1. Name of the Applicant : ................................................................... 2. Mother's Name : ................................................................... 3. Father's Name : ................................................................... 4. Category (Gen/OBC/SC/ST/PH/Minority) : ................................................................... 5. Domicile : ................................................................... : ................................................................... Paste recent passport size photograph here and sign in the box given below. (M.P./C.G./M.H./Guj./Goa/Daman & Diu/D & NH) 6. Date of Birth (According to high school certificate) 7. Parent's/Guardian's Annual Income in 2014-15 : Rs. ............................................... 8. (a) Address for Correspondence (with pin code) : ................................................................... ................................................................... ................................................................... (b) Permanent Address (with pin code) : ................................................................... ................................................................... ................................................................... (c) Phone No. (with STD code) Mobile No. (d) e-mail ID 9. Details of Bank Draft/Postal Order : ................................................................... : ................................................................... : ................................................................... : Amount. ........................ No. ................... Date of Issue......../....../................... 10. Educational Qualifications (supportive documents should be self attested) Examination Board/ University Year Subjects Total Marks Marks Obtained Percentage High School Hr. Sec. Graduation ............ Post. Graduation.... Any Others ............ 11. Percerntage of Marks in B.Ed. : Total ...................Theory ................Practical................ REGIONAL INSTITUTE OF EDUCATION, BHOPAL (National Council of Educational Research and Training) Application form for M.Ed. Course (2015-16) 1. Name of the Applicant : ................................................................... 2. Mother's Name : ................................................................... 3. Father's Name : ................................................................... 4. Category (Gen/OBC/SC/ST/PH/Minority) : ................................................................... 5. Domicile : ................................................................... : ................................................................... Paste recent passport size photograph here and sign in the box given (M.P./C.G./M.H./Guj./Goa/Daman & Diu/D & NH) 6. Date of Birth (According to high school mark sheet) 7. Parent's/Guardian's Annual Income in 2014-15 : Rs. ............................................... 8. (a) Address for Correspondence (with pin code) : ................................................................... ................................................................... ................................................................... (b) Permanent Address (with pin code) : ................................................................... ................................................................... ................................................................... (c) Phone No. (with STD code) Mobile No. (d) e-mail ID 9. Details of Bank Draft/Postal Order : ................................................................... : ................................................................... : ................................................................... : Amount. ........................ No. ................... Date of Issue......../....../................... 10. Educational Qualifications (supportive documents should be self attested) Examination Board/ University Year Subjects Total Marks Marks Obtained Percentage High School Hr. Sec. Graduation ............ Post. Graduation.... Any Others ............ 11. Percerntage of Marks in B.Ed. : Total ...................Theory ................Practical................ Undertaking I ..................................................Daughter/Son of ................................................ certify that the information given above is correct to the best of my knowledge and belief. I agree to abide by the rules and regulations as laid down by Regional Institute of Education, Bhopal from time to time during the tenure of the course. No. of Enclosures: - ……………………. Date: .............................. Place:............................... Signature of the Parent/Guardian Signature of the Candidate
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