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Millat Teachers’ Training College, Madhubani, Pin-847212 (Bihar) Phone No:-06276-225777, Mob: - 9576388646/9709739854, Email-info.mttccollege@gmail.com Recognised by NCTE, Affiliated to L.N.M.U. Darbhanga. |
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APPLICATION FORM FOR B.ED. D.EL.ED. & M.ED. COURSE 2017-2019
| 1. Name of Candidate | |||||
| (In BLOCK letters as in metric certificate). | |||||
| 2. Father’s/Guardian’s Name : | |||||
| 3. Mother’s Name : | |||||
| 4. Date of Birth : | 5.Gender : | 6.Religion : | |||
| 7. Category : | (UR/SC/ST/OBC) | 8. Marital Status : | 9. Nationality : | ||
| 10. Address for correspondence : | |||||
| 11. Pin Code : | 12. Mobile No : | 13. E-mail Id : | |||
Academic record (Cancel what is not applicable)
| Examination passed | University/ Board | Year of Passing | Full Marks | Marks Obtained | % of Marks | Subjects |
|---|---|---|---|---|---|---|
| Matric/ICSE/CBSE | ||||||
| Intermediate/+2 | ||||||
| B.A. /B.Sc./B.Com (Aggregate) | ||||||
| M.A./M.Sc./M.Com (Aggregate) | ||||||
| B.Ed. | ||||||
| Others |
I do hereby undertake that I have read and understood the conditions or eligibility criteria for B.Ed/ D.El.Ed programme for which I seek admission. I also undertake that above informations are true to the best of my knowledge and belief and in the event of any information being found incorrect or misleading at any stage my candidature shall be liable to be cancelled.
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| Date : | Signature of the Applicant |