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YASHWANTRAO CHAVAN MAHARASHTRA OPEN UNIVERSITY, NASHIK B.ED. PROGRAMME 2015-2017 Application ID : BED1513503 Personal Information : Full Name (अजदाराच ना व ) KAVITA KAMLESH MESHRAM Gender ( ल ग ) Femal e Date Of Birth (जमतारख ) 12/01/1970 Is Muslim (म ि लम आह ?) No Category (वग ) SC -- -- Center District (अयासक ाचा ि जहा ) GONDIA Center District Code ( अयास क ा चा ि जहा स क ताक ) 46 Contact Information : Postal Address ( प ण पता ) PARADISE NEAR SARFARAJ TRADERS SALES TAX COLONY City (शहर ) State (राय ) Maharashtra District Code (ि जहा स क ताक ) 46 District Name (ि जहा ना व ) Gondiya Taluka (ताल का ) Gondia Pincode (पनकोड ) 441601 STD Code (STD को ड ) -- Phone No ( द रवनी माक ) -- Mobile No (मणवनी माक ) 9765235027 E-Mail ID ( ई -मल पता ) k am le sh me sh ra m84@gma il .c om Work Experience Information : Presently in Service Teacher in Elementary Education ? (सया आपण ाथमक शाळत शक हण न सवत आहात का ?) Yes Governmet Graduation Scale Date (शासकय / सरकार पदवी णी दनाक ) -- Total Teaching Experience upto 30/04/2015 (३० /०४ /२०१५ पयतचा एक ण अयापनाचा अन भव ) Year - 21, Month - 4, Day - 6 Qualification Details : D.Ed./D.T.Ed. Completed through Face-to-Face Mode?(डी . एड / डी . ट . एड प ण वळ पतीन प ण क ला आह ?) Yes Graduation Type (पदवीचा कार ) B.A. Graduation Class/Grade (पदवीचा वग /णी ) Second/B Graduation Percentage ( पदवी परतील टक वार ) 53.75 PG Type (पदय तर पदवीचा कार ) None PG Class/Grade (पदय तर पदवीतील वग /णी ) -- Class Obtained in One Year Degree/Diploma, whose entry qualification is Graduation (म ळ पदवी ह वश पाता असलल एक वष कालावधी पदय तर पदवी /पदय तर पदवका शणमात मळालल णी ) Second/B Name of Such One Year Degree/Diploma, whose entry qualification is Graduation ( पदय तर पदवीच /पदय तर पद वक च नाव ) (D.Ed./D.T.Ed. is not allowed) Bachelor of Library Science Students passed from YCMOU ( यशवतराव चहाण महारा म त वयापीठात न उतीण झालया वयायासाठ ) Degree Name - Bachelor of Arts , Year of Passing - May, 2012 Social Reservation Details: Handicappedness (अपगव ) -- Freedom Fighter / Earthquake & Project Afftected / Widow, disserted, Divorcee (वातय सनक / भ क प व कप त / वधवा , परयता , घटफोटत ) -- Ex-Servicesman / Military Serviceman (माजी सनक / आजी सनक ) -- Merit Score Details: Scale of Graduation Score ( पदवीधर वतनणीच ग ण ) 0 Graduation Score (पदवी ग ण ) 4 Work Experience Score ( अन भवाच ग ण ) 21 One Year PG Degree or PG Diploma Scor e (पदय तर पदवी / पदय तर पदवका ग ण ) 4 Post Graduation Score ( पदय तर ग ण ) 0 Speci al Score (वशष ग ण ): 0 Student Passed From YCMOU Score ( यशवतराव चहाण महारा म त वयापीठामधील उतीण वयायाच ग ण ) 4 Total Score (एक ण ग ण ) 33 Declaration All the information given in this form is true to the best of my knowledge. I accept that, if information given by me is found to be incorrect then my candidature will be cancelled without refund of fees paid and University can take legal action against me. I have read the entire information and instructions minimum three times. I have also checked all the information I have filled in and it is true time to the best of my knowledge. I also agree that even if there is a single mistake in the online form, my form will be completely removed from the entire admission process. I also agree that no changes in the data will be made later. I also agree that no cognizance will be taken of the correspondence made with the University in the context of wrong data filled in and changes in the data to be made at later stages.Scanned copy of your documents will be submitted. Your admission will be confirmed based on those documents and you will be paying the total fees based on that through online mode. Later if there is any problem / complaint related to your eligibility, etc and if your admission has to be cancelled, no amount – fully or partly – refunded to you. Place: Date: Please sign strictly inside this box in black ink--> Name: KAVITA KAMLESH MESHRAM Page 1 of 1 ..:: Yashwantrao Chavan Maharashtra Open University, Nashik - B.Ed. Programme 2015- ...
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YASHWANTRAO CHAVAN MAHARASHTRA OPEN UNIVERSITY, NASHIK
B.ED. PROGRAMME 2015-2017
Application ID : BED1513503Personal Information :
FullName() KAVITAKAMLESHMESHRAM
Gender() Female
DateOfBirth() 12/01/1970
IsMuslim(?) No
Category() SC
-- --
CenterDistrict( ) GONDIA
CenterDistrictCode( ) 46
Contact Information :
PostalAddress() PARADISENEARSARFARAJTRADERSSALESTAXCOLONY
City() State() Maharashtra
DistrictCode() 46 DistrictName() Gondiya
Taluka() Gondia Pincode() 441601
STDCode(STD) -- PhoneNo() --
MobileNo() 9765235027 E-MailID(-) [email protected]
Work Experience Information :
PresentlyinServiceTeacherinElementaryEducation?(?)
Yes
GovernmetGraduationScaleDate(/)
--
TotalTeachingExperienceupto30/04/2015(//)
Year-21,Month-4,Day-6
Qualification Details :
D.Ed./D.T.Ed.CompletedthroughFace-to-FaceMode?(./..?) Yes
GraduationType()
B.A.GraduationClass/Grade(/)
Second/BGraduationPercentage()
53.75
PGType()
NonePGClass/Grade(/)
--
ClassObtainedinOneYearDegree/Diploma,whoseentryqualificationisGraduation(/)
Second/B
NameofSuchOneYearDegree/Diploma,whoseentryqualificationisGraduation(/)(D.Ed./D.T.Ed.isnotallowed)
BachelorofLibraryScience
StudentspassedfromYCMOU()
DegreeName-BachelorofArts,YearofPassing-May,2012
Social Reservation Details:
Handicappedness() --
FreedomFighter/Earthquake&ProjectAfftected/Widow,disserted,Divorcee(//,,)
--
Ex-Servicesman/MilitaryServiceman(/)
--
Merit Score Details:
ScaleofGraduationScore() 0 GraduationScore() 4
WorkExperienceScore() 21OneYearPGDegreeorPGDiplomaScore(/)
4
PostGraduationScore() 0 SpecialScore(): 0
StudentPassedFromYCMOUScore()
4 TotalScore() 33
Declaration
All the information given in this form is true to the best ofmy knowledge. I accept that, if information given byme isfound to be incorrect then my candidature will be cancelled without refund of fees paid and University can take legalactionagainstme.Ihavereadtheentire informationand instructionsminimumthreetimes.Ihavealsocheckedall theinformation I have filled in and it is true time to the best of my knowledge. I also agree that even if there is a singlemistake in theonlineform,myformwillbecompletelyremoved fromtheentireadmissionprocess. Ialsoagreethatnochangesinthedatawillbemadelater.IalsoagreethatnocognizancewillbetakenofthecorrespondencemadewiththeUniversityinthecontextofwrongdatafilledinandchangesinthedatatobemadeatlaterstages.Scannedcopyofyourdocumentswillbesubmitted.Youradmissionwillbeconfirmedbasedonthosedocumentsandyouwillbepayingthetotalfees based on that throughonlinemode. Later if there is any problem / complaint related to your eligibility, etc and ifyouradmissionhastobecancelled,noamountfullyorpartlyrefundedtoyou.
Place:Date:Please sign strictly inside
this box in black ink-->
Name:KAVITAKAMLESHMESHRAM
Page 1 of 1..:: Yashwantrao Chavan Maharashtra Open University, Nashik - B.Ed. Programme 2015-...
6/5/2015http://mkcl.biz/ycmoubed2015/CandidateModule/frmPrintApplicationForm.aspx
