No.
Shan(hi Charitable Trust (R)
S C T COLLEGE OF EDUCATI0N (B.Ed.)Afflliated to Bangalore Unlversity, Approved by Govt. of Karnataka
and Recognlsed by NCTE, New Delhi
Kaggadasapura Main Road, Vignananagar, New Thippasandra Post,Bangalore - 560 075. Ph. :2524069425245225 Fax:25245200
E-mail : [email protected]
APPLICATION FOR?J YEAR B.Ed. COTIRSE
ADMISSION FOR THE YEAR 20 . 20
AFFIX LATESTPASSPORT SIZEPHOTOGRAPH
1) Name of the Candidate :
(ln Block Letters)
2. a) Name of the Father :
b) Name of the Mother :
c) Name of the Husband / Guardian :
d) Annual lncome: e) Profession :
3) Date of birth : 4) Sex : Mate l-l Femate l--l5) Education :
(B.A., B.Sc. orB.com)ANY Degree/P.G
Year ofPassing
eollege University Max.Marks
MarksObtained
Percent-age
6) Subjects studied in Degree : Arts fl Science [-_l Commercel-l Otners ...............
7) Medium of lnstruction in Degree : 8) Medium studied in S.S.L.C.:
9) Any other Degree StudiedM.A. / M.Sc., etc.,
Degree University Class
10) First Language studied in Degree......"
11) Nationalitv: 12) Relioion '
13) Caste. Select the one applicable. Enclose Caste Certificate
a) S.C. n b) s r. E c) Group 1 f] d) Group 2 (A) fle) Group 2 (B) n fl Group 3(A) f] g) Group (B) [-] h) Generat t]l) Person with Disability E j) Ex-Serviceman [-l
14) Native of Karnataka : l--l Other States : n15) PermanentAddress:
Pin Code:Phone :
e-mail- ld :
14) Local Address
Pin Code :
Phone (Candidate)
e-mail - ld :
Phone (Guardian) :
15) Methods of teaching selected in B.Ed.
16) Enclosures : 1)
-2-
Method I :
Method ll :
2)
4)3)
Date:
Place:Signature of the
Parent / Guardian / HusbandSignature of the Candidate
candidates willing to get admitted have to produce the following relevant original documents compursorilyfor U n iversity verification a nd Adm ission Aoproval.1 . SSLC or 1Oth Marks Card and passing Certificate.2. PUC or 12th Marks Card and passing Certificate.3' Degree (3 years)/ pG (2years) Marks card and passing certificate.4. rransfer certificate (T.c) / coilege Leaving certificate (cLc)5. Migration Certificate.
6. 2 Sets of Xerox Copies of alloriginaldocuments7 . 6 Passport size photos & 2 stamp size photos.8. Caste Certificate (lf applicable)
Admission No.:
Date:
Above mentioned information is true to the best of my knowtedge and berief.
Principal
FOR OFFICE USE ONLY
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