SIKSHA BIKASH SEBA FOUNDATION B.Ed & D.El.Ed COLLEGE APPLICATION FROM

EnquirySurvey

How do you hear about us ?* :

Specify Name or Others* :

Step 1Admission Details

Course * :

Academic Session * :

Quota * :

Application Type * :

Category * :

Name Of University From Which Last Exam Passed * :

University Registration No With Year :

Step 2Personal Details

Name of Applicant *:

Gender. *:

Date of Birth *:

Age :

years

Marital Status *:

Name of Spouse * :

Caste * :

Religion *:

Nationality * :

Aadhaar No/UIDAI *

Father's Name *:

Mother's Name *:

Differently Abled :

Differently Abled Category :

Blood Group :

Medium :

Step 3Address & Contact Details

Name & Address * :

Village/City * :

Post Office Name * :

District Name * :

State* :

Pincode * :

Mobile No * :

Alternate Mobile No :

Primary Emaild ID :

Alternate Email ID :

Step 4Select First & Second Method Subject(B.Ed. only)

Method Subject(1st) *:

Method Subject(2nd) *:

Step 5Academic Record

Examination passed *:

Board/University *:

Institute/School/College *:

Year of Passing *:

Subject Taken *:

Total Marks *:

Marks Obtained *:

Percentage(%) *:

Note: For D.El.Ed course In H.S. Exam Marks obtained(Aggregate of the Best Five Excluding EVS)

Click here to Add Education details

id	Examination passed	Board/University	Institution	Year of Passing	Subject Taken	Total Marks	Marks Obtained	Percentage(%)	#

Step 6Upload Image And Signature

Photo and Signature Details :

Photo Upload:* :

Passport Size Color photo 4.5cm * 3.5 cm. Note: Upload image to be less than 200Kb(Scan to be done on 100dpi only)

Signature Upload:* :

Note: Upload Signature to be less than 200Kb(Scan to be done on 100dpi only)

Step 7Upload Attachments

Upload your all necessary related documents :

Document Upload:* :

Select documents one by one. Upload only image File of your documents(Per document size must be less than 2MB).Click Add More to add new Documents.When Upload Documents ,please rename the documents as per your Document Type(like Adhaar Card,Graduation Certifacte which help us to identify your Document)

Step 8Rules & Regulations

Provisional admission is subjected to the availability of seats (as applicable) and will be confirmed only after proper verification of all related and required documents.
Application fee of INR 5000/- and INR- 600 (Prospectus & Admission Form for any programme) has to be paid at the time of provisional admission. This fee is included in the programme fee.
If under any circumstances, the provisional admission stands cancelled or withdrawn, the application fee will not be refunded.
Documentation and payment of admission fees need to be cleared within 7 days from the declaration of admission date or declaration of the final result of the qualifying examination (whichever is earlier) failing which the provisional admission may stand cancelled.
All provisional admission/booking money receipts must be provided in original at the time of final admission for conversion to admission money receipts.
Dishonoured cheques will attract a penalty of INR 1000/-.

Declaration:-

I do hereby declare that the details furnished above are true and correct to the best of my knowledge and belief. If it is found that any information given by me is incorrect/false my candidature shall be cancelled at any stage *

I have read and agree to the declaration.

Application form for admission B.Ed./D.El.Ed.

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