Registration form
CHATURVEDI SHOP MPOnline Kios 32 vinay nagar -1 jail road Gwalior
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Department of Higher Education Madhya Pradesh
1.candate`s
(a)First Name……………….……….….(b)Middle Name…………………….(c)Last Name………………………….….
2. Gender:- male/female 3.Mantal Status:- Married/Unmarried
4.Father `s Name/Husband`s Name (In case of married)*:-……………………………………………………………..
5.Mother`s Name:-……………………………………6.Date of Birth:-…………………….
7. Religion:-Christian/Gujarati/Hindi/Muslim/Shik/other`s
8. Degree Passed(as on date )-Pleasefill marks carefully:- 45% for OBC/ UN. 40% SC/ST
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S. N. |
(a) Graduation |
(B)Marks/Grade obtained |
(c) out of/ at the scale |
(d) university |
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1.
2.
|
Graduation
Post Graduation |
|
|
|
9. Domcile:-MP/UP/Delhi/Raj./Chg… …........10.Seats reserved for Madhya Pradesh candidates 25% other states 11.category:- UN/OBC/SC/ST
12. Freedom fighter /physically challenged/Sainik/Widow/separated
13.Addrerss Line-1` …………………………………………………14.Addrerss Line-2` ………………………………………………
15.City:-………………………16.State:-………………17.Pin Code:-………………….18.Phone no.:-………………………….
19.Mobile No.:-……………………………..20.Email-id:-……………………………………………………….…………………….
21.Order of preferences of college –(carefull see the ststus of applicants/seats opting college)
|
S.N. |
Select Distict |
Select College |
Applicant |
|
1. 2. 3. 4. |
|
|
|
Department of Higher Education Madhya Pradesh
“प्रारम्भ 15/12/2010”
Online Form
Online Registration form for Bachelor of Education admission-2010-11
Choice Filling for B.Ed 2010-11
Seat Allotment Letter
स्नातक या स्नाकोत्रर जिसमे अधिक अंक हो उसकी अंक सुची
म प्र का मूल निवासी प्रमाण-पत्रtayhaa तथा आय प्रमाण पत्र
फ़ोटो एव हस्ताक्षर
शुल्क Registration/ Choice Filling
5100/-