Online Entrance Application form
Form to be Filled in by Candidate in Capital Letter in English
Date of Registation
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Select College Name
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MAIRASHTRA COLLEGE OF PROFESSIONAL EDUCATION
ARYAN COLLEGE OF PROFESSIONAL EDUCATION
MEERUT COLLEGE OF PHARMACY
SHIV NARAYAN COLLEGE OF PHARMACY
MAIRASHTRA INSTITUTE OF GLOBAL EDUCATION
SHIV NARAYAN COLLEGE OF EDUCATION
Type of Course
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D.El.Ed (B.T.C)
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2013
2014
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1.
Name of Candidate
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2. A.
Father's Name
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2. B
Mother's Name
3.
Date of Birth (according to high school marksheet)
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JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
NOV
DEC
select
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4. A.
Permanent Address (with pin code)
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4. B.
Temporary Address (with pin code)
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5. A.
Tel No.(with STD code)
5. B.
Mobile No.
*
5.C
Email
6.
Gender
*
Select
male
female
7.
Category
Category
General
OBC
SC
ST
Other
8. A
Nationality :Indian
Yes
No
8. B
Origional Resident
Select
UP
OTHER
10.
Details of Academic Qualification
*
Exam
Board/University
School Name
Passing Year
Certificate/Enrollment No.
Marksheet
Roll No.
Maximum
Marks
Obtained
Marks
High School
Intermediate
Graduate
Total
Note :
12. A
Photo with Signature(Size 15 KB Max, JPG./GIF format only
*
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