BEdA4pcomimp.

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wUnIvristI rol nM:____________

(wUnIvristI vloN j`rI kIq` j`vyg`)

Guru Nanak Dev University, Amritsar

Admission form for Bachelor of Education (B.Ed.) Examination, April/September 20___
Full Subject/Compartment/Re-appear/Improvement of Division/Additional Subject
PARTICULARS OF LAST EXAMINATION
EXAMINATION_______________ROLL NO._________________SESSION______________RESULT______________
MALE/FEMALE
1. REGISTRATION NUMBER

2. NAME IN ENGLISH (CAPITAL LETTERS)

3. n`m (pj`bI iv@c)

4. FATHER'S NAME IN ENGLISH (CAPITAL LETTERS)

5. ipq` d` n`m (pj`bI iv@c)

6. MOTHER'S NAME IN ENGLISH (CAPITAL LETTERS)

7. m`q` d` n`m (pj`bI iv@c)

8. SUBJECTS OFFERED Part-I

I.
II.
III.
IV.

9. CENTRE :
9A. CENTRE ABBRE :
9B. MEDIUM
9C. Mobile No.

V.

9D. Gen./SC/BC

VI.

9E. Rural/Urban

VII.
VIII.

10. nyqrhIx, bolx j~ sQ`eI qOr 'qy ilKxoN Esmr@Q __________ jy au#qr h~ ivc hY q~ srtIPIkyt n`l n@QI kIq` j`vy|
11. kI qusIN pMj`b r`j dy vsnIk ho? h~ j~ n~h ivc auqr idA| ________ jy nhIN q~ sMbMDq r`j d` n`m ilKo ___________
12. pirv`r dI s`l`n` E`mdn rupey__________________________

13. bI.ey./bI.EYs.sI. ivc p`s kIqy ivSy 1.___________________________2.____________________________

3.___________________________4.__________________________5._______________________

(hyT iliKE` vyrv` zrUr idA)

i. pihlI v`r kdoN EpIEr hoe_

y ___________________sYSn_______________rol nMbr ____________________
ii. kI quh`nUM ies wUnIvristI j~ iksy hor wUnIvristI/borf v@loN iksy prIiKE` ivc bYTx qoN ifskuE`lIP`eIf kIq` igE` hY j~
Exauicq s`Dn~ dI vrqoN d` koeI kys quh`fy ivru@D hY _______jy hY q~ ifskuE`lIP`eIf krn v`ly wUnIvristI/borf d`
n`m_________________________prIiKE` d` n`m__________rol nMbr___________sYSn______________
ifskuE`lIPIkySn d` sm~_______________
14. Particulars of Passing the qualifying examination :
Name of Exam.
Year/
Roll No.
University/Board
Session

Result

Name of the college

appeared in B.Ed.
Full Subject

B.Ed. Comptt.
B.Ed. for failed
Appeared
Re-appear candidate First time
2nd time
3rd time
4th time
last time
15. For candidate intending to appear in the additional subjects : Name of subjects :1.__________2_________
Year/Session of passing B.Ed. Exam.____________________________Roll No.________________________
16. Have you ever been disqualified or any case of use of unfair means is pending against you in any University/Board?
Say, Yes/No. If yes, name of the Examination __________________Session __________Year _______________
Roll No. ______________ __period of disqualification ______________________________________________
University/Board ___________________________________
17. Bank Draft/Receipt No.______________________Amount________________________Dt.__________________
18. I solemnly declare that
(i) I have not passed this or any other equivalent examination from any University.
(ii) the statements made by me in this form are true and nothing has been concealed or suppressed; and
(iii) I own full responsibility, should any information prove to be incorrect in any later stage.
19. THE RECEIPT OF FEE/ADMISSION FORM WILL NOT ENTITLE THE CANDIDATE TO APPEAR IN
THE EXAMINATION BUT IT WILL ONLY ENTITLE HIM/HER TO CONSIDERATION OF HIS/HER
ELIGIBILITY.
Permanent Address _________________________

Address for Correspondence ____________________________

_________________________________________

___________________________________________________

________________________Mobile No._______

______________________________Mobile No.___________

Date ______________ 20

Signature of the Candidate

Remarks by the University Office regarding Eligibility

District______________________State______________Capacity___________________________________________
Subjects Offered 1.___________2.___________3.___________4.____________5.____________6.______________
Particulars of Col. No. 19. cheked and found correct.
Eligible
Eligible
Not Eligible
The applicant is eligible.
Dealing Official
Assistant/S.O.
O.S.E.
ARE/DRE

wUnIvristI d&qr ivKy pR`rQn` p@qr Eqy PIs pR`pq krn dI E`iKrI imqI :
ibn~ lyt
&Is
s`l`n`

250/-ru:
lyt &Is
n`l

21 EkqUbr 31 EkqUbr

splImYNtrI 10 jul`eI

20 jul`eI

500/-ru:
lyt &Is
n`l

1000/-ru: 2000/-ru:
lyt &Is lyt &Is
n`l
n`l

3000/-ru:
lyt &Is
n`l

4000/-ru:
lyt &Is
n`l

5000/-ru:
lyt &Is
n`l

15 nvMbr

30 nvMbr 15 dsMbr

31 dsMbr

7 jnvrI

14 jnvrI

31 jul`eI

10 Egsq 20 Egsq

6000/-ru:
1000/- ru: pRqI idn
lyt &Is
dy ihs`b n`l pRIiKE`v~
n`l
SurU hox qoN 10 idn
21 jnvrI piihl~ qk

not: auprokq EMikq s`rIE~ imqIE~ n`l iqMn kMm v`ly idn grys smyN vjoN idqy j`xgy|
auprokq imqIE~ qoN b`Ed koeI vI d`^l` P`rm nhIN ilE` j`vyg`|

Fees : Common for Full Subjects/Compartment/Improvement/Additional/Deficient Subject (Applicable from Dec. 2011)
B.Ed. Private Rs. 4300/-

CERTIFICATE FOR LATE COLLEGE STUDENTS i.e. FAILED OR

COMPARTMENT IN A SUBJECT(S) OR RE-APPEAR IN PART(S)
Name of the college last attended _____________________________________
Affix an attested
latest passport
size photograph

I certify that the applicant attended this college from _____________________ to

____________________ and completed the prescribed course of lectures and six week
teaching practice (Please mention in the column of Remarks if the candidate has not
completed six weeks' teaching practice) for B.Ed. class or appeared in the said examination
in the year _________________ under Roll No. _____________ and failed or was placed
in compartment in the paper/s/subject/s or in part/s ______________________ that the
particulars filledin by him/her are correct; that he/she bears a good moral character and has
filled in signed this Admission form in my presence.
University Receipt No. ______________________ Dated _____________
Remarks, if any ________________________
Signature of the Principal

Date ______________

(with office seal)

Place __________________

FOR CANDIDATE APPEARING IN B.Ed (ADDITIONAL SUBJECT) IN TEACHING AND CRAFTS

SUBJECTS AFTER PASSING THE B.Ed. EXAMINATION
I certify that the applicant has attended this college from _______________________________
to______________________________ and completed the prescribed course in _______________________Subject and
he/she has undergone a practical test in the teaching of the subject taken by him/her and for this he/she shall complete one
month's school practice under approved supervision; that he/she passed the said subject in his/her degree examination in
the year ______________________ Session _________________ under Roll No.____________ that he/she bears a good
moral character; that he/she has filled in and signed this application form in my presence; and that the particulars filled
in by him/her are correct; that he/she has paid the fee vide I.P.O.s/M.O./University Receipt No. _________________
Rs. ____________ dated __________________Remarks, if any ____________________________________________

Dated __________

(Signature of the Principal)

(with office stamp)

gurU n`nk dyv wUnIvristI, EMimRqsr

Roll No. Slip

wUnIvristI rol nM: .....................

(vyrvy pRIiKE`rQI duE`r` Bry j`x)

bI.EYf. pRIiKE` ______201__

rol nMbr ____________________________
pRIiKE`rQI d` n`m ______________________
ipq` d` n`m __________________________

(qsdIk Sud`)
nvIN Poto
gUMd n`l icpk`A

(qsdIk Sud`)
nvIN Poto
gUMd n`l icpk`A

m`q` d` n`m __________________________

kyNdr _____________________________
______________
pRIiKE`rQI dy hsq`^r
sMbMDq klrk

kMtrolr (pRIiKE`v~)

sMbMDq sh`iek (sYkSn_______)

pR I iKE`rQI nU M ieh k`rf

sMB`l ky r@Kx` c`hId` hY Eqy
pRIiKE` dOr`n iksy vI idn
mMgx qy idK`aux` c`hId` hY|

kyNdr .................................

! cut from here !

Please fill in the following slips for correspondence address
Roll No. to be filled in by the office
Roll No. ______________________

Roll No. ______________________

Name ______________________________

Name ______________________________

Father's Name ________________________

Father's Name ________________________

Address _____________________________

Address _____________________________

Pin Code ____________________________

Pin Code ____________________________

Roll No. ______________________

Roll No. ______________________

Name ______________________________

Name ______________________________

Father's Name ________________________

Father's Name ________________________

Address _____________________________

Address _____________________________

Pin Code ____________________________

Pin Code ____________________________

Roll No. ______________________

Roll No. ______________________

Name ______________________________

Name ______________________________

Father's Name ________________________

Father's Name ________________________

Address _____________________________

Address _____________________________

Pin Code ____________________________

Pin Code ____________________________