5/5/2021 Combined Entrance Test for B.Ed. (CET – B.Ed.

): 2021

Combined Entrance Test for B.Ed. (CET-B.Ed.): 2021

Nodal University
Lalit Narayan Mithila University,Kameshwaranagar,Darbhanga
Application for Combined Entrance Test for B.Ed. (CET-B.Ed.): 2021
Applied For: B.Ed. Form No:21098175

Name of Applicant (in English) GHAZALA TAZEEM

Domicile State Bihar

Category GEN

Gender Female Marital Status Married

Date of Birth 05/01/1990 Age 32 Years

Physically Handicapped No

Present Address: Permanent Address:

W/O Md Niyaz, Ward: 13, Vill kokarwa, Post kazitola, Chaparia, PS Bis , W/O Md Niyaz, Ward: 13, Vill kokarwa, Post kazitola, Chaparia, PS Bis ,
Madhubani, Bihar, India 847122 Madhubani, Bihar, India 847122

Father's Name IRFAN AHMAD Mother's Name NASEEMA KHATOON

Mobile No. 6204735234 E-Mail Id nafeelahmad@gmail.com

Proof of Identi cation UID/Aadhar No Identi cation Number 835165596927

Nationality Indian Service Men Quota No

Identi cation Mark mole on Chin Minority Type Muslim

Educational Quali cation Section

Name
Board/ Year of Total Marks % of Class/
Education of Subject's Name Certi cate No.
University Passing Marks Obtained Marks Grade
Degree

10th/Matric Other 2007 1200 869 72.42 First 26180

Arabic, Dinyat, Urdu, Persian,

12th/HS Arts Hindi, English, Mantique, Other 2009 1200 764 63.67 First 03105
Economics

Maulana Mazharul Haque

Dinyat, Arabic, Urdu, Persian,
Graduation B.A. Arabic and Persian 2013 1500 800 53.33 Second 2013/10069040001
Hindi, Enlish, Islamic History
University

Choice of Centre

First Preference Darbhanga Second Preference Muza arpur Third Preference Patna

Payment Details

Transaction id :1435694601 Transaction Date :05-05-2021 21:54:56

Payment Amount :750.0 Payment Status :Successful

Declaration:

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5/5/2021 Combined Entrance Test for B.Ed. (CET – B.Ed.): 2021

I hereby declare that all statements made in this application are true, complete and correct to the best of my knowledge and belief.I understand that
in the event of any information being found false or incorrect at any stage, my candidature for B. Ed. Admission is liable to be cancelled.

Date: 2021-05-04 14:53:39.663   Place:Madhubani

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