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Guru Nanak College of Education and Research (76)

Educational Complex, Near Shivaji Talao, Tank Road, Sardar Pratap Singh Road. Mumbai Application No :
University of Mumbai
M.G.Road, Fort, Mumbai-400032, Maharashtra(India)
2886659
Academic Year: 2022-2023 Regular
APPLICATION FORM

Course Applied for : B.Ed.(with Credits) - Regular - Rev16 - F.Y. B.Ed. Sem I [4E00141] (-) PRN:2019016400393872
Application Date : 22/12/2022 Payment Category :
1.Personal Information
Candidate's Name(Regional) :
ASADE ANGEL ANAND
Candidate's Name as printed on
[*This name will appear on all University
Mark sheet :
records/documents]
Father's/Husband's Name : ANAND Mother's Name : PRAMILA
Marital Status : UnMarried Mother Tongue :
Place Of Birth : MUMBAI Gender : Female Date of Birth (DD/MM/YYYY) : 03/11/2001
Blood Group : Religion : Country of Citizenship : India
Is Student NRI/ Foreign National : No Domicile State: Maharashtra
Address For Correspondence :
District : Mumbai Location Area : Not
State : Maharashtra Tehsil : Kurla City/Town/Village :
Suburban Available
Address (House
no,street/area/suburb ROOM NO 4398 CHAWL NO 372 GROUP NO 4 Pin Code : 400083
etc.) :
Contact details
Mobile
8454068160 Email ID: ANANDJA73@GMAIL.COM
Number
2.Legal Reservation Information
Category Type :
Category : GEN
Open
Is Guardian from EBC (Economic
Is Specially Abled? No
Backward Class)? No
3.Social Information(Additional Inforamtion)
Not Applicable
Paper Selected for:
Sem I [4E00141]
75101 - Childhood And Growing Up 75102 - Knowledge and Curriculum
75103 - Gender, School and Society UBEDSI.1.4 - Critical Understanding of ICT
UBEDSI.1.5 - Project Based Course 1
Sem II [4E00142]

47612 - Learning And Teaching 47613 - Educational Management

UBEDSII.2.4 - Project Based Course 2 47605 - Pedagogy of Teaching:History

Medium of Instruction : English

4.Guardian Information
Occupation of Guardian : Service Annual Income of Guardian : 100000
5.Educational Details
 Month
Name of
Name of Name of and Exam Certificate Mark
Board/University and Out of CGPA %
Examination School/College Year of Seat No. No. Obtained
State of University
Passing
MAHARASHTRA STATE
BOARD OF SECONDARY
June
Std 10th AND HIGHER -- -- 384.00 500.00 -- - -- 76.80
2017
SECONDARY
EDUCATION,
MAHARASHTRA STATE
BOARD OF SECONDARY
Std 12th 12Th May
AND HIGHER -- -- 481.00 650.00 -- - -- 74.00
(Arts) 2019
SECONDARY
EDUCATION,
Degree : B.A.
(Autonomous)
Passed -- -- - - -- - -- -
(With Credits)-
Regular-CBCS
Degree : SIES COLLEGE
Bachelor's Of University of OF ARTS, March
TA2122405 -- 2294.00 4000.00 -- - -- 57.35
Arts (Political Mumbai,Maharashtra SCIENCE AND 2022
Science ) COMMERCE
Your Last Qualifying Exam: Bachelor's Of Arts
7.Other Information
Would you like to apply for Hostel accommodation required NA
Required Documents and Certificates Section:
Passing Certificate of Std 12th / Statement of Marks of Std 12th OR Original Passing Certificate /Statement of Marks of Last
Qualifying Exam like degree,diploma,etc.

Statement of CET/Certificate of CET.

Mark/Grade Statement of Semester-VI

DECLARATION
I hereby declare that all the information furnished by me in this application form is true, complete and correct to the best of my
knowledge and belief. I do understand that I need to obtain and produce all the required documents. I Application No :2886659
(ASADE ANGEL ANAND) admit to having understood what constitutes ragging and sexual harassment. I have read the guidelines
related to the same. I hereby affirm that if found guilty of ragging or sexual harassment I am liable for punishment according to
the university regulations.

Place : Date :
( Signature of the Candidate )
For College/Institute/Study Center Use Only
Designation Signature and
Remarks / Particulars / Recommendations
Date
Admission Clerk
Admission
Committee
Accountant/Cashier Cash Received: INR Receipt No.: Date:
Registrar/Office
Superintendent
Document printed on Thu Dec 22 2022 12:43:56 GMT+0530 (India Standard Time)