COMPLETE APPLICATION FORM : JEE B.Ed.

- 2023

A - Registration Details
Registration Number BED202310243783
Candidate Name AASTHA SHARMA
Candidate's Father Name MOTI SHARMA
Candidate's Mother Name SUSHMA SHARMA
Candidate's Date of Birth 17/Jun/1995
Email Address aasse.ca2013@gmail.com
Primary Mobile Number 9336300562

B - Personal Details
Gender Female Marital Status Married
Spouse Name ASHUTOSH SHARMA Nationality Indian
Category General Category Certificate Number
State Domicile UP Is 10 From Up Yes
Is 12 From Up Yes Is UG From Up Yes
Is Person with Disability No Disability Type
Disability Percentage Is Economically Weaker No
Id Proof Others Id Proof No
Alternate Email shraddhasharma761@gmail.com Alternate Mobile Number 9120237177
Do you belong to non creamy layer ?

C - Communication Address
A1/18 WORLD BANK BARRA BARRA Kanpur Uttar Pradesh 208027

D - Permanent Address
A1/18 WORLD BANK BARRA BARRA Kanpur Uttar Pradesh 208027

E - Opted Stream Details

Stream opted for B.Ed. Arts

F - SSC / 10th Std / Equivalent Details

Board Name UP Board
Marks Obtained 422 Maximum Marks 600
Year Of Passing 2011 Percentage 70.33
G - HSC / 12th Std / Equivalent Details
Board Name UP Board
Marks Obtained 331 Maximum Marks 500
Year Of Passing 2013 Percentage 66.2

H - Graduation Details
Is Graduation complete Pass Stream of Graduation Arts
Specified Stream Have you done BE/BTech
Name of University CSJMU KANPUR
Marks Obtained 491 Maximum Marks 900
Percentage 54.56 Year Of Passing 2016
Roll Number 6181934 Expected Year of Passing

I - Post Graduation Details

Is Post Graduation complete
Name of University
Marks Obtained Maximum Marks
Percentage Year Of Passing
Roll Number Expected Year of Passing

J - Weightage Details
TOTAL WEIGHTAGE : 0
A. Have you participated in National or State level or Inter University Sports Competition No
A.1. In the individual items by the Candidate

A.2. In the team items by the Candidate

A.3. In other college tournaments or sports run by a university

B. Are you Candidates of National Cadet Corps/National Service Scheme/Scout-Ranger Rovers?

C. Do you need reservation of dependents of freedom fighters No

D.
No
Are you in active service / immersed / retired defense personnel or son/daughter of such personnel, or related
to a disabled, missing or dead defensive personnel as their son/daughter/wife

E. Is your father or husband is serving in/retired from police or PAC or BSF or SSB or ITBP or CRPF or service in
home guards or disabled / dead in such services No
F. Female Candidate who is Widowed, Divorced or Abandoned

K - Center Details
Center Choice 1 Kanpur Nagar Center Choice 2 Kanpur Dehat Center Choice 3 Lucknow
Center Choice 4 Jhansi Center Choice 5 Lalitpur

L - Payment Details
Payment Status Success Payment Date 01/Mar/2023
Transaction Number YHDF1761915553 Receipt Number 20230301
Order Id BED20231024378320230301211506786 Total Amount 1400

M - Declaration
I understand that it is my responsibility to check the eligibility criterion and other conditions of the J.E.E. B.Ed. 2023 – 25. I am also aware that the Bundelkhand University,
Jhansi is not verifying the eligibility at the time of submission of online application form. I, hereby, certify that the particulars given by me in this B.Ed. 2023 – 25 online
application form are true to best of my knowledge and belief and only I will be responsible for any mismatch or incorrect information. I also certify that I fulfil the
eligibility criteria laid down by Bundelkhand University, Jhansi for J.E.E. B.Ed. 2023 – 25 and undertake to produce original documents whenever necessary. I will follow all
instruction given by Bundelkhand University, Jhansi in this regard. I understand all disputes will be subjected to territorial jurisdiction of Jhansi City only.