12/15/23, 10:34 PM Application Form

State Council of Educational Research and Training (SCERT), Chhattisgarh

राज्य शैक्षिक अनुसंधान एवं प्रशिक्षण परिषद् रायपुर (छत्तीसगढ़)

BTI Ground Shankar Nagar, Raipur PIN-492007

Phone :- 0771-2443596, 2443496, Fax :- 2443496
Website :- http://scert.cg.gov.in/

Application Form

B.Ed.
Print Date : 15/12/2023 : 22 : 37

Phase: 7 Registration No : BED230117836 Version No : 1

Personal Details
Applicant Name / नाम : DIVYA PANDEY
Date of Birth/जन्म की तारीख : 04-Jan-1999

Gender/लिंग : Female

Caste/Category/जाति/श्रेणी: GEN

Special Category/विशेष श्रेणी: None

Mobile Number / मोबाइल नंबर: 8435123333

Email Id / आपका ईमेल आईडी: Dp23dec@gmail.com
Father's/Husband's Name : DEVNARAYAN PANDEY
Mother's Name / माता का नाम: VIDYA PANDEY
Address Details
Address / पता: Behind post office Krishna colony, Baloda Bazar
State / राज्य: Chhattisgarh
District / जिला: Baloda Bazar
Pin Code / पिनकोड : 493332
Domicile State : Chhattisgarh
Entrance Exam (Pre B.Ed.) Exam Details
Roll Number 13541179
Obtained Marks 49.485
Graduation Exam Details
University Name Banglore university
Year of Passing 2023
College Name Mount Carmel
Graduation Course Name B.Com.
Course Name (If selected "Other" in Graduation
Course Name dropdown.)
Subject wise Marks of Graduation / Post Graduation Exam
Subject Name Max Marks Obtained Marks Percentage
UG 1 Year 1400.000 712.000 50.857
UG 2 Year 1500.000 777.000 51.800
UG 3 Year 1500.000 823.000 54.867
Application Details Applied On: 15-Dec-2023 10:33 PM
Preference Course Name College Name College Type
111310-J.E.S. College,Gram-Farhada, Near Gatora Rly.
1 B.Ed. Private
Station, Bilaspur
Declaration

https://online.cgstate.gov.in/SCERTOnline/Application/PopUpCandidateApplicationForm.aspx?strRegId=A9x%2fcQL%2fHCOepRBOwKieEQ%3d%3d 1/2
12/15/23, 10:34 PM Application Form

I have read all the Admission Rules issued by SCERT Chhattisgarh and understanding these rules, I
have filled the application form for consideration for the allotment / admission to B.Ed. course for
the academic year 2023-2024. The information given by me in this application is true to the best of
my knowledge & belief. If at later stage, it is found that I have furnished wrong information and/or
submitted false document(s), I am aware that my allotment / admission shall be cancelled and I shall
be subjected to legal and/or penal action as per the provisions of the law.

Place: Signature of Candidate

Date: ( DIVYA PANDEY )
Print

https://online.cgstate.gov.in/SCERTOnline/Application/PopUpCandidateApplicationForm.aspx?strRegId=A9x%2fcQL%2fHCOepRBOwKieEQ%3d%3d 2/2