East N West B.ED Form

Transcription

East N West B.ED Form
B.ED COURSE
Rs. 500/-
Session : ______________
Reg. No. :
EAST N WEST TEACHERS TRAINING COLLEGE
Recognized by ERC, NCTE, Bhubneshwar & Affiliated to B.N. Mandal University, Madhepura
SAHMOURA COLONY, WARD NO. 36, PATUAHA, SAHARSA - 852201
www.enwttc.org | e : [email protected] | Tel. : 06478-205170 | Mob. : 9472913947
Paste recent
(B / W) photograph
Method Paper - I
Method Paper - II
1. Personal Details :
First Name___________________ Middle Name__________________ Last Name __________________________
(IN BLOCK LETTERS)
Email ID__________________________ Tel. __________________________ Mob. __________________________
2. Mother's Name (IN BLOCK LETTERS) __________________________________________________________________
3. Father's Name (IN BLOCK LETTERS) ___________________________________________________________________
4. Date of Birth : D
D
6. Gender : Male
M M
Y
Y
Y
5. Nationality : ______________________________
Y
Female
7. Blood Group : _____________________________
8. Permanent Address : ____________________________________________________________________________
__________________________ District : ___________________ State : __________________ Pin : _____________
9. Local Guardians Name & Address : ________________________________________________________________
______________________________________________________________________________________________
__________________________ District : ___________________ State : __________________ Pin : _____________
10. Category : GEN
EBC
BC
BCW
SC
ST
PWD ............
11. Academic Qualification :
Sl.No.
Examination Passed
1.
GRADUATION
2.
POST - GRADUATION
Name of University
Year
Marks Obtained
% of Marks
Subject
3.
12. I hereby declare that the entries made in application form are correct to the best of my knowledge and belief. Note that the
decision of the college is final with regard to the selection for admission. If selected for admission, I promise to abide the rules
& regulation of the college. The college shall have right to expel me from the college at any time after admission. I agree that
all dispute are subject to the Jurisdiction of the courts of SAHARSA only. Fees paid on counseling and admission will not be
claimed back under any circumstances.
Date :
Signature of Student
EAST N WEST TEACHERS TRAINING COLLEGE
Admit Card
Recognized by ERC, NCTE, Bhubneshwar & Affiliated to B.N. Mandal University, Madhepura
SAHMOURA COLONY, WARD NO. 36, PATUAHA, SAHARSA - 852201
www.enwttc.org | e : [email protected] | Tel. : 06478-205170 | Mob. : 9472913947
B.ED Course : Session ________________Reg. No. ______________ (To be filled by Issuing Authority)
Name of the Candidate (in Capital Letters)
Paste recent
colour photograph
Father's Name :
Place of Exam :
Date of Exam. :
Time :
Signature of the Issuing Authority .......................................................
Specimen Signature of Candidate
NOTE : Student are instructed to come along with Admit Card, a quality HP Pencil, Eraser, Sharpener Black/Blue Ball Pen.
Fee Structure for B.ED
Bachelor of Education (2 Years)
Particulars
1st Year
2nd Year
5,000/-
x x x....
Tuition Fee
51,500/-
51,500/-
Library Fee
2,500/-
2,500/-
Laboratory Fee
1,500/-
1,500/-
10,000/-
10,000/-
2,000/-
2,000/-
400/-
400/-
3,000/-
3,000/-
600/-
600/-
3,500/-
3,500/-
xxx
xxx
80,000/-
75,000/-
Admission Fee
Development Fee
Study Material & Teaching Aid Fee
Recreational Fee
College Examination Fee
Registration Fee
Miscellaneous Fee
Project / Dissertations Fee
TOTAL
Note : Fee to be deposited by Cash / D.D. at any branches of PNB through Challan.
Declaration
I undertake the responsibility of paying all dues of my ward regularly and I bind myself for her / his dues compliance
with all Rules & Regulations as amended from time to time by the College.
Date :
Signature of Parent / Guardian
Enclosure Check List (Tick whichever is applicable)
i.
ii.
iii.
iv.
v.
vi.
vii.
viii.
ix.
Date of Birth Certificate
10th & 12th Mark sheets
Graduation Mark sheets
Post Graduation Mark sheets
Transfer Certificate
Migration Certificate
Cast Certificate
Permanent Residence Proof
Affidavit by Student and Parent / Guardian.
Attached one set of self attest photocopies.
Stamp
To ,
From :
EAST N WEST TEACHERS TRAINING COLLEGE
SAHMOURA COLONY, WARD NO. 36,
PATUAHA, SAHARSA - 852201
Tel. : 06478-205170 | Mob. : 9472913947
www.enwttc.org | e : [email protected]