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Application form for Admission to Two Years B.Ed Course For the Year 2015-16
Notification No & Date
AS:J-3/.Er zRw/2015-16
01. Application No
818884
KAVITHA J
CTE, Chitradurga
05 Aug 1994
Chitradurga
06.
No
NIL
07.
Category
C1
08.
Gender
Female
09.
Physically handicapped
No
10.
State
Karnataka
11.
Mother Tongue
Kannada
12.
13.
Arts
14.
Mother's Name
PADMA
15.
Father's Name
JAYAPPA
Postal Address
16a. Location
HOLALKERE TALUK
16e. State
Karnataka
16b. Street
TIRUMALAPURA
16f. Pincode
577526
16c. City
CHITRADURGA
16d. District
CHITRADURGA
17a. Street
TIRUMALAPURA
17d. District
CHITRADURGA
17b. Location
HOLALKERE TALUK
17e. State
Karnataka
17c. City
CHITRADURGA
Permanent Address
18
Special Group
None
SSLC Details
19.
Karnataka
Kannada
Kannada
19c. Language II
English
625
366
PUC Details
20a. II PUC/Equv Exam Board affiliated to
Karnataka
449194
2012
Kannada
Kannada
20f. Language II
English
600
423
21
Yes
Yes
21b. Degree
B.A
NIL
DAVANAGERE UNIVERSITY
21e. Optional I
History
NIL
21g. Optional II
Economics
NIL
Political Science
21k. Language I
Kannada
21l. Language II
English
Year
1000
647
II
1000
1284
III
1800
652
IV
Nil
Nil
Total
3800
2583
No
22.
Annual Income
23.
Exact Income
11000
24.
No
Percentage
67.974
Preference
District
Institution Type
Institution
Chitradurga
Unaided College
Chitradurga
Government College
Chitradurga
AidedCollege
Chitradurga
Unaided College
Chitradurga
Unaided College
Chitradurga
Unaided College
Chitradurga
Unaided College
Chitradurga
Unaided College
Chitradurga
Unaided College
10
Chitradurga
Unaided College
Declaration
I solemnly declare that the information provided in above pages of the coding sheet is true. In case any information is found to be false or incorrect,
I shall forfeit the claim to be considered for selection.
Date
: 30-Dec-2015 04:53:05 PM
IP Address : 103.231.218.158
Signature of the Applicant