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    Government of Office of The Commissioner For Public Instructions Centralised Admission Cell Application Form For Admission To Two Year B.Ed Course For The Year 2019-20 Karnataka

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    punith1435
    Nagaveni C R applied for admission to a two year B.Ed course for the year 2019-2020. She provided her personal details including name, date of birth, address, reservation details under the social category of 2A, education qualifications including a BA degree, and her choices of institutions in Koppal and Bellary districts. She declared that the information provided is true to the best of her knowledge and is aware her application could be rejected if any information is found to be false.

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    Government of Office of The Commissioner For Public Instructions Centralised Admission Cell Application Form For Admission To Two Year B.Ed Course For The Year 2019-20 Karnataka

    Uploaded by

    punith1435
    53 views2 pages
    Nagaveni C R applied for admission to a two year B.Ed course for the year 2019-2020. She provided her personal details including name, date of birth, address, reservation details under the social category of 2A, education qualifications including a BA degree, and her choices of institutions in Koppal and Bellary districts. She declared that the information provided is true to the best of her knowledge and is aware her application could be rejected if any information is found to be false.

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    we are black berry boys

    Original Title

    4039491

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    Nagaveni C R applied for admission to a two year B.Ed course for the year 2019-2020. She provided her personal details including name, date of birth, address, reservation details under the social category of 2A, education qualifications including a BA degree, and her choices of institutions in Koppal and Bellary districts. She declared that the information provided is true to the best of her knowledge and is aware her application could be rejected if any information is found to be false.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    53 views2 pages

    Government of Office of The Commissioner For Public Instructions Centralised Admission Cell Application Form For Admission To Two Year B.Ed Course For The Year 2019-20 Karnataka

    Uploaded by

    punith1435
    Nagaveni C R applied for admission to a two year B.Ed course for the year 2019-2020. She provided her personal details including name, date of birth, address, reservation details under the social category of 2A, education qualifications including a BA degree, and her choices of institutions in Koppal and Bellary districts. She declared that the information provided is true to the best of her knowledge and is aware her application could be rejected if any information is found to be false.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    GOVERNMENT OF KARNATAKA

    Office of the Commissioner for Public Instructions


    Centralised Admission Cell
    APPLICATION FORM FOR ADMISSION TO TWO YEAR B.Ed Course For the Year 2019-20

    Personal Details
    Application No 4039491 User Name nagaveni@123
    Name NAGAVENI C R
    DOB 7/8/1998 Gender Female
    Father Name RANGAPPA C Mother Name RADAMMA
    Email ID kssaipunith1329@gmail Mobile No 7026400056
    .com
    Nodal Center N16 - Bellary

    Permanent Address
    Address 21 st ward, H B COLONY
    KAMPLI SUGAR FACTORY
    KAMPLI
    HOSPET
    Bellary
    Karnataka
    583132

    Postal Address
    Address 21 st ward, H B COLONY
    KAMPLI SUGAR FACTORY
    KAMPLI
    HOSPET
    Bellary
    Karnataka
    583132
    Reservation Details
    Kannada Medium No Mother Tongue Kannada
    Physically Challenged No Nature of handicap -
    Are you Claiming Yes Category 2A
    reservation under any
    social category
    Caste RD Number RD0038550045921 Claim HK Yes
    HK Region 0 HK RD Number RD0039300010443
    Karnataka/Non Karnataka Karnataka Special Group -
    Income Range Below 2.5 Lakhs Annual Income 11000

    Education Details
    Passed SSLC Yes Passed PUC Yes
    Passed JOC No
    Under Graduate Details
    Studied Degree Yes
    Passed/Appeared for final Passed Degree BA
    year and waiting for result

    1
    Admission Year 2016 Passed Year 2019
    Langauage I Kannada Language II English
    Optional I History Optional II Kannada
    Optional III Sociology
    Univeristy VIJAYANAGARA SRI KRISHNA DEVARAYA UNIVERSITY
    Maximum Marks 4000 Obatained Marks 2830
    Percentage 70.75
    Post Graduate Details
    Studied PG No PG Passed Year 0
    PG Subject University
    PG Maximum Marks 0 PG Obtained Marks 0
    Percentage 0
    Choices of Institution (In the order of Preference)
    Preference District Name Institution Type Institution Name
    1 Koppal UnAided S.M.B.S College of Education,
    2 Koppal Aided TMAE College of Edn.
    3 Bellary Aided Kottur Swamy College of Education
    4 Bellary UnAided National B.Ed College
    5 Koppal UnAided Surabhi Women B.Ed College

    Payment Details
    Order Id 11072019202224 Bank Ref. No. 1152380795016
    Payment Status SUCCESS Payment Mode DC
    Amount 300 Transation Date 2019-07-11

    Declaration :-

    I here by declare that the information provided by me is true and correct to the best of my
    knowledge.I have read the contents and condition given in the notification and I confirm the same.I am aware
    that, If any of the information provided in the application form is found to be false/Incorrect, Application is
    liable to be rejected at any point of the time and my selection for the B.Ed Course is also liable to be cancelled
    at any stage and action can be taken as per law.
    Applicant Signature

    7/11/2019 8:25:52 PM

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