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    BED202310153828

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    academia.buddheshwarchauraha

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    BED202310153828

    Uploaded by

    academia.buddheshwarchauraha
    17 views2 pages

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    17 views2 pages

    BED202310153828

    Uploaded by

    academia.buddheshwarchauraha

    Copyright:

    © All Rights Reserved
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    COMPLETE APPLICATION FORM : JEE B.Ed.

    - 2023

    A - Registration Details
    Registration Number BED202310153828
    Candidate Name SURAJ KUMAR SINGH
    Candidate's Father Name RAJENDRA KUMAR SINGH
    Candidate's Mother Name LAXMI SINGH
    Candidate's Date of Birth 10/Apr/1993
    Email Address surajsingh.suryaa@gmail.com
    Primary Mobile Number 9307341083

    B - Personal Details
    Gender Male Marital Status Unmarried
    Spouse Name 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 mathematicsportal.suryaa@gmail.com Alternate Mobile Number 7704958564
    Do you belong to non creamy layer ?

    C - Communication Address
    599 BB M-2/14 BUDDHESHWAR VIHAR NEAR RING ROAD LUCKNOW Lucknow Uttar Pradesh 226017

    D - Permanent Address
    599 BB M-2/14 BUDDHESHWAR VIHAR NEAR RING ROAD LUCKNOW Lucknow Uttar Pradesh 226017

    E - Opted Stream Details


    Stream opted for B.Ed. Arts

    F - SSC / 10th Std / Equivalent Details


    Board Name UP Board
    Marks Obtained 335 Maximum Marks 600
    Year Of Passing 2009 Percentage 55.83
    G - HSC / 12th Std / Equivalent Details
    Board Name UP Board
    Marks Obtained 336 Maximum Marks 500
    Year Of Passing 2011 Percentage 67.2

    H - Graduation Details
    Is Graduation complete Pass Stream of Graduation Arts
    Specified Stream Have you done BE/BTech
    Name of University UNIVERSITY OF LUCKNOW
    Marks Obtained 597 Maximum Marks 900
    Percentage 66.33 Year Of Passing 2015
    Roll Number 1310401226 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 Lucknow Center Choice 2 Kanpur Nagar Center Choice 3 Unnao
    Center Choice 4 Hardoi Center Choice 5 Kanpur Dehat

    L - Payment Details
    Payment Status Success Payment Date 28/Feb/2023
    Transaction Number YHMP1759408873 Receipt Number 20230228
    Order Id BED20231015382820230228191654767 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.

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