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BED Online Application Form-15

This document appears to be an application form for admission to a B.Ed. (Bachelor of Education) distance learning program offered by Kakatiya University's School of Distance Learning and Continuing Education in Warangal, Telangana, India. The form requests basic personal information from the applicant such as name, date of birth, gender, residential status, qualifying exam details. It also asks for information about previous education history and employment experience in teaching. The applicant must affix a recent photo and sign to affirm the accuracy of the information provided, acknowledging the program rules. Signatures from the head of the applicant's institution and university personnel are also required as part of the application process.

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remo1423
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53 views2 pages

BED Online Application Form-15

This document appears to be an application form for admission to a B.Ed. (Bachelor of Education) distance learning program offered by Kakatiya University's School of Distance Learning and Continuing Education in Warangal, Telangana, India. The form requests basic personal information from the applicant such as name, date of birth, gender, residential status, qualifying exam details. It also asks for information about previous education history and employment experience in teaching. The applicant must affix a recent photo and sign to affirm the accuracy of the information provided, acknowledging the program rules. Signatures from the head of the applicant's institution and university personnel are also required as part of the application process.

Uploaded by

remo1423
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Rs.

500/-

KAKATIYA UNIVERSITY
SCHOOL OF DISTANCE LEARNING AND CONTINUING EDUCATION
WARANGAL 506 009 TELANGANA, INDIA

Application for B.Ed. (Distance Mode) 2014-2015

Affix recent
passport size
photograph

Note : The candidate should go through the Prospectus-cum-Application form for


Instructions before filling this application form in English
1.

Name of the Candidate


(in capital letters)

2.

Fathers Name

3.

Mother s Name

4.

Date of Birth

5.

D.D./ Challan : . . . . . . . . . . . . . . . . . .

Date : . . . . . . . . . . . . . . . . . . . . . . . ..
6.

ST

BC-A

Amount : . . . . . . . . . . . . . . . . . . . . . . .
Bank : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

BC-B

Residential status (Put a mark)

9.

Gender (put a mark

10.

Name of the qualifying


examination passed
(Put a mark)

BC-C

Male

BC-D

Local

B.Sc.

B.Com.

Pin Code:
email

PH

Others

METHODOLOGY

Address for Communication


(in Block letters)

OC

Non-local

Female

B.A.

BC-E

Write Methodology

Mobile :

7. Others

8.

12.

(Put a mark)
SC

11.

Others

13.

Particulars of Employment:
Name of the School

Designation

Period of Service
From
To

Days

Months

School

Years

14.

Total length of Service as on 30-04-2015

15.

Particulars of study of preceding seven (7) years starting from the qualifying examination.
Name of the Institution / School / College

Qualification Year of Pass Percentage of Marks


S.S.C.
INTER
TTC/D.Ed.
DEGREE
OTHERS

I hereby solemnly affirm that the above information is correct and I am aware that my admission is liable to
be cancelled in case any information is found to be incorrect. I have gone through and understood the Rules,
Regulations and Instructions for admission into B.Ed. (Distance Mode) Programme offered by SDLCE, Kakatiya
University, Warangal

Date :

Signature of the Candidate

Signature of the Head of Institution


(Headmaster / Headmistress)

Clerk

Co-ordinator

DIRECTOR

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