Government of Karnataka

Bangalore
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

820802

02. Candidate's Name

ABHISHEK R

03. Nodal Centre

CTE, Chitradurga

04. Date of Birth

06 Jul 1994

05. Native District

Chitradurga

06.

No

Whether you are belong to Hyderabad-Karnataka

Candidate, Under 371(J) Notification?

06a. If Yes Specify the District

NIL

07.

Category

2A

08.

Gender

Male

09.

Physically handicapped

No

10.

State

Karnataka

11.

Mother Tongue

Kannada

12.

Have you Studied in Kannada medium from 1st to 10th Yes

Std

13.

Combination Studied in Degree Level

Arts

14.

Mother's Name

GEETHAMMA

15.

Father's Name

REVANAPPA

Postal Address
16a. Location

CHIKKAPURA POST

16e. State

Karnataka

16b. Street

ECHALANAGENAHALLI

16f. Pincode

577520

16c. City

CHITRADURGA

16d. District

CHITRADURGA

16g. Telephone No. 16.h Mobile No 9880820477

taranginicomputers@gmail.com
16f. E-Mail

17a. Street

ECHALANAGENAHALLI

17d. District

CHITRADURGA

17b. Location

CHIKKAPURA POST

17e. State

Karnataka

17c. City

CHITRADURGA

17.f Pincode 577520

Permanent Address

18

Special Group

17.g Telephone No. -

None

SSLC Details
19.

SSLC Exam Board affiliated to

19a. S.S.L.C Medium

Karnataka
Kannada

Languages studied at S.S.L.C

19b. Language I

Kannada

19c. Language II

English

19d. Maximum Marks

625

19e. Obtained Marks

307

PUC Details
20a. II PUC/Equv Exam Board affiliated to

Karnataka

20b. Registration Number of II PUC

451881

20c. II PUC Year of Passing

2012

20d. PUC Medium

Kannada

Kannada

20f. Language II

English

Languages studied at PUC

20e. Language I

600

20g. Maximum Marks

439

20h. Obtained Marks

Qualifying Examination details

21

Have you Studied Bachelor Degree

Yes

21a. Passed all the 3 years in University Examinations

Yes

21b. Degree

B.A

21c. Other Degree

NIL

21d. University Studied at Degree Level

DAVANAGERE UNIVERSITY

Elective Subjects Studied at Degree Level

21e. Optional I

English

21f. Other Optional I

NIL

21g. Optional II

History

21h. Other Optional II

NIL

21i. Optional III

Sociology

21j. Other Optional III NIL

Languages studied at Degree Level

21k. Language I

Kannada

21l. Language II

English

Bachelor Degree Details

Year

Total Maximum Marks

Total Obtained Marks

1000

645

II

1000

629

III

1800

1240

IV

Nil

Nil

Total

3800

2514

21m. Have you Studied PG Degree

No

22.

Annual Income

Below 2.5 Lakhs

23.

Exact Income

11000

24.

Presently working in Govt. /Aided Institution

No

Percentage

66.158

Institutions in the Order of Preference

Preference

District

Institution Type

Institution

Chitradurga

Government College

College of Teacher Education

Chitradurga

Unaided College

PVS College of Education

Chitradurga

Unaided College

Smt. Hemavathi Kuvempu Women's

Chitradurga

Unaided College

Sri Raghavendra College of Education

Chitradurga

Unaided College

St. Mary's College of Education

Chitradurga

AidedCollege

Sree Venkateshwara Colleg of Education

Chitradurga

Unaided College

Bapuji College of Education(B.Ed.)

Chitradurga

Unaided College

Sri. B.G.N.M Vividodesha Samsthe

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

: 04-Jan-2016 03:28:38 PM

IP Address : 103.231.218.158
Signature of the Applicant