3/10/2019 BEd 2019 Registration Form

Applicant Details Application Print

Personal Details

Registration No. : 20191576029

Candidate Name : VISHAKHA AGARWAL

Candidate Father Name : MR. PAWAN AGARWAL

Candidate Mother Name : MRS. PADMA AGARWAL

Candidate Date of Birth : 04/Jan/1998

Gender : Female

Nationality : Indian

State Domicile : UP

10th Passed From UP : Yes

12th/equivalent Passed From UP : Yes

Graduation Passed/Appearing From UP : Yes

Category : General

Do You Belong To Economically Weaker Section? : No

Differently Abled : No

Marital Status : Unmarried

ID Proof : Aadhar Card

ID Number : 589279658945

Communication Address

Email Address
vishakhaagarwal98@gmail.com

Mobile Number
9140298532

Alternate Mobile Number

9044973395

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3/10/2019 BEd 2019 Registration Form
Address Line 1
13/386

Address Line 2
Civil Lines

State
Uttar Pradesh

Town/ City
Kanpur

Pincode
208001

Permanent Address

Permanent Address Line 1

13/386

Permanent Address Line 2

Civil Lines

Permanent State
Uttar Pradesh

Permanent Town/ City

Kanpur

Permanent Pincode
208001

Upload Documents

Scanned copy of passport size photograph

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Scanned copy of signature.

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Scanned copy of Left and Right hand index finger impression .

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scanned copy of 10th/12th/UG which is issued from College/University belong to UP

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Stream Opted for B.ED

Stream Opted for B.ED

Commerce

SSC/ 10th Std/ Equivalent Details

Board Name
ICSE

Marks Obtained
498

Maximum Marks
600

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3/10/2019 BEd 2019 Registration Form

Percentage
83

Year Of Passing
2014

Scanned copy of 10th standard certificate.

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Graduation Details

Have you completed Graduation ?

Appearing

Stream of Graduation
Commerce

Name of University/ Institution

CSJMU

Roll Number
0313239

Year Of Passing for Graduation

2019

Marks Weightage Details

TOTAL WEIGHTAGE : 0

A. Have you participated in National or State level or Inter University Sports Competition?
No

C. Do you need reservation of dependents of freedom fighters ?

No

D. Are you in active service or immersed or retired defense personnel or son/daughter of such personnel, or related to a disabled, missing or dead
defensive personnel as their son/daughter/wife.
No

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

Exam Center City Preferences

Center Choice 1
Kanpur

Center Choice 2
Lucknow

Center Choice 3
Agra

Payment Details

Payment Transaction Number

738286344

Payment Receipt Number

IGAFPIKVT7

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3/10/2019 BEd 2019 Registration Form
Order Id
2019157602920190310220916417

Payment Date
10/Mar/2019

Amount
 1500

Version 13.06.01

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