COMPLETE APPLICATION FORM : JEE B.Ed.

- 2024

A - Registration Details
Registration Number BED202410249551
Candidate Name ADITI SHARMA
Candidate's Father Name RAM PRATAP SHARMA
Candidate's Mother Name SAROJ SHARMA
Candidate's Date of Birth 05/Aug/2002
Email Address aditisharma8957@gmail.com
Primary Mobile Number 9235404472

B - Personal Details
Gender Female Marital Status Unmarried
Spouse Name Nationality Indian
Category OBC Category Certificate Number 595223011193
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
Id Proof Others Id Proof No
Alternate Email vipsvoxxtv997@gmail.com Alternate Mobile Number 9005381546
Do you belong to non creamy layer ? No

C - Communication Address
WARD NO 6 CIVIL LINE KHADDA KUSHINAGAR Uttar Pradesh 274802

D - Permanent Address
WARD NO 6 CIVIL LINE KHADDA KUSHINAGAR Uttar Pradesh 274802

E - Opted Stream Details

Stream opted for B.Ed. Science Language Selected English

F - SSC / 10th Std / Equivalent Details

Board Name CBSE
Marks Obtained 475 Maximum Marks 500
Year Of Passing 2017 Percentage 95
G - HSC / 12th Std / Equivalent Details
Board Name CBSE
Marks Obtained 369 Maximum Marks 500
Year Of Passing 2019 Percentage 73.8

H - Graduation Details
Is Graduation complete Pass Stream of Graduation Science/Engineering
Specified Stream Have you done BE/BTech No
Name of University DEEN DAYAL UPADHYAYA GORAKHPUR UNIVERSITY
Marks Obtained 1158 Maximum Marks 1800
Percentage 64.33 Year Of Passing 2022
Roll Number 2210127220355 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 Gorakhpur Center Choice 2 Deoria Center Choice 3 Basti
Center Choice 4 Varanasi Center Choice 5 Lucknow

L - Payment Details
Payment Status Success Payment Date 25/Apr/2024
Transaction Number ZCHY1937365880 Receipt Number 20240425
Order Id BED20241024955120240425203449067 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. 2024 – 26. 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. 2024 – 26 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. 2024 – 26 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.