Admission Form
Admission Form
COLLEGE
(NCTE Recognised)
LANKA : HOJAI : ASSAM
Photo
Website : www.kbbedcollege.org. email: [email protected]
PIN : 782446
ADMISION FORM
B.Ed. First Year/ Second Year
Form No. Session : 20 .....-20.....
Roll No. ................................ Sex : Male/ Female
1. Name in Full : Mr./Mrs./Miss ......................................................................................................................................
(In block letters)
2. Father's/Guardian's/Husband's Name ................................................................................................................
.............................................................................................................................................................................
3. Mother's Name .....................................................................................................................................................
4. Permanent Address Present Address
C/O ............................................................................. C/O .............................................................................
Vill/Town ..................................................................... Vill/Town ....................................................................
P.O. ............................................................................ P.O. ............................................................................
Dist. ........................................................................... Dist. ...........................................................................
State .......................................................................... State ..........................................................................
Pin ................ Mob. (Whatsapp) ............................. Pin ................ Mob. (Whatsapp) .............................
email ID : .................................................................. email ID : ..................................................................
5. Race and Religion ..............................................................................................................................................
6. Caste (Gen/SC/ST/OBC/MOBC) .......................................................................................................................
7. Date of Birth (In Christian era) ..................................................................................................................................
8. G.U. Registration No. and year ..........................................................................................................................
9. Particularts of Academic qualification :
Exam ination P assed Board or Y ear of % of M arks C lass or Subject taken
U niversity Passing D ivision
1. Matriculation / HSLC
2. H.S.S.L.C./ H.S.
3. B.A./B.Sc./B.Com.
4. M.A./M.Sc./M.Com.
5. Any other
10. Details of B.Ed. Entrance Exam.: Roll No. ......................... Rank (Open)....................................................
(No objection certificate from the authority concerned should be produced in case of an employees)
Subject -I - (Any one) Teaching M.I.L (Assamese, Bengali, Hindi), English, General Science, History
Declaration :
The above mentioned statements made in the form are true. If found and false, my admission to the