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RME ApplicationForm

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34 views

RME ApplicationForm

Uploaded by

Raman Kumar
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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HIMACHAL PRADESH UNIVERSITY,SHIMLA -171005.

[Registration,Migration and Eligibility Section]

STREAM : B.Ed Registration No./Application ID : 646594511

College/Institute Name: Shanti Educational Society, Kailash Session: 2021-2022


Nagar, Nakroh, Tehsil Amb. Distt. Una,
HP

Capacity : REGULAR Candidate Category : Scheduled Caste

Medium : Hindi Handicapped : NO

Basic Details :

Name : JYOTI DEVI

Father's Name : RAMESH CHAND


Mother's Name : KANTA DEVI

Date of Birth : 04/05/1997 Gender : Female

Aadhaar No. : 245618405376

Mobile No. : 7876564230 Email-Id [email protected]


:

Fee Details:

Fee Paid Amount : Rs. Dated : Bank Ref No.:

Last Exam Details:


Last exam qualifying Univ./Board : H.P. University

Permanent Address Details : Correspondence Address Details :

Address : VPO NANGAL JARIALAN TEHSIL GHANARI DISTT Address : VPO NANGAL JARIALAN TEHSIL GHANARI DISTT UNA
UNA
State : Himachal Pradesh State : Himachal Pradesh
City / Village : Nangal jarialan
City / Village : Nangal jarialan
Pin Code : 177212
Pin Code : 177212
Phone : 7876564230

Declaration by the Candidate

I have filled the form and carefully verified all the details after careful study of the university syllabi, rules and regulations pertaining to the
year and session of the examination, under reference. The above particulars filled by me are correct and that in case of any discrepancy
therein, I shall be responsible for the consequences, I also certify that I have not been debarred to appear in the examination for any case of
unfair means. No such case is pending against me.

Candidate Sign : Date : Place :

Principal's Sign &Stamp: Date : Place :

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