Student Details

Name of the Applicant:*

Father's Name:*

Mother's Name:*

Present Address:*

Permanent Address:*

Email Address:*

Contact Number:*

Whatsapp Number:

Alternative Contact Number:

Gender:* Male Female Other

Nationality:

Blood Group:

Date of Birth:*

Date of Admission:*

Aadhaar No:*

Category:*

Academic Details of Higher Secondary or Equivalent:

Name of the School in H.S.:

Statement of Marks in the H.S. or Equivalent Examination Passed by the Applicant:

Name of the Examination	Name of the Board	Year of Passing	Marks Obtained (Aggregrate of the Best Five Excluding EVS)							% of Marks Obtained
Name of the Examination	Name of the Board	Year of Passing	LANG	Sub 1	Sub 2	Sub 3	Sub 4	Total Marks Obtained	Full Marks	% of Marks Obtained

Image* (Only jpg, png and gif Format, max size 2 MB):

Signature* (Only jpg, png and gif Format, max size 2 MB):

MP Admit* (Only jpg, png, gif and pdf Format, max size 2 MB):

HS Marksheet* (Only jpg, png, gif and pdf Format, max size 2 MB):

Account Details:

(A/C Name- Rishi Aurobindo Institute of Teacher Education, Account No- 37081644142, IFSC Code-SBIN0000132, Bank Name- State Bank of India, Branch-LIC More, Midnapore Branch)

Transaction Amount:*

Transaction ID:*

Transaction Date:*

Payment Slip* (Only jpg, png and gif Format):

Declaration from Applicant:

A. I hereby declare that i have read the information booklet and the information provided by me above are true to the best of my knowledge and belief.

B. If at any Stage any part of the information provided by me is found to be incorrect or untrue, my candidature for the Primary Tecahers' Training course will stand cancel. I further state that in the event of any dispute arising out of any reason regarding my candidature or selection for admission, decision of the Rishi Aurobindo Institute of Teachers Education will be final and binding upon me.

Submit

Ref. No.:

Rishi Aurobindo Institute of Teachers Education

Panchkhuri, Paschim Medinipur

West Bengal, PIN-721150

Application for Admission to D.El.Ed Programme

Academic Details of Higher Secondary or Equivalent:

Statement of Marks in the H.S. or Equivalent Examination Passed by the Applicant:

Account Details:

(A/C Name- Rishi Aurobindo Institute of Teacher Education, Account No- 37081644142, IFSC Code-SBIN0000132, Bank Name- State Bank of India, Branch-LIC More, Midnapore Branch)

Declaration from Applicant: