DMMTC D.El.Ed Admission Form 2024

B.Ed./D.EL.ED

Vill. : Banaso, Bishnugarh, Hazaribagh, Jharkhand Recognised by : ERCNCTE, Bhubneswar and Affiliated by Binobavhaba University, Hazaribagh Jharkhand Academic Council, Namkum, Ranchi, Jharkhand - 834004

Application Form for admission into B.Ed./D.EL.Ed. Course
Name of the candidate*
Father's name
Mother's name
Complete Address
H.No*
P.O
Dist
PS
State*
Pin Code*
Contact No. (1)*
Contact No. (2)
Parent's Contact No. *
Date of Birth (as per Matric Board Certificate)*

MonthDayYear
Date
Date of Birth (as per Matric Board Certificate) Date of Birth in words
Age as on 01-07-2024
Years
Months
Days
E mail ID
Nationality
Aadhar No.
Gender (Male/ Female)
Category (Attach Certificate if applicable)
Married (Single / Married)

Educational Qualification

Extra Curricular activities

Rows	Level of participation (State/ National)	Certificate with grade	Certifying authority
NCC / NSS
Sports / Cultural Activities

Date

DayMonthYear
Date
Place
Passport size phograph*
Signature
Aadhar Card*

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Matric Certificate

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Marriage Certificate

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Caste Certificate

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boim-487187790265@boi
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