No.

Shan(hi Charitable Trust (R)

S C T COLLEGE OF EDUCATI0N (B.Ed.)Afflliated to Bangalore Unlversity, Approved by Govt. of Karnataka

and Recognlsed by NCTE, New Delhi

Kaggadasapura Main Road, Vignananagar, New Thippasandra Post,Bangalore - 560 075. Ph. :2524069425245225 Fax:25245200

E-mail : sctce2OO4@gmail.com

APPLICATION FOR?J YEAR B.Ed. COTIRSE

ADMISSION FOR THE YEAR 20 . 20

AFFIX LATESTPASSPORT SIZEPHOTOGRAPH

1) Name of the Candidate :

(ln Block Letters)

2. a) Name of the Father :

b) Name of the Mother :

c) Name of the Husband / Guardian :

d) Annual lncome: e) Profession :

3) Date of birth : 4) Sex : Mate l-l Femate l--l5) Education :

(B.A., B.Sc. orB.com)ANY Degree/P.G

Year ofPassing

eollege University Max.Marks

MarksObtained

Percent-age

6) Subjects studied in Degree : Arts fl Science [-_l Commercel-l Otners ...............

7) Medium of lnstruction in Degree : 8) Medium studied in S.S.L.C.:

9) Any other Degree StudiedM.A. / M.Sc., etc.,

Degree University Class

10) First Language studied in Degree......"

11) Nationalitv: 12) Relioion '

13) Caste. Select the one applicable. Enclose Caste Certificate

a) S.C. n b) s r. E c) Group 1 f] d) Group 2 (A) fle) Group 2 (B) n fl Group 3(A) f] g) Group (B) [-] h) Generat t]l) Person with Disability E j) Ex-Serviceman [-l

14) Native of Karnataka : l--l Other States : n15) PermanentAddress:

Pin Code:Phone :

e-mail- ld :

14) Local Address

Pin Code :

Phone (Candidate)

e-mail - ld :

Phone (Guardian) :

15) Methods of teaching selected in B.Ed.

16) Enclosures : 1)

-2-

Method I :

Method ll :

2)

4)3)

Date:

Place:Signature of the

Parent / Guardian / HusbandSignature of the Candidate

candidates willing to get admitted have to produce the following relevant original documents compursorilyfor U n iversity verification a nd Adm ission Aoproval.1 . SSLC or 1Oth Marks Card and passing Certificate.2. PUC or 12th Marks Card and passing Certificate.3' Degree (3 years)/ pG (2years) Marks card and passing certificate.4. rransfer certificate (T.c) / coilege Leaving certificate (cLc)5. Migration Certificate.

6. 2 Sets of Xerox Copies of alloriginaldocuments7 . 6 Passport size photos & 2 stamp size photos.8. Caste Certificate (lf applicable)

Admission No.:

Date:

Above mentioned information is true to the best of my knowtedge and berief.

Principal

FOR OFFICE USE ONLY