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Swami Vivekanand (B.eD.) College
Application Form for B.eD. (Applied)(Analytical Techniques)
Entrance Test, 2011-2012

Personal Data
Surname First Name Middle Name
Date of Birth
[dd/mm/yyyy]		 Gender  
Address for Correspondence
Address
City State Pin
Phone Mobile Email
Father's Name
Mother's Name
Guardian Name
Details of Qualifying Examination
Year/Semester Subject(s) Month and Year of passing/Appearing Total Marks Obtained Out of Percentage
Matriculation
12th Equivalent
Bachelor Degree

Cagegory tick(√) Mark

(Caste reservation will be applicable only to those who orginally belongs to the state of Bihar)
UR SC ST EBC OBC
Application Fee Details
DD Amount DD No  
DD Date
[dd/mm/yyyy]		 Bank Name Branch Name
Note: The Demand Draft should be drawn in the name of ‘Registrar,Swami Vivekanand College’, payable at Swami Vivekanand and drawn on any Nationalized Bank
Declaration

I hereby declare that all statements made in this application are true ,complete and correct to the best of my Knowledge and belief. I understand that in the event of any information being found false or incorrect, my candidature is liable to be cancelled or rejected. I am aware that I need to obtain and produce my Original Certificates enlisted above at the time of admission.