UPBED - 2014: Complete Application for Registration Number :412102899 http://upbed.nic.in/UPBEDAPP/appauth/UPBEDConfirmationPage.

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COMPLETE APPLICATION FORM : JEE B.Ed.-2014

Registration No. 412102899

/
: e-Receipt
" ,

. . - 2014,

A4 Address slip
, I.T.H.M. ,

, , -284128 " /

18.03.2014

A-Personal Detail
Name of Candidate
Gender

SUNEETA
FEMALE

Married

NO

Nationality

INDIAN

Religion

HINDU

Father's Name

NANHE SINGH

Date of Birth

06/07/1994

Paper-II(Group)

ARTS

Category

OTHER BACKWARD CLASS(OBC)

Sub-Category

NOT APPLICABLE

Mother's Name

JAGVATI

Parent's Annual Income

35000

Domicile of UP

U.P.

Examination city option

1. MORADABAD

2. BAREILLY

3. GHAZIABAD

Class

University/College

Year

MarksTotal Marks

Percentage

Graduation

MJP ROHILKHAND UNIVERSITY BAREILLY2013

625

1200

52

Post Graduation

NA

NA

NA

NA

NA

Graduation with Sanskrit

NO

Paper-I

GENERAL KNOWLEDGE, HINDI

Weightage Type

N/A

Weightage

B-Qualifying Exam Detail

C-Details of Application Fee

Transaction No. :

IK45791497

Payment Mode:

(SBI )SB-MOPS

Amount:

1000

Date:

24032014 14:44:01

D-Mailing Address:
Name:

SUNEETA

Address:

VILLAGE NARODA
POST AZAM NAGAR CHOPRA
TEHSIL BILARI

District:

MORADABAD

State:

UTTAR PRADESH

PinCode:

244003

Email ID:
Mobile No.

BUDDYSMBD@GMAIL.COM
9720237464

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1.

..-201 4 ( Information) - :

2.
3.
,
4.

..-2014

5.

Signature or Thumb Impression of Parent / Guardian

Left Thumb Impression of Candidate

Signature of the Candidate

179441708d49237f086343fa403d9a2a 3/24/2014 2:55:39 PM

3/24/2014 2:55 PM

UPBED - 2014: Complete Application for Registration Number :412102899 http://upbed.nic.in/UPBEDAPP/appauth/UPBEDConfirmationPage.aspx

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Address Slip
Joint Entrance Examination B.Ed.-2014

Registration No: 412102899 ( Category:-Other Backward Class(OBC) )

CHECKLIST:
1. PHOTO PASTED
2. SIGNATURE OF CANDIDATE
3. LEFT HAND THUMB IMPRESSION OF CANDIDATE
4. SIGNATURE OR THUMB IMPRESSION OF PARENT / GUARDIAN
5. COPY OF E-RECEIPT

To,
The Coordinator,
Joint Entrance Exam B.Ed. 2014,
Institute of Tourism and Hotel Management, I.T.H.M.
Building,
Bundelkhand University,
Kanpur Road, Jhansi - 284128

From,
Name SUNEETA
C/o NANHE SINGH
Address VILLAGE NARODA
POST AZAM NAGAR CHOPRA
TEHSIL BILARI
City MORADABAD
State UTTAR PRADESH
Pin Code 244003

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