7/17/13 ..:: Directorate of Higher Education, Maharashtra State, Pune. B.Ed.- C.E.T. 2013-14 ::..

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Page 1 of 2
Government of Maharashtra
Directorate of Higher Education,Pune
Application Form for B.Ed. 2013-14 Admission Process

Version No. : 1.0
H. / Form No: 100041540
/ Name : Miss. Hemangi Yashwant Sarode ( |) :
Candidate Photo

Candidate Sign
/ Mother's Name : Shobhana
/ Gender : Female c / Citizen of(Country) : India
= / Place of Birth : Bhusawal = / Date of Birth : 17 Jan 1987
1 / Marital Status : Married H. / Aadhar Number : 841630448187
d /
Address :
Old Satara, Infront Of Ram Mandir, Jalgaon Naka, Bhusawal., City- Bhusawal,
Taluka- Bhusawal, District- Jalgaon, State- Maharashtra. Contact No:
919823866650, 919823866650, MobileNo- 9823866650, EmailId-
sajan.chaudhari@gmail.com.
:: H / Reservation Category Details
/ Religion : Hindu / Caste Name : Leva Patidar
H / Reservation Category : OBC - |
/ You have Cast Certificate : Yes
/
You have Cast Validity Certificatet : No
7 / Domicile of :
Maharashtra
H| /
You have Non Creamy Layer Certificate : Yes
| H c 7 ? /
From which state have you completed your Graduation? : Maharashtra
| ~F ? / Do you belong to Minority Community : No
*d ? / Whether you got scholarship before? : No
:: |7* c / Physically Handicapped Details
|7* ? / Physical Handicapped : No
:: | |H 5 / CET Exam Center Preference
H /
Preference No.
| 5 /
CET Center Code
/ City
|H 5 /
Exam Center Name
1 PUN033 Pune Dr.D.Y.Patil College, Pimpri, Pune
2 PUN030 Pune H.V. Desai Mahavidyalaya, Near Shaniwar Wada, Pune-411 002
3 PUN034 Pune Modern College, Shivajinagar, Pune
4 PUN032 Pune Aabasaheb Garware College, Pune
5 PUN029 Pune Fergusson College, Fergusson College Road, Pune 411004
6 PUN031 Pune Nowrojsi Wadia College, Pune
:: / Degree Information
1 / Degree Status : Pass
4 / Degree Percentage : 72.80
.. H / Eligibility Level for B.Ed. Admission Process : Graduation
| ? / Do you want to apply for English medium colleges? : Yes
| .. H ? / Do you want to apply for B.Ed. Special Education colleges?
: No
| F ? / Do you want to apply for colleges in Kavikulguru? Kalidas University :
No
| F |(1 ) ? / Are you qualified for admission in Kavikulguru Kalidas University
(Sanskrit)? : No
7/17/13 ..:: Directorate of Higher Education, Maharashtra State, Pune. B.Ed.- C.E.T. 2013-14 ::..
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:: Declaration
I hereby declare that I have provided correct information in this application. I understand and agree that any misrepresentation
or omission of facts in my application will justify the denial of admission, the cancellation of admission, or expulsion from the
program at any stage.
Signature of Candidate
7/17/13 ..:: Directorate of Higher Education, Maharashtra State, Pune. B.Ed.- C.E.T. 2013-14 ::..
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Page 2 of 2
Government of Maharashtra
Directorate of Higher Education,Pune
College Registration Form for B.Ed. 2013-14
Admission Process

Version No. : 1.0
H. / Form No: 100041540
:: Declaration
1. I undertake and declare that I have read all the rules of admissions published in prospectus on web site.
2. I promise to abide by the rules and regulations of the University and College during the training period.
3. I assure that I will not do anything wrong against the college discipline on its premises or even outside.
4. I undertake to pay the revised tuition fees as and when revised by the authorities during my training period.
5. I shall not accept any full time or part time appointment during the training period.
6.
I am aware of the process that information filled by candidate online is not scrutinized at any stage till provisional
admission letter is issued.
7.
I am aware of the rule that admission made online are provisional which will be final after verifications of original
Document/Certificate eligibility at admitted college.
8.
If admission is rejected due to eligibility criteria or due to varying information in document at any stage I will not have any
complain & that will be my responsibility.
9.
I hereby declare that all the information furnished by me in this Application Form are true, complete and correct to the
best of my knowledge.
Place :
Date : 7/17/2013 9:42:36 PM
Signature of Candidate
(Miss. Hemangi Yashwant Sarode)