Government of Karnataka

Bangalore
Application form for Admission to Two Years B.Ed Course For the Year 2015-16
Notification No & Date

AS:J-3/.Er zRw/2015-16

01. Application No

832703

02. Candidate's Name

KUMUDA HAVALIGI MATA G

03. Nodal Centre

CTE, Chitradurga

04. Date of Birth

13 Aug 1993

05. Native District

Chitradurga

06.

No

Whether you are belong to Hyderabad-Karnataka

Candidate, Under 371(J) Notification?

06a. If Yes Specify the District

NIL

07.

Category

3B

08.

Gender

Female

09.

Physically handicapped

No

10.

State

Karnataka

11.

Mother Tongue

Kannada

12.

Have you Studied in Kannada medium from 1st to 10th Yes

Std

13.

Combination Studied in Degree Level

Commerce

14.

Mother's Name

SHAKUNTHALA

15.

Father's Name

GURUMURTHY U

Postal Address
16a. Location

KONANA HATTI

16e. State

Karnataka

16b. Street

NEAR BURUJANAHATTI

16f. Pincode

577501

16c. City

CHITRADURGA

16d. District

CHITRADURGA

16g. Telephone No. 16.h Mobile No 8553459824

taranginicomputers@gmail.com
16f. E-Mail

17a. Street

NEAR BURUJANAHATTI

17d. District

CHITRADURGA

17b. Location

KONANA HATTI

17e. State

Karnataka

17c. City

CHITRADURGA

17.f Pincode 577501

Permanent Address

18

Special Group

17.g Telephone No. -

None

SSLC Details
19.

SSLC Exam Board affiliated to

19a. S.S.L.C Medium

Karnataka
Kannada

Languages studied at S.S.L.C

19b. Language I

Kannada

19c. Language II

English

19d. Maximum Marks

625

19e. Obtained Marks

490

PUC Details
20a. II PUC/Equv Exam Board affiliated to

Karnataka

20b. Registration Number of II PUC

731557

20c. II PUC Year of Passing

2011

20d. PUC Medium

English

Kannada

20f. Language II

English

Languages studied at PUC

20e. Language I

600

20g. Maximum Marks

430

20h. Obtained Marks

Qualifying Examination details

21

Have you Studied Bachelor Degree

Yes

21a. Passed all the 3 years in University Examinations

Yes

21b. Degree

B.Com

21c. Other Degree

NIL

21d. University Studied at Degree Level

DAVANAGERE UNIVERSITY

Elective Subjects Studied at Degree Level

21e. Optional I

Commerce

21f. Other Optional I

NIL

21g. Optional II

Economics

21h. Other Optional II

NIL

21i. Optional III

History

21j. Other Optional III NIL

Languages studied at Degree Level

21k. Language I

Kannada

21l. Language II

English

Bachelor Degree Details

Year

Total Maximum Marks

Total Obtained Marks

1200

774

II

1200

837

III

1400

1000

IV

Nil

Nil

Total

3800

2611

21m. Have you Studied PG Degree

No

22.

Annual Income

Below 2.5 Lakhs

23.

Exact Income

17000

24.

Presently working in Govt. /Aided Institution

No

Percentage

68.711

Institutions in the Order of Preference

Preference

District

Institution Type

Institution

Chitradurga

Government College

College of Teacher Education

Chitradurga

Unaided College

Smt. Hemavathi Kuvempu Women's

Chitradurga

Unaided College

St. Mary's College of Education

Chitradurga

Unaided College

Sri Raghavendra College of Education

Chitradurga

Unaided College

Bapuji College of Education(B.Ed.)

Chitradurga

AidedCollege

Sree Venkateshwara Colleg of Education

Chitradurga

Unaided College

Sri Ranganatha Swamy Education Society

Declaration
I solemnly declare that the information provided in above pages of the coding sheet is true. In case any information is found to be false or incorrect,
I shall forfeit the claim to be considered for selection.
Date

: 05-Jan-2016 07:45:43 PM

IP Address : 103.231.218.158
Signature of the Applicant