Form to be Filled in by Candidate in Capital Letter in English
Type of Course
1.
Name of Candidate *
2. A.
Father's Name *
2. B
Mother's Name
3.
*
4. A.
Permanent Address (with pin code) *
4. B.
Temporary Address (with pin code) *
4. C
Attach Domicile Certificate
5. A.
Tel No.(with STD code)
5. B.
Mobile No. *
5.C
Email
6.
Gender*
Male
Female
7.
Category
7. A
Attach caste certificate
8. A
Handicaped
Yes
No
8. B
If yes Please fill the detail
10.
Details of Academic Qualification *
Exam
Board/University
School Name
Passing Year
Enrollment No.
Marksheet
Roll No.
Maximum
Marks
Obtained
Marks
High School
Intermediate
Graduate
Total
Note :
10. B
Attach your Marksheet
11. A.
Type of Photo Identification *
11. B.
Photo Identification No. *
12. A
Photo (Size 15 KB Max, JPG./GIF format only *
12. B
Signature (Size 5 KB Max, JPG./GIF format only *
Declaration to be signed by the candidate
I do hereby declare that the information given by me in my admission form for
in the institute of Teacher Education, Kadrabad, Modinagar is true to the best of my knowledge and belief.
I undertake that all the document issued to me by the authorities conncerned are true and genuine. if any document is found to be fake/forged/bogus/incorrect then I will standfully responsible and administration can take approtriate action against me.
I undertake that I have not been appearing in any examination held by any University/board during the Session
.
I undertake that no other document, other those attachment to the admission form will be entertained for the purpose of claims/concessions etc in connection with my admission.
I hereby agree to all terms and conditions of admissions and also abide by rules. acts and laws enforced by the Institute of
Teacher Education from time to time. I will not indulge in any activity inside or outside the institute campus, which may result in disciplinary action against me.
I hereby agree that he Principal of the Institute of Teacher Education reserves all right to expel/rusticate me from the institute for any infringement of the Rules of Conduct and Discipline described by the Institute.
I hereby assure that I will pay the fees in time. In case of failure to deposit the fees in time. I may not be allowed to attend the class.