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Personal Details: Applicant Details Score Card Counselling Registrati Choice Filling Allotment Result Allotment Letter

This document contains a registration form for UP BEd 2021. It includes sections for the applicant's personal details, communication address, uploaded documents, education qualifications, exam center preferences, and payment details. The applicant, Prerna Nishad, is providing all relevant information to register for the UP BEd 2021 program.

Uploaded by

Pratham Nishad
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© © All Rights Reserved
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0% found this document useful (0 votes)
240 views4 pages

Personal Details: Applicant Details Score Card Counselling Registrati Choice Filling Allotment Result Allotment Letter

This document contains a registration form for UP BEd 2021. It includes sections for the applicant's personal details, communication address, uploaded documents, education qualifications, exam center preferences, and payment details. The applicant, Prerna Nishad, is providing all relevant information to register for the UP BEd 2021 program.

Uploaded by

Pratham Nishad
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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10/3/2021 UP BEd 2K21 Registration Form

Applicant Details Score Card Counselling Registrati Choice Filling Allotment Result All
Allotment Letter

Personal Details

Registration No. : BED202110032134

Candidate Name : PRERNA NISHAD

Candidate Father's Name : LAXMI KANT NISHAD

Candidate Mother's Name : NAVITA DEVI

Candidate's Date of Birth : 01/Feb/1996

Gender : Female

Marital Status : Unmarried

Nationality : Indian

State Domicile : UP

10th Passed From UP : Yes

12th/equivalent Passed From UP : Yes

Graduation Passed / Appearing From UP : Yes

Category : OBC

Do You Belong To Non Creamy Layer? : Yes

Certificate Number of SC / ST / OBC : 453183016891

Physically Handicapped : No

ID Proof : Aadhar Card

ID Number : 740995979971

Communication Address

Email Address

[email protected]

Alternate Email Address

[email protected]

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10/3/2021 UP BEd 2K21 Registration Form
Mobile Number

6394292339

Alternate Mobile Number

6386951614

Address Line 1

270/201A Chaukhandi Kydgang Allahabad

State

Uttar Pradesh

Town/ City

Prayagraj

Pincode

211003

Permanent Address

Permanent Address Line 1

270/201A Chaukhandi Kydgang Allahabad

Permanent State

Uttar Pradesh

Permanent Town/ City

Prayagraj

Permanent Pincode

211003

Uploaded Documents

Scanned copy of passport size photograph

Click here to view


(https://g21.digialm.com:443//secure/288b522a32bb32cfa42c4349e5e68fe0/6159b541/per/g21/pro/1936/EForms/secureimage/ImageDocUpload/3923/1112282929

Scanned copy of signature.

Click here to view


(https://g21.digialm.com:443//secure/05e37d745cf8c9ec4d507c5a6aba2af7/6159b541/per/g21/pro/1936/EForms/secureimage/ImageDocUpload/3923/1113323124

Scanned copy of Left and Right hand index finger impression .

Click here to view


(https://g21.digialm.com:443//secure/198ee4493660dc264fbab2a60aa08e5b/6159b541/per/g21/pro/1936/EForms/secureimage/ImageDocUpload/3923/111526733

Scanned copy of SC / ST / OBC certificate.

Click here to view


(https://g21.digialm.com:443//secure/71872f5eaad579d8be119f6aea24f958/6159b541/per/g21/pro/1936/EForms/secureimage/ImageDocUpload/3924/1115348519

scanned copy of 10th/12th/UG which is issued from College/University belong to UP

Click here to view


(https://g21.digialm.com:443//secure/4116e945fa9638dd260aa675da473fec/6159b541/per/g21/pro/1936/EForms/secureimage/ImageDocUpload/3924/1117866608

Scanned copy of Income Certificate.

Click here to view


(https://g21.digialm.com:443//secure/70096e6ff0196f02e64cdca7f0c1841b/6159b541/per/g21/pro/1936/EForms/secureimage/ImageDocUpload/3924/11152022896

Stream Opted for B.Ed.

Stream Opted for B.Ed.

Science

SSC / 10th Std / Equivalent Details

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10/3/2021 UP BEd 2K21 Registration Form

Board Name

U.P. Board

Marks Obtained

430

Maximum Marks

600

Percentage

71.67

Year Of Passing

2011

Scanned copy of 10th standard certificate.

Click here to view


(https://g21.digialm.com:443//secure/96e2e8312df7c525c54033a7953fd823/6159b541/per/g21/pro/1936/EForms/secureimage/ImageDocUpload/3924/111458375758

HSC / 12th Std / Equivalent Details

Board Name

U.P. Board

Marks Obtained

387

Maximum Marks

500

Percentage

77.4

Year Of Passing

2013

Scanned copy of 12th standard certificate.

Click here to view


(https://g21.digialm.com:443//secure/8f1831f966eefe83c890c2ec1d422490/6159b541/per/g21/pro/1936/EForms/secureimage/ImageDocUpload/3924/111578704786

Graduation Details

Have you completed Graduation ?

Pass

Stream of Graduation

Science/Engineering

Have you done B.E./B.Tech?

No

Name of University/ Institution

Allahabad State University

Roll Number

1812492861008

Maximum Marks

2000

Marks Obtained

1244

Percentage

62.2

Year Of Passing for Graduation

2019

Scanned copy of Graduation Final Year Marksheet.

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10/3/2021 UP BEd 2K21 Registration Form
Click here to view
(https://g21.digialm.com:443//secure/4e26505e5dda1b6ce137d823b73faa6d/6159b541/per/g21/pro/1936/EForms/secureimage/ImageDocUpload/3925/11159953214

Weightage Details

TOTAL WEIGHTAGE : 5

A. Have you participated in National or State level or Inter University Sports Competition?
Yes

A.2. In the team items by the Candidate

Member of Participating Team

Certificate as Team Player

Click here to view


(https://g21.digialm.com:443//secure/f19ec8fd601547e3cd90844bd1b8f0eb/6159b541/per/g21/pro/1936/EForms/secureimage/ImageDocUpload/3925/1113279811

C. Do you need reservation of dependents of freedom fighters ?


No

D. Are you in active service or immersed or retired defense personnel or son/daughter of such personnel, or related to a disabled, missing or dead
defensive personnel as their son/daughter/wife.
No

E. Is your father or husband is serving in/retired from police or PAC Or BSF Or SSB or ITBP or CRPF Or service in home guards or disabled/dead in
such services
No

Exam Center City Preferences

Center Choice 1

Allahabad (Prayagraj)

Center Choice 2

Kanpur Nagar

Center Choice 3

Lucknow

Center Choice 4

Varanasi

Center Choice 5

Etawah

Payment Details

Payment Status

Success

Payment Date

10/Mar/2021

Total Amount

 
1500

Order Id

BED20211003213420210310220503418

Payment Transaction Number

VCHY9820722607

Payment Receipt Number

20210310

Version 14.03.01

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