Common Application Form
D.El.Ed Course
Directorate of Teacher Education and SCERT, Odisha, Bhubaneswar 24DE398386
Wednesday, August 14, 2024, 07:47 PM
Candidate Personal Details
Photo
Course : D.EL.ED
Application Number : 24DE398386
Applicant's Name : SEEMANJALI ROUT
Mother's Name : MANJULATA ROUT
Father/Spouse/Guardian's Name : SARAT ROUT
Gender : FEMALE Date of Birth : 13-Oct-2002
Email : [email protected]
Facsimile Signature
Aadhaar No. : XXXXXXXX3500
Mobile No. : 7606030727 Whatsapp No. : 7606030727
Marital Status : UNMARRIED Alternate Mobile No : NA
Social Category : SEBC Reserve Category : NA
Quota : STATE
I am giving my consent to receive the
whatsapp notification. : Yes
Present Address
AT- MAHISALANDA, PO- DALIJODA AT- MAHISALANDA, PO- DALIJODA
Address Line-1 : Address Line-2 :
BRAHAMPUR, PS- CHOUDWAR BRAHAMPUR, PS- CHOUDWAR
Country : INDIA State : ODISHA
District : CUTTACK Block : TANGI
Pincode : 754028
Permanent Address
AT- MAHISALANDA, PO- DALIJODA AT- MAHISALANDA, PO- DALIJODA
Address Line-1 : Address Line-2 :
BRAHAMPUR, PS- CHOUDWAR BRAHAMPUR, PS- CHOUDWAR
Country : INDIA State : ODISHA
District : CUTTACK Block : TANGI
Pincode : 754028
Have you studied Odia at HSC/+2 Level (or Passed Odia as a special paper from BSE Odisha in 10th Standard) YES
Stream
Stream Name
SCIENCE
Educational Qualification
Year Of Mark Maximum Mark
Examination Passed College Board Exam Type RollNo Percentage
Passing Type Mark Obtained
10TH/HSC/EQUIVALENT BSE, ODISHA ANNUAL 2018 147AA0057 Mark 600 480 80.00
+2/12TH/EQUIVALENT CHSE, ODISHA ANNUAL 2020 309CA030 Mark 600 406 67.67
Payment Details
Mode of Payment Payment Status Amount Paid Transaction Number
Unified Payments Success 500.00 113418458905
Bank Account Details
Account Number : 42162125207 AccountHolder Name : SEEMANJALI ROUT
IFSC Code : SBIN0032646 MICR Code : 754002303
Bank Name : STATE BANK OF INDIA Branch Name : CUTTAKSANGARPUR
Institution Choice locking Details
Option No District Institute Name
1 CUTTACK RADHANATH ELEMENTARY TEACHER EDUCATION INSTITUTION (RNETEI), CUTTACK
2 CUTTACK ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), ATHAGARH
3 DHENKANAL DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), DHENKANAL
4 KHURDA ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), BHUBANESWAR
5 KHURDA DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), KHURDA
6 KENDRAPARA DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), KENDRAPARA AT BALIA
7 CUTTACK ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), RAGADI
8 KENDRAPARA ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), KENDRAPARA
9 PURI ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), PIPILI
10 PURI ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), NIMAPARA
11 PURI ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), SAKHIGOPAL
12 KHURDA PANCHAGARH ANANGA NARENDRA (PAN) ELEMENTARY TEACHER EDUCATION INSTITUTION, BANKOI
13 CUTTACK DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), CUTTACK AT NARASINGHPUR
14 PURI DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), PURI
15 KHURDA ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), TANGI
16 JAGATSINGHPUR DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), JAGATSINGHPUR
17 JAJPUR DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), JAJPUR AT DOLIPUR
18 BHADRAK ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), PAHIMAHURA
19 NAYAGARH DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), NAYAGARH AT RAJSUNAKHALA
20 KEONJHAR ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), FAKIRPUR
21 BHADRAK DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), BHADRAK AT AGARPADA
22 BALASORE ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), BAGUDI
23 BALASORE ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), TUDIGADIA
24 ANGUL DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), ANGUL
25 GANJAM DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), GANJAM AT KHALLIKOTE
26 BALASORE DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), BALASORE AT REMUNA
27 ANGUL ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), KISHORE NAGAR
28 MAYURBHANJ ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), KUSHALDA
29 KEONJHAR DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), KEONJHAR
30 GANJAM ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), BHANJANAGAR
31 GANJAM ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), POLASARA
32 KANDHAMAL ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), PHULBANI
33 GANJAM ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI) (WOMEN), BERHAMPUR
34 BALASORE ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), LANGALESWAR
35 BOUDH DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), BOUDH AT LANDIBANDHA
36 KANDHAMAL DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), KANDHAMAL AT TIKABALI
37 MAYURBHANJ DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), BARIPADA
38 MAYURBHANJ ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), BARIPADA
39 DEOGARH DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), DEOGARH
40 KEONJHAR ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), REMULI
41 GANJAM ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), CHIKITI
42 SONEPUR DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), SONEPUR
43 SAMBALPUR DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), SAMBALPUR
44 KANDHAMAL ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), BALIGUDA
45 BOLANGIR DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), BALANGIR
46 BOLANGIR ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), BALANGIR
47 BARAGARH DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), BARAGARH
48 JHARSUGUDA DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), JHARSUGUDA AT PANCHAPADA
49 GAJAPATI DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), GAJAPATI AT PARLAKHEMUNDI
50 SUNDARGARH ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), KUNDUKELA
51 SUNDARGARH DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), SUNDARGARH AT SANKARA
52 BOLANGIR ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), PATNAGARH
53 BOLANGIR ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), TITILAGARH
54 KALAHANDI DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), KALAHANDI AT BHAWANIPATNA
55 RAYAGADA DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), RAYAGADA AT BISSAMCUTTACK
56 KALAHANDI ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), DHARMAGARH
57 NUAPADA DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), NUAPADA
58 NAWARANGPUR DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), NAWARANGPUR
59 KORAPUT DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), KORAPUT AT JEYPORE
60 MALKANGIRI DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), MALKANGIRI AT CHITRAKONDA
Declaration
I do hereby declare that all the information furnished by me in this application form is true and complete to the best of my knowledge and belief. I understand that entries
made by me in this application form are final binding on me.
Place: Date: Signature of the candidate:
24DE398386
