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Application Form Print: NCERT Common Entrance Examination (CEE) 2017

This document is an application form for a Common Entrance Examination in 2017. It contains personal details of the applicant such as name, address, qualifications, category and program details. The applicant declares that the information provided is true and accepts the terms of the examination.

Uploaded by

rajat singh
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© © All Rights Reserved
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171 views3 pages

Application Form Print: NCERT Common Entrance Examination (CEE) 2017

This document is an application form for a Common Entrance Examination in 2017. It contains personal details of the applicant such as name, address, qualifications, category and program details. The applicant declares that the information provided is true and accepts the terms of the examination.

Uploaded by

rajat singh
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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2017510 RIECEE2017

APPLICATIONFORMPRINT

Index(StudentIndexPage.aspx)BasicDetails(AplicationDetails.aspx)ExamCentreandProgrammeDetails(ExamC
(PhotoUpload.aspx)ApplicationForm(ApplicationView.aspx)

ViewApplication-Print
NCERTCommonEntranceExamination(CEE)2017
ApplicationForm

http://www.ncertcee.kar.nic.in/Stu_PrintApplication.aspx 1/3
2017510 RIECEE2017

State/UTof UTTARPRADESH PROGRAMME RegistrationNo.


Bonafide
B.Ed. 2017030026
(Domicile)
ProgrammeGroup SubGroup
Exam C1:ALLAHABAD,C2:LUCKNOW,C3
B.Ed. B.Ed.(LAndSS)
:PATNA
Center's
University/Board Passed/Appearing
Eligibilityfor RIEAjmer
BANARASHINDU Appearing
Admissionin UNIVERSITY

Candidate No Year ThirdLanguage

belongsto 2017 Sanskrit


Hyderabad Prarambh
Karnataka
No
Candidate's RAJANISHTRIPATHI NTSEawardee? Yearofaward
Name:
No

Father's SHAMBHUNATHTRIPATHI Signatureofthe


QualifyingExam
Name: Candidate
BachelorinSocialScience/Humanities

Mother's PRATIMATRIPATHI Mobilenumber Emailaddress


Name:
8601136901 rajanish115@gmail.com
CandidateMailingAddress Category DateofBirth
Address:VILLTIWARIPURPOST
GM 15/07/1996
SAJOIDISTVARANASI
Gender PersonWithDisability
City/Town/VARANASI
Village: Male No

District:VARANASI DisabilityType PH(VisuallyImpaired)


State:UTTARPRADESH

PinCode:221302
STDCodePhoneNumber:
CandidatePermanentAddress
StateProof:1.Evidenceofhavingpassed
Address:VILLTIWARIPURPOSTSAJOIDIST thequalifyingexamination.............
VARANASI

City/Town/VARANASI
Village:
District:VARANASI
State:UTTARPRADESH
PinCode:221302

http://www.ncertcee.kar.nic.in/Stu_PrintApplication.aspx 2/3
2017510 RIECEE2017

Disclaimer
Iherebydeclarethatalltheinformationprovidedbymeinthisapplicationaretrue,completeand
correcttothebestofmyknowledgeandbelief.Intheeventofmyinformationbeingfoundfalseor
incorrectortheineligibilitybeingdetectedbeforeoraftertheCommonEntranceExamination
(CEE)2017/Admission,actioncanbetakenagainstmebytheNCERT/RIEs.Ihavereadthe

provisionsoftherelevantrulesandtheadvertismentcarefullyandIherebyundertaketoabideby
them.IfurtherdeclarethatIfulfillalltheconditionsofeligibilityprescribedfortheadmissioninRIEs
ofNCERT.AlsoIacceptSMSfacilityprovidedbytheNCERT/RIEs.

(ApplicantSignature)

RIEMysuru Printedon:1005201700:20:28 IpAddress:10.11.11.174

<<BACK

Disclaimer:OwnershipofthisWebsite&itsContentslieswiththeRegionalInstituteofEducation,Mysuru

DesignedandDevelopedbyNICBengaluru
(http://www.kar.nic.in/)

Copyright2017|RIE,Mysuru.Allrightsreserved.1.2

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