District Institute Of Education Training,Vidisha

 

Admission Form

 

DISTRICT INSTITUTE OF EDUCATION AND TRAINING , VIDISHA

FORM OF ADMISSION FOR FIRST YEAR STUDENT

 

Selection No. .....................                                                     Subject ........................

  1. Name
  1. Father/Guardian's name                   ...................                                     ....................................... 
  1. Mother's Name                      ................................................................................,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, 
  1. Date of birth ...............................................................................................................,
  1. Permanent address .....................................................................................................
  1. Postal address ....................................................................................................................................
  1. Telephone / mobile number .......................................................................................................................

 

 

  1. Educational qualification ..........................................................................................................................

 

 

S.No.

Name of the examination

Passing year

Name of board / university

Subject

Marks obtained

Percentage

(%)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9.  Caste: SC/ST/OBC/General

 

DECLARATION

I declare that the information given by me as per my knowledge is true. During admission/session if there will be any irregularity I will accept the decision of principal. I will not demand for transfer during training.

List of in closers

1

2

3

4

 

Signature of Father/Guardian                                                               Signature of applicant

Name ......................................                                      Name .....................................

 

 

 

 

 

 

 

 

 

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Revised: July 29, 2007.