College of Education

B.Ed M.Ed

APPLICATION FOR M.Ed REGISTRATION

Application No:

College Code :

College Name :

NAME :

DATE OF BIRTH

Sex :

Female

Male

Third Gender

Aadhaar Number :

Community

SC(A)

MBC & DNC

BC(M)

BC(O)

Name of the Parents / Guardian :

ADDRESS:

Pin Code :

Mobile No :

Phone No:

E.mail :

Medium Of Instruction :

Tamil

English

Differntly Abled

Destitute Widow Candidate

Details of Qualification Examination Passed Under 10+2+3
or 11+1+3 pattern of study

	Reg.No	Year of Study	Month and Year of Passing	Marks Obtained
X STD
XII STD

Details of UG Degree

Specify the degree	Reg.No	University	Major	Year of Study		Month and Year of Passing	% of Marks
				From	To

Details of B.Ed Degree

Subject Studied	Reg.No	University	Year of Study		Month and Year of Passing	Total Marks Obtained	Maximum Marks	% of Marks
			From	To

DECLARATION BY THE APPLICANT :

The information furnished above is true to the best of my knowledge.All the original certificate pertaining to S.No:6,7&11 are produced herewith in respect of my admission.

Place : ..................

Date : ..................

Signature of the Candidate

Application

APPLICATION FOR M.Ed REGISTRATION

Details of Qualification Examination Passed Under 10+2+3 or 11+1+3 pattern of study

Details of UG Degree

Details of B.Ed Degree

DECLARATION BY THE APPLICANT :

Thiruvalluvar Group of Institutions

Details of Qualification Examination Passed Under 10+2+3
or 11+1+3 pattern of study