PRODYUMNA INSTITUTE OF HIGHER EDUCATION


PRODYUMNA INSTITUTE OF HIGHER EDUCATION
Recognised by - N.C.T.E.(Recognition Order No.- F.No.ER-236.6.38(Part 3/ERCAPP3341/B.Ed./2017/52300 Dated: 13.04.2017
F.No.ER-236.6.37(Part 3/ERCAPP3342/D.El.Ed./2017/52236 Dated: 12.04.2017
Affiliated to - THE UNIVERSITY OF BURDWAN, for B.Ed-(Order No. IC/Affln./P -292/1917)
-WEST BENGAL BOARD OF PRIMARY EDUCATION, for D.El.Ed.- (Memo No. : 469/Affil/BPE/2017 Dated 17.04.2017)
Address : Joypur,Belsulia,Katul,Bankura,722138

Admission Form
for B.Ed. & D.El.Ed. Teachers Training Course
(*) field are mandatory
Apply for * : Academic Session :
Candidate's Name * : Father's Name * :
Mother's Name * : Spouse Name :
Village/Town * : Post Office * :
District * : Pin * :
Candidate's Phone No * : WhatsApp No :
Date of Birth * : Category * :
Sex * : Nationality * :
Religion * : Blood Group :
Aadhaar No. : Email Address :
Local Guardian (if Any) *: Guardian Phone No * :
Last Exam Passed * : Migration * :
University Registration No. : Registration Year :
Methode Subject-1 : Methode Subject-2 :
Details of Academic Qualification
Sl No Name of the Examination Name of the board/Council/University Institute Name Year of passing Div/Class Full Marks of Exam. Marks obtained Subject Taken % of marks Remarks
1 M.P./Equivalent
2 H.S./Equivalent
3
4
5

    I hereby declare that all the information submitted by me in the admission form is correct, true and valid. I will provide the supporting documents as and when required and I will obey all the rules and regulations employed by the management of the college, In case of any dispute, the discussion of management is final.