HALIM MUSLIM POST GRADUATE COLLEGE

105/591, Chamanganj, Kanpur - 208 001 website : www.halimpgcollege.com Ph. : 0512-3243265 Run & Managed by Muslim Association, Kanpur Application Form for B.Ed. (Minority Quota) Session 2013-14 D.D. No. ................................... Date........................ Name of Bank with Branch ....................................... GROUP Arts Commerce Science Ag.

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Note : Fill the form in block letter. Candidates Name Date of Birth Mother's Name Father's Name Marital Status

Weightage Marks

(With Proof)

Gender Occupation Occupation

Permanent Address Village/Locality P.O. District State Correspondence Address Village/Locality P.O. District State Academic Qualification
S. No. 1. 2. 3. 4. Exam Passed High School or equivalent Intermediate or equivalent Graduation or equivalent Post Graduation or equivalent Board/University Roll No. Year of Passing Regular/ Private Marks Obtain Max. Marks Percentage with division

PIN Mobile No

PIN Mobile No

DECLARATION I, hereby, certify that the entries filled by me in this form are true to the best of my knowledge. I shall abide by the rules and regulations of the institute in force during the period of my stay. I also accept that the institute reserves the right to cancel my admission at any time if I will be found to break any rules of the institute. I also understand that the fee once paid is neither refundable nor transferable.

Candidates Thumb impression

(For Male Left and Female Right)

Candidates Signature

HALIM MUSLIM POST GRADUATE COLLEGE

website : www.halimpgcollege.com Ph. : 0512-3243265 Run & Managed by Muslim Association, Kanpur Session 2013-14
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ADMIT CARD
Roll No. .........................

Note : Fill the form in block letter. Candidates Name

Date of Birth Examination Centre Father's Name

Date

Day

Time 9-12 a.m. 1-4 p.m.

Examination Subject Language & General Knowledge Aptitude test in which there shall be separate question for Arts, Commerce, Science & Ag.

Principal
Halim Muslim Post Graduate College

HALIM MUSLIM POST GRADUATE COLLEGE

website : www.halimpgcollege.com Ph. : 0512-3243265 Run & Managed by Muslim Association, Kanpur Session 2013-14
Affix your recent self attested passport size photo

Attendance Sheet
Roll No. .........................

Note : Fill the form in block letter. Candidates Name

Date of Birth Examination Centre Father's Name

(It will be filled during examination by the candidate) Examination Subject

Language & General Knowledge Aptitude test in which there shall be separate questions for Arts, Commerce, Science & Ag. Date Time Thumb Impression Candidates Sign.
Invigilator Signature

9-12 a.m.

1-4 p.m.