Application Form Fees Deposit Receipt 2021

Study Centre & Programme Details

PROGRAMME* SESSION
*SE-DE Represent Programme being Run By Department of Special Education, MPBOU and Approved by RCI  
SPECIALIZATION* ELIGIBLITY*
FIRST STUDY CENTRE* SECOND STUDY CENTRE*
THIRD STUDY CENTRE* MEDIUM*
(If any centre becomes non functional due to any reasons, on that case all students will be transfer to second choice study centre.)  

Personal Details

FIRST NAME* LAST NAME*
FATHER'S NAME* MOTHER'S NAME
GENDER*   CATEGORY
DOB (DD/MM/YYYY) *  SUB CATEGORY
NATIONALITY *
RELIGION * MARITAL STATUS
Husband's Name    
   

Address

Correspondance
House No/Village * Colony/Post Office*
City/Tehsil* State*
District* PinCode*
Permanent
House No/ Village * Colony/Post Office *
City/Tehsil* State*
District* PinCode *  
Copy to Permanent Address

Other Details

Email Id Mobile Number 1* Mobile Number 2 (Optional)
विद्यार्थी संपर्क हेतु केवल स्वयं का मोबाइल न. दर्ज करें  

Educational Qualification

Examination
Institute/University
Year of Passing
 Obtain Marks
Total Marks
% of Marks
Division

Employment Details (IF You are Working)

Name of Institute with Address   Working From     - To    Designation 

Special criteria/qualification

Certificate No  

Fees Details

Form Fee Portal Fee Late Fee Total Fee Sample Upload Image
0

Enclosures

MARKSHEET[GRADUATION]
CASTE CERTIFICATE
HANDICAPPED CERTIFICATE
2 PASSPORT SIZE PHOTO(COLOR)
TEACHING EXPERIENCE CERTIFICATE
RCI Recognized Program Certificate
DECLARATION
 I HEREBY DECLARE THAT I HAVE READ AND UNDERSTOOD THE CONDITION OF ELIGIBILITY FOR THE PROGRAMME FOR WHICH I SEEK ADMISSION.I FULFILL THE MINIMUM ELIGIBILITY CRITERIA AND HAVE PROVIDED NECESSARY INFORMATION IN THIS REGARD.IN THE EVENT OF ANY INFORMATION BEING FOUND INCORRECT OR MISLEADING,MY CANDIDATURE SHALL BE LIABLE TO CANCELLATION BY THE UNIVERSITY AT ANY TIME AND I SHALL NOT BE ENTITLED TO REFUND OF ANY FEE PAID BY ME TO THE UNIVERSITY.