Application Form for B.Ed.(Special Education Distance Education)(HI/VI/ID/LD)
for Academic Session
2025-28
Programme Details
PROGRAMME
*
B.Ed.SPL.ED. (HI/VI/ID/LD) [ (SE-DE) ]
SESSION
*
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2025-28
*The B.Ed. (SEDE) Programme is approved by Rehabilitation Council of India, New Delhi conducted by Dept. of Special Education, MPBOU
1st Preference for Specialization
*
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Hearing Impairment
Intellectual Disability
Learning Disability
Visual Impairment
(विषय-विशेषज्ञता में उपलब्ध अध्ययन केंद्र, प्रवेश परीक्षा की मेरिट एवं ऑनलाइन काउंसलिंग में अध्ययन केंद्र की Choice Filling के दौरान आवेदक द्वारा ऑनलाइन दी गयी वरीयता क्रम के चयन के आधार पर आबंटन प्राप्त होगा | विषय-विशेषज्ञतावार उपलब्ध अध्ययन केंद्र की सूची हेतू यहाँ Click करें)
2nd Preference for specialization
*
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Hearing Impairment
Intellectual Disability
Learning Disability
Visual Impairment
3rd Preference for Specialization
*
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Hearing Impairment
Intellectual Disability
Learning Disability
Visual Impairment
4th Preference for specialization
*
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Hearing Impairment
Intellectual Disability
Learning Disability
Visual Impairment
ELIGIBILITY
*
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Graduation or Master Degree with 50% Minimum
Bachelor's in Engineering or any other Equivalent with 55% Minimum
Entrance Exam City 1st Preference
*
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Bhopal
Gwalior
Indore
Jabalpur
Sagar
Satna
Ujjain
Entrance Exam City 2nd Preference
*
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Bhopal
Gwalior
Indore
Jabalpur
Sagar
Satna
Ujjain
Entrance Exam City 3rd Preference
*
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Bhopal
Gwalior
Indore
Jabalpur
Sagar
Satna
Ujjain
MEDIUM
*
----PLEASE SELECT----
ENGLISH
HINDI
Personal Details
FIRST NAME
(
As per 10th
or High School Marksheet)
*
LAST NAME
FATHER'S NAME
*
MOTHER'S NAME
GENDER
*
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MALE
FEMALE
TRANSGENDER
CATEGORY
*
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UR
EWS
OBC
SC
ST
DOB
(DD/MM/YYYY)
As per High School / Senior Secondary Marksheet
*
SUB CATEGORY
*
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Freedom Fighter
Defence Quota
Widow
Person with Disability
None
NATIONALITY
*
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INDIAN
OTHER
HANDICAPPED CATEGORY
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HEARING HANDICAPPED
VISUAL HANDICAPPED
MENTAL HANDICAPPED
LI & CP
RELIGION
*
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HINDU
MUSLIM
SIKH
CHRISTIAN
OTHER
MARITAL STATUS
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MARRIED
UNMARRIED
HUSBAND'S NAME
AREA
*
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URBAN
RURAL
EMPLOYED/UNEMPLOYED
*
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EMPLOYED
UN-EMPLOYED
EMPLOYMENT TYPE
*
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Private
Government
Other
UDID Card (In case of PwD)
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Yes
No
UDID card No.
MP Domicile
*
--Select--
Yes
No
Domicile Certificate No.
Address
Correspondence
House No/Village
*
Colony/Post Office
*
City/Tehsil
*
State
*
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Andaman & Nicobar
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra & Nagar Haveli
Daman & Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu & Kashmir
Jharkhand
Karnataka
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Orissa
Pondicherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
District
*
PinCode
*
Permanent
House No/ Village
*
Colony/Post Office
*
City/Tehsil
*
State
*
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Andaman & Nicobar
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra & Nagar Haveli
Daman & Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu & Kashmir
Jharkhand
Karnataka
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Orissa
Pondicherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
District
*
PinCode
*
Copy to Permanent Address
Other Details
Email Id
*
Mobile Number 1
*
(This mobile no. should be your what's app no.)
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
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B.Ed SE (ID/VI/HI/LD)
BED
D.Ed Special Education
Higher Secondary(12th)
High School
RCI Approve Deg/Cert
Any Other
Post Graduate
Under Graduate
*
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
-Select Year-
Select
First
Second
Third
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B.Ed SE (ID/VI/HI/LD)
BED
D.Ed Special Education
Higher Secondary(12th)
High School
RCI Approve Deg/Cert
Any Other
Post Graduate
Under Graduate
*
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
-Select Year-
Select
First
Second
Third
--Select--
Under Graduate
Engineering Graduate
*
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
-Select Year-
Select
First
Second
Third
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B.Ed SE (ID/VI/HI/LD)
BED
D.Ed Special Education
Higher Secondary(12th)
High School
RCI Approve Deg/Cert
Any Other
Post Graduate
Under Graduate
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
-Select Year-
Select
First
Second
Third
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B.Ed SE (ID/VI/HI/LD)
BED
D.Ed Special Education
Higher Secondary(12th)
High School
RCI Approve Deg/Cert
Any Other
Post Graduate
Under Graduate
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
-Select Year-
Select
First
Second
Third
-----select-----
B.Ed SE (ID/VI/HI/LD)
BED
D.Ed Special Education
Higher Secondary(12th)
High School
RCI Approve Deg/Cert
Any Other
Post Graduate
Under Graduate
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
-Select Year-
Select
First
Second
Third
Employment Details (IF You are Working)
Name of Institute with Address
Working From
- To
Designation
Special criteria/qualification
--Select--
Parent of child with disability
Person with Disability (PwD)
Completed RCI Recognized Program
Certificate No./RCI CRR No.
Fees Details
Form Fee
Portal Fee
Late Fee
Total Fee
Sample Upload Image
1950
50
300
2300
Enclosures
MARKSHEET[GRADUATION]
Upload Image
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.
• I WILL ATTEND THE CONTACT CLASSES AND SUBMIT THE ASSIGNMENTS AS PER SCHEDULE FAILING WHICH I WILL NOT CLAIM TO APPEAR IN THE TERM END EXAMINATION.
• I PROMISE THAT I WILL NOT INDULGE IN RAGGING OR ANY FORM OF VIOLENT BEHAVIOR NEITHER WILL TOLRATE BEING RAGGED OR SUBJECT TO VIOLENCE.
• I WILL ABIDE BY THE RULES & REGULATIONS OF UNIVERSITY.