HOLY CROSS COLLEGE, AGARTALA

(Department of Teacher Education)
ONLINE REGISTRATION FOR B.Ed. COURSE (2019 - 21)
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B.Ed. Registration Form

Fields marked with the asterisk (*) are mandatory



Candidate Full Name*:
Gender*:
Date of Birth*:
(As per secondary Admit Card)
Blood Group*:
Mobile No*:
Email*:
Nationality*:
Aadhaar No:
Religion*:
Cast*:
Midium of Instruction*:
(In Graduate &
Post Graduate Level)
Domicile Status:
Marital Status*:
Mother Tongue*:
  Fathers / Husband Details
Name of Father/Husband*:
Qualification*:
Contact No*:
Occupation*:
Annual Income*:
  Mothers Details
Mothers Name*:
Mothers Qualification*:
Mothers Contact No*:
Mothers Occupation*:
Annual Income*:
   
Name of local Guardian (if any):
Contact No of local Guardian (if any):
Are you employed*:
(Full time basis)
  Current Postal Address
Mailing Address*:
City*:
District*:
State*:
Pincode*:
  Parmanent Postal Address
Parmanent Address*:
City*:
District*:
State*:
Pincode*:
  Name & Address of the college from which Bachelor Degree is Completed
College Name*:
Address*:
City*:
District*:
State*:
Pincode*:
 
Secure Code

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