UPBED - 2014: Complete Application for Registration Number :411102397 http://upbed.nic.in/UPBEDAPP/appauth/UPBEDConfirmationPage.

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COMPLETE APPLICATION FORM : JEE B.Ed.-2014

Registration No.411102397

/
e-Receipt
" ,

. . - 2014,

, -284128 " /

A4 Address slip
, I.T.H.M. ,
18.03.2014

A-Personal Detail
Name of Candidate
Gender

MOHAMMAD SHOEB
MALE

Married

NO

Nationality
Father's Name

INDIAN
BABU KHAN

Religion

MUSLIM

Date of Birth

20/11/1989

Paper-II(Group)

ARTS

Category
Mother's Name

GENERAL(GEN)
MEHSHER JAHAN

Sub-Category

NOT APPLICABLE

Parent's Annual Income

40000

Domicile of UP

U.P.

Examination city option

1. MORADABAD

2. BAREILLY

3. GHAZIABAD

B-Qualifying Exam Detail

Class
Graduation
Post Graduation

University/College
Year
MJP ROHILKHAND UNIVERSITY BAREILLY2013
NA
NA

MarksTotal Marks
608 1200
NA NA

Percentage
51
NA

Graduation with Sanskrit

NO

Paper-I

GENERAL KNOWLEDGE, HINDI

Weightage Type

N/A

Weightage

C-Details of Application Fee

Transaction No. :

IK45788882

Payment Mode:

(SBI )SB-MOPS

Amount:

1000

Date:

24032014 14:23:54

D-Mailing Address:
Name:
Address:

MOHAMMAD SHOEB
VILLAGE ASALAT NAGAR BAGHA
POST MAINATHER
TEHSIL BILARI

District:

MORADABAD

State:
PinCode:
Email ID:
Mobile No.

UTTAR PRADESH
244301
BUDDYSMBD@GMAIL.COM
9759633178

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..-2014 (Information) - :

2.
3.

,
4.

..-2014

5.

Signature or Thumb Impression of Parent / Guardian

Left Thumb Impression of Candidate

Signature of the Candidate

23a66922c70943b18e0c0e0cc1bd199e 3/24/2014 2:39:25 PM

Address Slip
Joint Entrance Examination B.Ed.-2014

3/24/2014 2:37 PM

UPBED - 2014: Complete Application for Registration Number :411102397 http://upbed.nic.in/UPBEDAPP/appauth/UPBEDConfirmationPage.aspx

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Registration No: 411102397 ( Category:-General(GEN) )

CHECKLIST:
1. PHOTO PASTED
2. SIGNATURE OF CANDIDATE
3. LEFT HAND THUMB IMPRESSION OF CANDIDATE
4. SIGNATURE OR THUMB IMPRESSION OF PARENT / GUARDIAN
5. COPY OF E-RECEIPT

To,
The Coordinator,
Joint Entrance Exam B.Ed. 2014,
Institute of Tourism and Hotel Management, I.T.H.M.
Building,
Bundelkhand University,
Kanpur Road, Jhansi - 284128

From,
Name MOHAMMAD SHOEB
C/o BABU KHAN
Address VILLAGE ASALAT NAGAR BAGHA
POST MAINATHER
TEHSIL BILARI
City MORADABAD
State UTTAR PRADESH
Pin Code 244301

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3/24/2014 2:37 PM