::Welcome to DJ College of Education::

+91- 8755685060

Form to be Filled in by Candidate in Capital Letter in English

Date of Registation *

Select College Name

Type of Course

Name of Candidate *

2. A.

Father's Name *

2. B

Mother's Name

Date of Birth (according to high school marksheet) *

4. A.

Permanent Address (with pin code) *

4. B.

Temporary Address (with pin code) *

5. A.

Tel No.(with STD code)

5. B.

Mobile No. *

5.C

Gender*

Category

8. A

Nationality :Indian

Yes No

8. B

Origional Resident

10.

Details of Academic Qualification *

12. A

Photo with Signature(Size 15 KB Max, JPG./GIF format only *

Submit your Application Form

Site Design, Developed & Maintained By: DOT BIZ, info@dotbizindia.com