Teaching Experience Certificate Form
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1 Annexure - C vko';d funsz'k % vuqhko çek.k i= lgh,oa Bhd&Bhd Hkjk ugha jgus ij vkosnu jí dj fn;k tk,xk A vr% Annexure (C), (D),oa (E) rhuksa QkeZ lgh&lgh Hkjsa A Form No. DM Downloaded version Teaching Experience Certificate Form Important Instruction for the Applicant PHOTO 1. A minimum of two years teaching experience of in service teachers is required, as on from a recognized Primary/Middle/Secondary/Higher Secondary School of the Central/State Govt./Public Sector Undertaking to become eligible for B.Ed. Course of Magadh University under Distance Mode. 2. If a candidate completes two years continues experience after adding the service rendered by him/her in more than one school, then he/she is required to bring declaration certificate from other schools as well so as to show that he/she has completed two years of the required teaching experience as on In case, he/she has completed two years of teaching experience, as on from one school only, he/she is not required too give details of his/her teaching experience from other school. (A) Declaration of Service Experience by the Applicant I... son/daughter of... of vill/town..., P.S.... Dist.... hereby declare that after proper appointment I have served as a regular/temporary teacher in... (i) Name & address of the school... from... to... which is a recognized school/institution of the Central/State Government/Public Sector undertaking. Vide letter No.... dt.... with scale of pay Rs.... per month. (ii) Name & address of the school... from... to... which is a recognized school/institution of the Central/State Government/Public Sector undertaking. Vide letter No.... dt.... (iii) Name & address of the school... from... to... which is a recognized school/institution of the Central/State Government/Public Sector undertaking. Vide letter No.... dt.... Thus, till... I have served a service length of... years... months... days with scale of pay Rs.... Date :... Place :... Name & Signature of the Applicant
2 (B) Authentication of Applicant's Service by the Head of the Institution where the applicant has served lacaf/kr fo ky;ksa ds ç/kkukpk;z }kjk vfhkçekf.kr ¼QksVks vo'; fpidk, ] tks ç/kkukpk;z }kjk vfhkçekf.kr gks½ (i) This is to certify that the statement made by Sri/Miss./Mrs.... S/o/D/o... at serial (i) is true to the best of my knowledge and belief. He/She is PHOTO working as... in the scale of Rs.... per month. The school is recognised by the central government/state government public sector undertaking vide letter No.... dt Full Name & Signature of the Head or Headmaster/Principal of the school with date and seal. (ii) This is to certify that the statement made by Sri/Miss./Mrs.... S/o/D/o... at serial (ii) is true to the best of my knowledge and belief. He/She is PHOTO working as... in the scale of Rs.... per month. The school is recognised by the central government/state government public sector undertaking vide letter No.... dt Full Name & Signature of the Head or Headmaster/Principal of the school with date and seal. (C) Declaration of the Applicant of his/her being still in Service This is to further certify that I am still serving in (Name of the school) as a permanent/temporary teacher and getting Rs.... per month. Date :... Place : Name & Signature of the Applicant
3 Admission Form DIRECTORATE OF DISTANCE EDUCATION Magadh University, Bodh-Gaya (BIHAR) Ph (O), Fax Fill the Admission form very carefully. Completed admission form in all respect with copies of certificates should be sent either directly to Director, Distance Education, Magadh University, BodhGaya , (Bihar) or at the respective study centres on or before the due date notified in the advertisement. Admission Forms sent to any other office of the University will not be entertained. Downloaded Admission form must be accompany a DD of Rs. 1000/- for Gen. & Other Categ. and Rs. 500/- for SC/ST Category in favour of Director, DDE, M.U. payable at BodhGaya. Admission form without requisite fee will not be entertained. Enrolment No. : Admission Form B.Ed. Form No. DM Annexure - D Distance Mode Downloaded version Paste your Passport size recent coloured Photograph (4cm 5 cm) duly attested by Head Master of the concerned school 1. Name of the Programme applied for : B.Ed. (DM) Signature of the Candidate 2. Name of the applicant in BLOCK LETTERS (as per Secondary School Examination certificate) in Roman Script: 3. Name in Devnagari Script : Father s Name :... Mother's Name : Permanent Address : PIN 6. Address for Correspondence : PIN City District State 7. Telephone No. (if any) with STD Code : STD Code Tel. No./Mob.No. 8. Fax No. (if any) with STD Code: Tele No. 9. address (if any) : 10. Date of Birth : Date Month Year Tick ( ) the appropriate box only 11. Sex : Male Female 12. Nationality : Indian Other if other please specify : Region Rural Urban Form No. DM Downloaded version RECEIPT Received Admission Form from Mr. / Miss / Mrs.... for Bachelor of Education (Distance Mode) for the session... on... Signature of Receiving Officer
4 14. Caste : Category : ( ) General SC ST OBC (Women) BC-I BC-II PH Univ. Ward (M.U. HQ. only) (Tick in appropriate box) * Attach relevant documents 16. Marital Status : ( ) Married Unmarried 17. Details of Application fee : (i) DD No.... Date... Amount... Banker's Name... (ii) Money Receipt No.... Date... Amount Educational Qualification (Matriculation onwards) Name of the Division/ Percentage Year of Name of the Board / University Exam. Passed Class of Marks Passing College / School 19. Please Specify : (i) Name of the School... (ii) Headmaster's/Principal's Name... (iii) Pay Scale...(PM) DECLARATION BY THE APPLICANT I... (Name) hereby declare that I have read and understood the conditions for the eligibility of the B.Ed. Course/programme for which I seek admission. I declare that I fulfil the minimum eligibility criteria and have provided the required information in this regard in the admission form. In the event of any information being found incorrect or misleading, my candidature shall be liable to be cancelled by the University at any stage and I shall not be entitled for any refund of any fee paid by me to the University. Date : Enclosures : Nk=@Nk=k dk glrk{kj ¼fgUnh esa½ Signature of the candidate (In English) Sign. of Receiving Officer
5 Form No. DM Downloaded Version To be filled by the candidate only. ANNEXURE - E (Fill the Admit Card carefully) DIRECTORATE OF DISTANCE EDUCATION Magadh University, Bodh-Gaya (BIHAR) B.Ed. Distance Mode Entrance Test Examination ADMIT CARD (Office Copy) 1. Name of the Applicant... (in BLOCK LETTERS) 2. Father's Name Date of Birth Category :( ) General SC ST BC (Women) BC-I BC-II PH Univ.Ward (M.U.HQ. only) 5. Caste Graduated From : Magadh Univ. / Other Univ. Roll No. Paste your Passport size recent coloured photograph ( 4 cm. 5 cm. ) duly attested by candidate 7. Address for Correspondence... Signature of Candidate... FOR OFFICE USE ONLY Examination Centre : Date of Examination : Time of Examination : vh;fkhz dk glrk{kj Invigilator s Signature Co-ordinator Entrance Test Examination, 2013 Form No. DM Downloaded Version To be filled by the candidate only. ANNEXURE - E (Fill the Admit Card carefully) DIRECTORATE OF DISTANCE EDUCATION Magadh University, Bodh-Gaya (BIHAR) B.Ed. Distance Mode Entrance Test Examination ADMIT CARD (Candidate's Copy) Roll No. 1. Name of the Applicant... (in BLOCK LETTERS) 2. Father's Name Date of Birth Category :( ) General SC ST BC (Women) BC-I BC-II PH Univ.Ward (M.U.HQ. only) 5. Caste Graduated From : Magadh Univ. / Other Univ. 7. Address for Correspondence FOR OFFICE USE ONLY Examination Centre : Date of Examination : Time of Examination : uksv % d`i;k Admit Card dks,d ist ij Both Side fudkysa A Paste your Passport size recent coloured photograph ( 4 cm. 5 cm. ) duly attested by candidate Signature of Candidate vh;fkhz dk glrk{kj Co-ordinator Entrance Test Examination, 2013
6 Instructions For Candidates 1. OMR Answer Sheet contains one Carbonless copy. Candidate is required to submit the original copy at the Examination centre and keep the carbonless copy (2nd copy) with himself/herself for future reference. 2. Candidates must present the Admit Card at the Entrance gate and in the Examination Hall when demanded. 3. Candidates are advised to arrive at the place of Examination at least half an hour before the commencement of the Examination. 4. Candidates must abide by the instructions given by the Centre Superintendent and the Invigilators during the Examination. Use Black Ballpen for marking your answer in proper column. Fill all the columns of OMR sheet otherwise computer may reject your OMR Sheet. Consequently Zero marks will be awarded. 5. Any candidate found attempting unfair means and/or impersonating shall be expelled from the Examination Hall and his candidature will be rejected. Legal action will also be taken against him. 6. Candidates must not leave any mark of identification anywhere as this will result in disqualification. 7. This admit card should be preserved to be produced at the time of Interview/Counselling. 8. No candidate is allowed to carry Calculator / Slide Rule / Log Table / Graph Paper / Charts or any electronic gadget eg. Mobile Phone etc. inside the Examination Hall. 8. Each Candidate must sign below in English and Hindi on the specified spaces in the Examination Hall in the presence of Invigilator. 10. Each candidate must check all the information and entries in his Admit Card as soon as he receives it. If he finds any error therein, he must personally contact the Office of the Directorate of Distance Education, M.U, Bodh-Gaya on any working day and get the same corrected otherwise no correction in the Admit Card will be made later on. 11. Original copy of OMR Answer Sheet and Question Booklet must be submitted to the Invigilator, otherwise his/her candidature shall be cancelled. Candidate has to sign in the Examination Hall in presece of Invigilator. ( In English ) ¼ fgunh esa ½ Instructions For Candidates 1. OMR Answer Sheet contains one Carbonless copy. Candidate is required to submit the original copy at the Examination centre and keep the carbonless copy (2nd copy) with himself/herself for future reference. 2. Candidates must present the Admit Card at the Entrance gate and in the Examination Hall when demanded. 3. Candidates are advised to arrive at the place of Examination at least half an hour before the commencement of the Examination. 4. Candidates must abide by the instructions given by the Centre Superintendent and the Invigilators during the Examination. Use Black Ballpen for marking your answer in proper column. Fill all the columns of OMR sheet otherwise computer may reject your OMR Sheet. Consequently Zero marks will be awarded. 5. Any candidate found attempting unfair means and/or impersonating shall be expelled from the Examination Hall and his candidature will be rejected. Legal action will also be taken against him. 6. Candidates must not leave any mark of identification anywhere as this will result in disqualification. 7. This admit card should be preserved to be produced at the time of Interview/Counselling. 8. No candidate is allowed to carry Calculator / Slide Rule / Log Table / Graph Paper / Charts or any electronic gadget eg. Mobile Phone etc. inside the Examination Hall. 8. Each Candidate must sign below in English and Hindi on the specified spaces in the Examination Hall in the presence of Invigilator. 10. Each candidate must check all the information and entries in his Admit Card as soon as he receives it. If he finds any error therein, he must personally contact the Office of the Directorate of Distance Education, M.U, Bodh-Gaya on any working day and get the same corrected otherwise no correction in the Admit Card will be made later on. 11. Original copy of OMR Answer Sheet and Question Booklet must be submitted to the Invigilator, otherwise his/her candidature shall be cancelled.
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