DIRECTORATE OF DISTANCE EDUCATION KURUKSHETRA UNIVERSITY KURUKSHETRA

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Sr. No. DDE Ref. No. (To be assigned by the office) DIRECTORATE OF DISTANCE EDUCATION KURUKSHETRA UNIVERSITY KURUKSHETRA FORM A ADMISSION FRM (Session ADMISSION 2014-15) FORM(Session 2015-16)) Note :- 1.Candidates are advised to submit attested copies of marks sheet/certificate of qualifying exam, affidavit in lieu of Migration Certificate on the format (page-34) with their forms for checking of their admission eligibility. 2. The candidate must mention his/her Name, Father's Name, Address, Class on the back side, Left Corner of the Bank Drafts, failing which the Directorate shall not be responsible for the loss of Bank Drafts. FORM A APPLICATION FORM FOR ADMISSION TO B.Ed. (2-Year) Part (1 st /2 nd ) * Bank Draft No.. Dated Amount Rs. Name of Issuing Bank: Details of Fee Deposited by Bank Voucher: For Office Use DDE Fee Receipt No. & Date Affix with gum your latest Passport size Photograph duly ATTESTED Fee Clerk Fee Asstt. Signature of the candidate 1. Name (IN BLOCK LETTERS) 2. Date of Birth: 3. Father's Name 4. Mother's Name 4(a).K.U. Regn. No. (if already registered with K.U.K.) 4(b). Have you been issued Migration Certificate from K.U.? Yes/No* (If Yes, affidavit as Annexure at page - 34 must be submitted) 5. Indian/Foreigner* Haryana Resident/Other State* Gen/SC/ST/BC-A/BC-B/SBC/EBP/DA/ESM/FF/Blind* If Foreigner, Name of the Country Urban/Rural* Sex (M/F)* 6. Postal Address Block District State Pin Phone Fax E-Mail 7. Are you simultaneously appearing in any other examination? If so, indicate: Class/Exam. Full Paper/Compt./Improvement Exam Date Number of Papers University/Board 8. Session of joining 1 st year of the course 9. Self/Ward/Spouse of KU regular employee* 10. Educational Qualifications Examinations Matric/Hr. Sec. 10+2 Board/ Year of Marks %age of Roll No. Subjects University Passing obtd. marks B.A./ B.Com/ B.Sc./ BBA/ BIM/ BCA, etc. M.A./ M.Sc./ M.Com. etc. I II III I II Any other Exam Last exam appeared/ Passed *Tick whichever is applicable.

11. Have you ever been disqualified or debarred from appearing in any examination? YES/NO * If so, give particulars: University/Board Year: Class: Roll No. 12. Medium of instruction: ENGLISH HINDI 13. Subjects offered (See Section-IX of the Prospectus) Compulsory Subjects/Papers Optional Subjects/Papers Sr. Paper's Name Paper Sr. Paper's Name Paper No. Code No. Code 1 1 2 2 3 3 4 4 5 5 14. Documents attached (See Section I, Cl. 19, Pages 3-5 of the Prospectus) 1. 2. 3. 4. 5. 6. 7. 8. DECLARATION I declare that I have carefully read the instructions/rules and regulations contained in the Prospectus and I shall abide by the same strictly. The entries made by me in this form are correct to the best of my knowledge and nothing has been concealed therein. In the event of any information found incorrect, or violation of any rule of the Directorate, my candidature shall be liable to be cancelled at any time without any notice and I shall not be entitled to refund of any fee paid by me. I am fully aware of the law regarding ragging as well as the punishment and that if found guilty on this account, I am liable to be punished appropriately. I undertake that I shall not indulge in any act of ragging. Place Countersigned Date Father/Guardian Signature of the Candidate FOR OFFICE USE (i) ELIGIBLE: Yes/Not because (ii) Documents wanting and discrepancy if any: (iii) Candidature cancelled due to non submission of Clerk(DE) Asstt.(DE) Supdt.(DE) DR/AR(DE)

DIRECTORATE OF DISTANCE EDUCATION KURUKSHETRA UNIVERSITY KURUKSHETRA COMPUTER FORM (Session 2015-16) Date of Receipt DDE Ref No. (To be filled in by the office) Important: To be filled by the candidate in his/her own handwriting clearly (IN BLOCK LETTERS AND IN ENGLISH ONLY) Name of the Courses: B.Ed. (2-Year) Part/Year of the Course: (1 st /2 nd ) Name Father s Name Mother s Name Date of Birth KU Regn. No. FORM B Space for affixing Unattested Photograph of the candidate Qualifying Examination Passed Last Exam. Passed (University/Board) (University/Board) Indian/Foreigner* Haryana Resident/Other States* If Foreigner, name of country Urban/Rural Sex (M/F)* Self/Ward/Spouse of KU regular employee Category* Gen SC ST BC-A BC-B SBC EBPG DA ESM FF BLIND Code* 1 2 3 4 5 6 7 8 9 10 11 Postal Address (Name/Father s Name may not be mentioned here) (leave one box blank after each entry) District State Mob. No. 0 E-mail: Amount Remitted (Rs) By Bank Draft/Fee Voucher Subjects Offered: COMPULSORY PAPERS Sr. Paper s Name Paper Code Sr. No. No. 1 1 2 2 3 3 4 4 5 5 Note::Three Digit code No. given in the Prospectus against the subject must be indicated. Examination Centre 1 2. OPTIONAL PAPERS Paper s Name Mention category and code here Paper Code Medium of instruction: ENGLISH HINDI Documents Attached (Please tick whichever attached) ( ) Matric ( ) 10+2 ( ) B.A./B.Sc./B.Com* ( ) M.A./M.Sc./M.Com.* ( ) Migration Certificate or Affidavit ( ) SC/ST Certificate ( ) BC/SBC/EBPG/DA/FF/Blind( ) Residence Certificate ( ) Employment Certificate ( ) Any Other Date: *Write in the relevant column whichever is applicable Signature of the Candidate PIN

DDE Ref No. KURUKSHETRAUNIVERSITYKURUKSHETRA (Established by the State Legislature Act XII of 1956) ( A Grade, NAAC Accredited) EXAMINATION FORM (This Examination Form duly filled in by the candidate (ALL ENTRIES IN BLOCK LETTERS) must be attached with the Admission Form) FOR CANDIDATES OF DISTANCE EDUCATION FOR THE SESSION 2015-16 Regn No. Roll No. FORM C (To be assigned by the University) TO BE FILLED IN BY THE CANDIDATES BY HIS/HER OWN HANDS 1. Name of Examination: B.Ed. (2-Year) Part/Semester: 2. Appearing in Category (F) Full/ (R) Reappear/ (A) Additional Subject 3. Name of the (In English) Candidate (In Hindi) 4. Father s Name (In English) (In Hindi) 5. Mother s Name (In English) (In Hindi) F Space for affixing Unattested Photograph of the Candidate Sign. of the Candidate D D M MY YYY 6. Date of Birth Vide BD/OBC Scroll No.. Sign.of the Fee Remitted: Rs..Date Candidate 7. Examination Centre * 1. 2. 8. Address (Name/Father s Name may not be mentioned here) Pin Code District Mob/Phone No. 0 State 9. Sex Code (M/F) 10. GEN/SC/ST/BC/SBC/EBPG/Trans-Gender(TG)/Differently Abled (DA), Blind (BL) 11. Subjects Offered: Sr. No. Name of the Paper(s) Paper Code Sr. No. Name of the Paper(s) 1 6 2 7 3 8 4 9 5 10 Paper Code 12. Medium H E P Previous Roll No Session of Last Examination 13.Result *EXAMINATION CENTRES FOR THE MAIN EXAMINATIONS The provisional list of places of Examination centres where the B.Ed. students of Directorate of Distance Education may be allowed to take their examination is as under: Ambala Cantt./City, Karnal, Kurukshetra, Panipat, Yamuna Nagar, Hisar, Fatehabad, Sirsa, Jind.. Contd.2.

-2-14. The Details of all the examinations in which already appeared: Examination Year/ Session Roll No. Board/ University Subjects Marks Obtained Max. Marks Result 15. HaveyouappearedinanyotherexaminationfromthisUniversityoranyotherUniversitysimultaneously? Yes/No If yes, write particulars of all such Examinations below. Name of Class Board/University Subject in which to appear Full Subjects/Reappear/ Additional 16. Have you ever been disqualified in any examination or any UMC registered against you, if yes, give details: (i) Examination/Class (ii)session:.(iii)exam Roll No... (iv)punishment awarded 17. Please write one sentence each in Hindi/English in your own handwriting: In Hindi In English 18. I solemnly declare that the particulars filled in by me are correct and nothing has been concealed and that in case of any discrepancy found there in, I shall be responsible for the consequences. Dated:.. Place:. (i) ATTESTATION Signature of the Candidate (To be attested by the Directorate only) Certified that the candidate has passed the qualifying lower Examination..for the above mentioned class under Exam Roll No DDE Ref. No. in April/Sept,20..and is eligible to appear in the said exam. (ii) He/She is eligible to appear in the said exam under the capacity of Ex-student of Haryana and already passed MA of this University.. (iii) Certified that he/she was regular student of this College/DDE during the session..to (iv) He/She bears a good moral character. Particulars of the candidate and his/her photo are correct as per registration. Dated:. Place:. IMPORTANT NOTE: Incomplete Examination Form will not be entertained. TO BE FILLED BY THE CANDIDATE Address for Correspondence Signature of attesting authority With Office Seal Permanent Address Name of Class. DDE Ref. No Name: Father s Name: Address: Distt. State Pin Code Mob. No. Name of Class. DDE Ref. No Name: Father s Name: Address: Distt. State Pin Code Mob. No.

FORM D DDE Ref. No. Space for affixing Unattested Photograph of the candidate KURUKSHETRA UNIVERSITY KURUKSHETRA (Established by the State Legislature Act XII of 1956) FOR STUDENT Roll No.-cum- Admit Card April/May, 2016 Name of Exam:. Exam. Roll No.:. K.U. Regn. No.:. Name:. Father s Name: Sh.. College/Dept.: Directorate of Distance Education Kurukshetra University, Kurukshetra Centre of Exam:.. Signature of Candidate: Controller of Examinations Note: This Admit Card is to be preserved by the candidate and shown on demand on any day of the examination. DDE Ref. No. Space for affixing Unattested Photograph of the candidate KURUKSHETRA UNIVERSITY KURUKSHETRA (Established by the State Legislature Act XII of 1956) FOR CENTRE SUPRINTENDENT Roll No.-cum- Admit Card April/May, 2016 Name of Exam:. Exam. Roll No.:. K.U. Regn. No.:. Name:. Father s Name: Sh.. College/Dept.: Directorate of Distance Education Kurukshetra University, Kurukshetra Centre of Exam:.. Signature of Candidate: Controller of Examinations

DIRECTIONS FOR GUIDANCE OF THE CANDIDATES Important Notes 1. This Roll Number (Admit Card) is NON-TRANSFERABLE. 1. The Roll Number (Admit Card) sent to students will be provisional and it is subject to final checking of eligibility etc. 2. Candidate must appear at the centre allotted to him/her unless otherwise specially ordered by the Controller of Examinations. K.U.K. For change of centre, apply at least 15 days before the date of commencement of examination on the prescribed form with the fee supported by the documentary proof of the ground due to which change is requested. 3. In case of any wrong statement in the Examination Form or suppressing of the facts, the candidate will be responsible for consequences which might lead to cancellation of candidature and other disciplinary action under the Rules and Regulations of the University in force, as the case may be. Controller of Examinations

DDE Ref. No. Regn No. KURUKSHETRAUNIVERSITYKURUKSHETRA (Established by the State Legislature Act XII of 1956) ( A Grade, NAAC Accredited) COMPUTER DATAFORM (For Examination Branch) FORM E (This Examination Form duly filled in by the candidate (ALL ENTRIES IN BLOCK LETTERS) must be attached with the Admission Form) FOR CANDIDATES OF DISTANCE EDUCATION FOR THE SESSION 2015-16 Roll No. (To be assigned by the University) TO BE FILLED IN BY THE CANDIDATES BY HIS/HER OWN HANDS 1. Name of Examination: B.Ed. (2-Year) Part/Semester: Space for affixing 2. Appearing in Category (F) Full/ (R) Reappear/ (A) Additional Subject 3. Name of the Candidate F Unattested Photograph of the Candidate 4. Father s Name 5. Mother s Name Sign. of the Candidate D D M M Y YYY 6. Date of Birth Vide BD/OBC Scroll No. Fee Remitted: Rs..Date Sign.of the 7. Examination Centre * 1. 2. Candidate 8. Address (Name/Father s Name may not be mentioned here) Pin Code Mob/Phone No. 0 9. Sex Code (M/F) 11. Subjects Offered: District State 10. GEN/SC/ST/BC/SBC/EBPG/Trans-Gender(TG)/Differently Abled (A),Blind (BL) Sr. No. Name of the Paper Paper Code Sr. No. 1 6 2 7 3 8 4 9 5 10 Name of the Paper Paper Code 12. Medium H E P Previous Roll No Session of Last Examination 13. Result.I solemnly declare that the particulars filled in by me are correct and nothing has been concealed and that in case of any discrepancy found therein, I shall be responsible for the consequences. Dated:.. Place: Signature of the Candidate

Acknowledgement Card - I No.DDE-IV/ (To be sent with 1 st Installment Dated: of Fee when required by the Office) Session: 2015-16 Fee of Rs. Sent vide B.D. No.. Dated.. (To be filled by the Student) Your application for admission to the.. Course has been received and you have been assigned Provisional Ref. No. subject to confirmation of your eligibility. Please quote this Ref. No. in your all future correspondence. The fee remitted by you has been received vide Receipt No. Dated. For Rs.and a sum of Rs. is still due from you which should be expedited within 15 days. Besides, 2 nd Installment of fee should reach this office by the due date. Kurukshetra University, Kurukshetra 136119 Assistant (Accounts) for Director, DDE Admit card for appearing in the University Examination will not be issued if full fees have not been paid. Acknowledgement Card - II (To be sent with 2 nd Installment of Fee) Session: 2015-16 No.DDE-IV/ Dated: Fee of Rs. Sent vide B.D. No.. Dated.. (To be filled by the Student) The 2 nd Installment of tuition fee/other dues (if any) from the student (DDE Ref. No.). Course has been received vide Receipt No. Dated for Rs...and a sum of Rs...is still due from you which should be expedited. Kurukshetra University, Kurukshetra 136119 Assistant (Accounts) for Director, DDE Admit card for appearing in the University Examination will not be issued if full fees have not been paid.

(ADDRESS TO BE FILLED IN BY THE CANDIDATE) To PIN Postal Stamp Paste here From: Director, Directorate of Distance Education, Kurukshetra University, Kurukshetra 136 119 Haryana (India) (ADDRESS TO BE FILLED IN BY THE CANDIDATE) To PIN Postal Stamp Paste here From: Director, Directorate of Distance Education, Kurukshetra University, Kurukshetra 136 119 Haryana (India)

Unattested Stamp Size Photo Paste Here Directorate of Distance Education Kurukshetra University Kurukshetra Identity Card (Session 2015-16) Provisional Name:.. Father s Name:.. Mother s Name:. Class:...Ref. No.... Postal Address:... Student s Sign. Dy./Asstt. Registrar (DE) Note:- Students should fill in the above particulars except Ref. No. INSTRUCTIONS 1. This card testifies the student s status as a student of Directorate of Distance Education in the Kurukshetra University, subject to confirmation of eligibility for the course. 2. This card is non-transferable. The student should carefully keep this card with him/her. It should be available with the student whenever he/she visits the Directorate office for any work for inspection when demanded by the Director or any other member of the staff authorized by the Director in that behalf. 3. The card should be carefully preserved, as no duplicate will be issued. 4. This card is valid for the session 2015-16 only. It may be forfeited by the Directorate if the student is found guilty of misbehavior or when any disciplinary action is taken against him/her. Director (DE)

REGISTERED/SPEED POST Admission Form for Class: B.Ed. (2-Years) Part (1 st /2 nd ) Session: 2015-16 To From: Mob. No. The Director, Directorate of Distance Education, Kurukshetra University, Kurukshetra - 136 119 Haryana (India) Postal Stamp affix here

ON INDIA GOVERNMENT SERVICE TO PIN From: Directorate of Distance Education Kurukshetra University, Kurukshetra- 136 119 (Haryana)