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MODHAVE ARVIND BANSI Flipbook PDF
MODHAVE ARVIND, TEACHER @ Z.P.PRIM. SCHOOL MAHALUNGE PADWAL.
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7/12/2019
STUDENT COPY
M.I.T B.ED COLLEGE,PUNE (62422)
Application No :
KOTHARUD, NO-124 POUND ROADPune City Academic Year: 2019-2020
145131
YCMOU Study Center Submission Slip
Distance Education
Instruction: Please submit copy of this submission slip with following list of document to Study Center for Recommendation of Program for Admission and/or Recommendation of Scholarship. Please note that application shall be considered for admission only after recommendation by study center If recommendation by study center not completed before last date of admission your application will be automatically cancelled. Please note that university will not refund the fees in case of rejection by study center for want of Eligibility. Course Applied for : M62 - M.A. in Education(with Credits) - Distance Education - 2016 CGPA - F.Y. M.A. in Education PRN:2013017000094557 Semester I (M62) Application Date : 07/07/2019 Exam Center Name [Code] : - [-] 1.Personal Information Candidate's Name(Regional) : Candidate's Name as printed on School leaving/Passing Certificate :
MODHAVE ARVIND BANSI [*This name will appear on all University records/documents]
Father's/Husband's Name :
BANSI MODHAVE
Mother's Name :
Marital Status :
UnMarried
Mother Tongue :
Place Of Birth : SITEWADI
Gender : Male
Date of Birth (DD/MM/YYYY) : 29/11/1976
Blood Group :
Religion :
Country of Citizenship : India
Height : Not Available
Weight : Not Available
Hemoglobin : Not Available
KAMAL
Is Student NRI/ Foreign National : No
Domicile State:
Address For Correspondence : State : Maharashtra
District : Pune
Tehsil : Ambegaon
City/Town/Village :
Address (House AT POST.MANCHAR,B/106 ANJANA RESIDENCY no,street/area/suburb etc.) :
Location Area : Not Available Pin Code : 410503
Contact details Mobile Number 919421894882
Email ID: [email protected]
2.Legal Reservation Information Category Type : Open
Category : GEN
Is Specially Abled? No 3.Social Information(Additional Inforamtion) Paper Selected for: Semester I EDU521 - Philosophical Perspectives in Education EDU523 - Research Methods
EDU522 - Social Culture Perspectives in Education EDU524 - Use Of Statistics in Research
Semester II EDU525 - Psychological Perspectives of Education EDU527 - Instructional System Design GEN204 - Communication Skills
EDU526 - Psychological Perspectives in personality EDU528 - Instructional Designs in Distance Education
Medium of Instruction : Marathi Admission Fee Payment Details
Payment Status : Paid
Transaction Date : 12/07/2019
Fee Category : Regular Fees
Transaction Type : Online Payment
Transaction Number : 1451311562935171894
Admission Late Fee - 100 Adm Exam Fee - 2200 Registration Fee - 100
Admission Super Late Fee - 500 Tution Fee - 2000 Development Fund Fee - 1150 1/4
7/12/2019
Other Fee - 200
Total : 5650
4.Guardian Information Occupation of Guardian : Service
Annual Income of Guardian : 300000
5.Educational Details Name of Examination
Name of Board/University and State of University
Name of School/College
Month and Year of Passing
Exam Seat No.
Certificate Mark Out Of CGPA No. Obtained
%
Certificate :
May 2000 --
--
1180.00
1900.00 -- - --
Certificate :
January 2015
--
597.00
800.00
-- First
74.63
Certificate : Bachelor DR. M. A. KHAN In Education University Of Pune,Maharashtra ED. CLG. (B.Ed.)(SCIENCE MANCHAR MATHEMATICS)
November 2869 2013
26914
367.00
480.00
-- - --
76.46
Certificate : Master Of Art - (MA) (MARATHI)
University Of Pune,Maharashtra EXTERNAL
July 2015
52339
9801
511.00
800.00
-- - --
63.88
Certificate :
Yashwantrao Chavan Maharashtra Open University,Maharashtra
DR. M. A. KHAN COLLEGE OF MANCHAR
July 2016
AM34002056 8683995
794.00
1200.00 -- - --
66.17
Diploma : Diploma In Yashwantrao Chavan School Management Maharashtra Open (Diploma in School University,Maharashtra Management)
DR. M. A. KHAN COLLEGE OF MANCHAR
September XP10006627 3228332 2013
622.00
800.00
-- - --
77.75
MAHARASHTRA STATE Diploma : Diploma In BOARD OF SECONDARY Education - (D.Ed.) AND HIGHER SECONDARY EDUCATION,Maharashtra
SEVA SADAN'S COLLEGE OF EDUCATION ULHASNAGAR
September 4070638 1998
771.00
1200.00 -- - --
64.25
--
5533
62.11
Your Last Qualifying Exam: Bachelor In Education - (B.Ed.) 7.Other Information Would you like to apply for Hostel accommodation required
NA
DECLARATION I hereby declare that all the information furnished by me in this application form is true, complete and correct to the best of my knowledge and belief. I do understand that I need to obtain and produce all the required documents. I Application No :145131 admit to having understood what constitutes ragging and sexual harassment. I have read the guidelines related to the same. I hereby affirm that if found guilty of ragging or sexual harassment I am liable for punishment according to the university regulations. Place :
Date :
For College/Institute/Study Center Use Only Designation Remarks / Particulars / Recommendations Admission Clerk Admission Committee Accountant/Cashier Cash Received: Rs. Registrar/Office Superintendent Document printed on Fri Jul 12 2019 12:48:05 GMT+0530 (India Standard Time)
( Signature of the Candidate ) Signature and Date
Receipt No.:
Date:
2/4
7/12/2019
[STUDY CENTER COPY]
M.I.T B.ED COLLEGE,PUNE (62422)
Application No :
KOTHARUD, NO-124 POUND ROADPune City Academic Year: 2019-2020
145131
YCMOU Study Center Submission Slip
Distance Education
Instruction: Please submit copy of this submission slip with following list of document to Study Center for Recommendation of Program for Admission and/or Recommendation of Scholarship. Please note that application shall be considered for admission only after recommendation by study center If recommendation by study center not completed before last date of admission your application will be automatically cancelled. Please note that university will not refund the fees in case of rejection by study center for want of Eligibility. Course Applied for : M62 - M.A. in Education(with Credits) - Distance Education - 2016 CGPA - F.Y. M.A. in Education PRN:2013017000094557 Semester I (M62)
Application Date : 07/07/2019 Exam Center Name [Code] : - [-] 1.Personal Information Candidate's Name(Regional) : Candidate's Name as printed on School leaving/Passing Certificate :
MODHAVE ARVIND BANSI [*This name will appear on all University records/documents]
Father's/Husband's Name :
BANSI MODHAVE
Mother's Name :
Marital Status :
UnMarried
Mother Tongue :
Place Of Birth : SITEWADI
Gender : Male
Date of Birth (DD/MM/YYYY) : 29/11/1976
Blood Group :
Religion :
Country of Citizenship : India
Height : Not Available
Weight : Not Available
Hemoglobin : Not Available
KAMAL
Is Student NRI/ Foreign National : No
Domicile State:
Address For Correspondence : State : Maharashtra
District : Pune
Tehsil : Ambegaon
City/Town/Village :
Address (House AT POST.MANCHAR,B/106 ANJANA RESIDENCY no,street/area/suburb etc.) :
Location Area : Not Available Pin Code : 410503
Contact details Mobile Number 919421894882
Email ID: [email protected]
2.Legal Reservation Information Category Type : Open
Category : GEN
Is Specially Abled? No 3.Social Information(Additional Inforamtion) Paper Selected for: Semester I EDU521 - Philosophical Perspectives in Education EDU523 - Research Methods
EDU522 - Social Culture Perspectives in Education EDU524 - Use Of Statistics in Research
Semester II EDU525 - Psychological Perspectives of Education EDU527 - Instructional System Design GEN204 - Communication Skills
EDU526 - Psychological Perspectives in personality EDU528 - Instructional Designs in Distance Education
Medium of Instruction : Marathi Admission Fee Payment Details
Payment Status : Paid
Transaction Date : 12/07/2019
Fee Category : Regular Fees
Transaction Type : Online Payment
Transaction Number : 1451311562935171894
Admission Late Fee - 100 Adm Exam Fee - 2200 Registration Fee - 100
Admission Super Late Fee - 500 Tution Fee - 2000 Development Fund Fee - 1150 3/4
7/12/2019
Other Fee - 200
Total : 5650
4.Guardian Information Occupation of Guardian : Service
Annual Income of Guardian : 300000
5.Educational Details Name of Examination
Name of Board/University and State of University
Name of School/College
Month and Year of Passing
Exam Seat No.
Certificate Mark Out Of CGPA No. Obtained
%
Certificate :
May 2000 --
--
1180.00
1900.00 -- - --
Certificate :
January 2015
--
597.00
800.00
-- First
74.63
Certificate : Bachelor DR. M. A. KHAN In Education University Of Pune,Maharashtra ED. CLG. (B.Ed.)(SCIENCE MANCHAR MATHEMATICS)
November 2869 2013
26914
367.00
480.00
-- - --
76.46
Certificate : Master Of Art - (MA) (MARATHI)
University Of Pune,Maharashtra EXTERNAL
July 2015
52339
9801
511.00
800.00
-- - --
63.88
Certificate :
Yashwantrao Chavan Maharashtra Open University,Maharashtra
DR. M. A. KHAN COLLEGE OF MANCHAR
July 2016
AM34002056 8683995
794.00
1200.00 -- - --
66.17
Diploma : Diploma In Yashwantrao Chavan School Management Maharashtra Open (Diploma in School University,Maharashtra Management)
DR. M. A. KHAN COLLEGE OF MANCHAR
September XP10006627 3228332 2013
622.00
800.00
-- - --
77.75
MAHARASHTRA STATE Diploma : Diploma In BOARD OF SECONDARY Education - (D.Ed.) AND HIGHER SECONDARY EDUCATION,Maharashtra
SEVA SADAN'S COLLEGE OF EDUCATION ULHASNAGAR
September 4070638 1998
771.00
1200.00 -- - --
64.25
--
5533
62.11
Your Last Qualifying Exam: Bachelor In Education - (B.Ed.) 7.Other Information Would you like to apply for Hostel accommodation required
NA
DECLARATION I hereby declare that all the information furnished by me in this application form is true, complete and correct to the best of my knowledge and belief. I do understand that I need to obtain and produce all the required documents. I Application No :145131 admit to having understood what constitutes ragging and sexual harassment. I have read the guidelines related to the same. I hereby affirm that if found guilty of ragging or sexual harassment I am liable for punishment according to the university regulations. Place :
Date :
For College/Institute/Study Center Use Only Designation Remarks / Particulars / Recommendations Admission Clerk Admission Committee Accountant/Cashier Cash Received: Rs. Registrar/Office Superintendent Document printed on Fri Jul 12 2019 12:48:05 GMT+0530 (India Standard Time)
( Signature of the Candidate ) Signature and Date
Receipt No.:
Date:
4/4