Gandhi Institute | B.Ed. Regular & Distance Program in Balangir

Information Of The Student

First Name *

Middle Name

Last Name *

Father Name *

Mother Name *

Gander *

Cast *

Religion *

Nationality *

Blood Group

Date Of Birth*

Aadhaar No. *

Mobile No. *

Your Email *

Emergency Contact : [All field are required]

Residential Address : [All field are required]

Same as Residential Address

Correspondence Address : [All field are required]

Details Of Previous Study

10th Details : [All field are required]

10th Board Name *

School Location *

Pass Out Year *

Total Mark *

Mark Secured *

Percentage *

School Name *

+2 Details : [All field are required]

Choose Board Name *

College Location *

Pass Out Year *

Total Mark *

Mark Secured *

Percentage *

College Name *

+3 Details : [All field are required]

Choose Streams *

College/University Location *

Pass Out Year *

Total Mark *

Mark Secured *

Percentage *

Name Of The College/University *

The Documents Are Mandatory Please Upload

max. upload file size 200kb of each file fields and must be a file of type: jpeg, png, jpg

10th Documents : [All field are required]

Matric Certificate *

Matric Marksheet *

+2 Documents : [All field are required]

+2 Streams *

+2 Certificate *

+2 Marksheet *

+3 Documents : [All field are required]

+3 Streams *

+3 Certificate *

+3 Marksheet *

Others Documents : [All field are required]

Cast Certificate *

Resident Certificate *

CLC Certificate *

Migration Certificate *

Aadhaar Card *

Passport Photo *

Student Signature *

Accept the terms and conditions *

Read Terms & Cond.

DECLARATION FROM THE STUDENT

I hereby declared that the entries made by me in the application form are complete and true to the best of my knowledge belief and information.

I hereby undertake to present the original documents for verification immediately upon demand by the concerned authorities of the institution.

I am aware that if information in my admission form found wrong or even I submitted my original documents in other college, my admission will treat as cancelled.