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NCERT Common Entrance Examination (CEE)-2019


Online Application Form
DRAFT
Registration No. 19029452 Application Date: 26/04/2019
  Personal Details :
Candidate Name:  Mohammad SAJID
SARWAR Father Name:  Md Ghulam Sarwar Mother Name:  Mojeeba Khatoon
Date of birth:  21/11/1998 Gender:  Male [M] Nationality :   Indian
Domicile :  JHARKHAND Category :  GEN Disabled :   NO
Disability Types:  Disability (%):  0
Religion :  Muslim Blood Group :  A+
Mobile Number :  8789002511 Email Address :  mdsajidsarwar@gmail.com
  Educational Qualification Details :
Qualifying Exam :  Bachelor in Social Science/Humanities / Commerce Passing Year :  2019
S.No. Subjects Obtained Marks Maximum Marks
1 Overall Total Marks 0 0
  Mailing Address Details :
Address :  Maulana Abul Kalam Azad Colony,Agladiha,Pelawal,
House No. :  25 Katkamsaandi
State:  JHARKHAND District :  HAZARIBAGH Pin Code :   825301
  Permanent Address Details :
Address :  Maulana Abul Kalam Azad Colony,Agladiha,Pelawal,
House No. :  25 Katkamsaandi
State:  JHARKHAND District :  HAZARIBAGH Pin Code :   825301
  Apply Institutes Details :
S.No. Institute Program Sub Program
1 Regional Institute of Education (RIE), Bhubaneswar B.Ed. Social Science and Language Group
  Exam Center Details :
First Choice:  Ranchi Second Choice :  Kolkata Third Choice :   Patna

Disclaimer:

I hareby declare that all the information provided by me in this application are and correct to the best of my
knowledge and belief. In the event of my information being found false or incorrect or the ineligibility being
detected before or after the common Entrance Examination (CEE)-2019/Admission, action can be taken against
me by the NCERT/RIEs. I have read the provision of the rules and the advertisement carefully and I haveby
undertake to abide by them. I further declare that I fulfill all the conditions of eligibility prescribed for the
admission in RIEs of NCERT. Also I accept SMS facility provided by the NCERT/RIEs.

Applicant Name : Mohammad


SAJID SARWAR

Applicant Signature

National Informatics Centre Regional Institute of Education (RIE)


Print Date 15/05/2019

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