Personal Information

	Application Number		Password		Re-Enter Password
	(Press Tab In Case You Are Filling The Form First Time)
	Course		Previous University/Board
	PRN For the Student of Shivaji University				(In Case of Other University Please Refer Eligibility Rules Given In Prospectus)
	Name of the Candidate	(In BLOCK Letters)-Beginning with surname
	Mother's Name
	Full Address For Correspondence
	Pincode		City		District
	Telephone No.		Mobile No.		Gender	Male Female
	E-mail		Caste Category
	Physically Handicapped	Not Applicable Blind Deaf/Dumb Sick/Physically Handicapped	Religion
	Two Visible Identification marks

Qualifying Exam Details

Exam	Seat No.	Year Of Passing/Appearing	Principal Subject At Graduation Level	Marks*/OutOf	Subject At 2nd Year of Degree
					Subject 1	Subject 2
				/

Previous College		Previous University
* Leave the Column Blank if result of Qualifying Exam is not declared
In Case of M.Ed Students Only Theory Marks of B.Ed Should Be Mentioned

Entrance Test Examination

Exam Centre Will Be Granted Only If 10 Or More Than 10 Students Select That Centre
Exam Centre Select Subject for Entrance Exam Teaching Centre
Principal Subject Hostel Accommodation Required Yes No
If you want to appear other than
Select subject and Teaching Centre in the order of Preference

Sr. No.	1	2	3	4	5	6
Subject & Code
Teaching Centre

Payment Of Fees

Amount	Cash/DD	University Challan/DD No.	Date	Bank
	DD Cash