Annexure - II
APPLICATION FOR REGISTRATION OF COLLEGE TEACHERS IN WRC, NCTE, BHOPAL
Click Here to See The 100 Rs Affidavit
1. Code No. of the College : WRC/2-32/123181
2. Name of the College : K.S.P.M’s College of Education
Address with Telephone Nos : for women (B.Ed.) ,
Shahunagar, Beed.
02442 - 227955
3. Name of the teacher : Shri.Kshirsagar Hemant Balasaheb
4. Date of Birth & Age :
5. Educational Qualifications : B.Sc. (Math) M.Ed.
Degree |
Year of Passing |
Division/% of marks |
University |
Remarks |
Bachelor Degree |
1989 |
II-58.00% |
Dr. B.A.M.U. A’bad |
|
Post Graduate Degree
M.A./M.Sc. |
1993 |
II- 48.00% |
Dr. B.A.M.U. A’bad |
|
B.Ed. |
1992 |
II-56.00% |
Dr. B.A.M.U. A’bad |
|
M.Ed. |
2000 |
II – 56.25% |
Dr. B.A.M.U. A’bad |
|
M.Phil/Ph.D. |
|
|
|
|
6. Home Address of Teacher : Ambika nagar,Pangri road,Beed.
7. Name of Witness
Name & Address : 1. ______________________
______________________
______________________ Signature
2. ______________________
______________________
______________________ Signature
This is to certify that the information given above is true and as per my academic records for which I shall be responsible.
Recommendations of the college concerned Signature of Teacher
I hereby recommend WRC, NCTE to register Shri.Kshirsagar H.B. who is faculty member of our institution. I also certify the testimonials of the teachers.
Signature of Principal
(Seal of the College)
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