POONDI PUDHUMAI MADHA COLLEGE OF EDUCATION

POONDI PUDHUMAI MADHA COLLEGE OF EDUCATION,

(CO - EDUCATION) (COLLEGE CODE: 12733)

NCTE Order No. F.SRO/NCTE/SRCAPP239/B.Ed/TN/2014-15/63414
TNTEU Order No.TNTEU/R/Affln/Syn -Feb 2016-item.No.07/2016/118
Vengankudi, Samayapuram, Trichy - 621 112. Mobile No: 98424 - 65015

E-mail : soosainathans@yahoo.com web: www.poondimadhacollege.in

Application for Bachelor of Education (B.Ed.) course 2023 - 2025 (TWO YEARS)

Are you willing to join Hostel Yes / No

Is your Father an Ex - Serviceman Yes / No

Have you attended NSS Special Camp, during your Graduation Yes / No

Have you obtained B or C Certificate in N.C.C Yes / No

Have you got any certificate in Sports and Games in University / State level Yes / No

Educational Qualifications

SSLC Register No:

Year of Passing

Board

+2(HSC) Register No:

Year of Passing

Board

U.G. Degree Qualification for Admission: (B.A. / B.Sc./B.Lit.) University

Major	Year of Passing	Part - III & Part - IV Marks Obtained	Part - III & Part - IV Maximum Marks	Percentage of Marks (%)

U.G. Degree Qualification for Admission: (B.E. / B.Tech.) University

Major	Year of Passing	CGPA (Cumulative Grade Point Average)	Percentage of Marks (%)

P.G.Degree Qualification for Admission: (M.A. / M.Com) University

Major	Year of Passing	Total marks obtained in two years	Maximum Marks in two years	Percentage of Marks (%)

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Enclosures (Xerox)

(a)X - Mark Sheet (b) XII - Mark Sheet (c) UG Cumulative Mark Sheet (d) T.C. (e) U.G. / P.G. Provisional / Convocation Certificate (f) Community Certificate (g) Sports / Games Certificate if any (h) B or C Certificate in N.C.C. (i) Self Addressed Cover (j) Aadhar Card (k) Passport size photo 4Nos.

DECLARATION

I hereby declare that whatever mentioned in my application is true. If anything is found incorrect or untrue, the application is liable to be rejected and if the mistake is detected after my selection, my admission is liable to be cancelled.