Gurukul Siliguri

Gurukul, Ramakrishna Apartment 26, Nandalal Basu Sarani, Siliguri, College Para, 734001

Apply For : B.ED, D.EL.ED, M.ED

Name of the Candidate

Father's Name

Mother's Name

Guardian's Name (in Absence of the parents)

Relationship with Guardian

Annual Family Income

Date of Birth

Gender

* Academic Qualification's

Name of the Examination	Board / Council	Year of Passing	Total Marks	Marks Obtained	% Marks
MP of Eqv.
HS of Eqv.
B.E / B. Tech
B.A./B.Sc./B.Com/BBA/BCA(General Pass)
B.A./B.Sc./B.Com(Honours)
M.A./M.Sc./M.Com/MBA/MCA/M.Tech

Subject applied as Method
College District Preferred

Declaration by Candidate

I do hereby declare that the information's provided by me above mentioned are true . I undertake that if anything , at any stage is found wrong then the authority can cancel my candidature.