MZU / Ex / IX(D) REGULAR
NON-COLLEGIATE
MIZORAM UNIVERSITY
AIZAWL

BACHELOR OF EDUCATION (B. Ed.) EXAMINATION 20……

APPLICATION

To,
The Assistant Registrar (Examinations)
Mizoram University
Aizawl

Sir,

Permission is requested to present myself at the ensuing examinations for the Degree of Bachelor of Education.
The Fee of '…………………………………………………….. is forwarded herewith.
If any of the statement made in the application be found to be not true, or if it appears that in the opinion of the University, I have in any way contravened the provisions of the University, rules and regulations relating to the B.Ed. examination my admission to the examination may be cancelled by the University.

Yours faithfully,

Name (in full) ………………………………….
The ………………….20………. Address (in full) ……………………………......
…………………………………

CERTIFICATE
(to be signed by the Principal)

I CERTIFY that the above named candidates has satisfied me, by production of his/her Certificate that he/she has passed the Under-Graduate / Post-Graduate, examination of the Mizoram University or a recognized University: that he/she has attended a regular course of lectures in the college and has undergone a course of Practical training, that he/she has fulfilled all the requirement under the regulations to be eligible to appear at the above examination: that his/her conduct has been good and that I know nothing against his/her moral character.
In my opinion his/her progress in studies is satisfactory and I believe the particular furnished overleaf by the candidate to be true.

Signature ……………………………..

The ……………………20…….. (Office Seal) …………………………

PARTICULARS TO BE FILLED BY THE CANDIDATE

1. Name in full (In Block Letters) ………………………………………………………………………...
2. Sex (Male/ Female) …………………………………………………………………………
3. Name of Father / Husband ………………………………………........................................……
4. Registration Number with Year ………………………………………………………………………….
5. Present occupation (if any) ………………………………………………………………………….
6. Complete Postal Address with Contact Number …………………………………………………….…..
………………………………………….…………………
7. Details of last University Examination Passed :
a) Name of Course : ……………………………………………………………...….
b) University : …………………………………………………………………..
c) Year : …………………… Roll No : …………………………..
8. If appeared previously at the B.Ed. Examination (if any) :-
i) Year ……………………….. Roll No……………………..
ii) Year ……………………….. Roll No………………………..
9. Subject(s) to appear :-
i) Paper - ………………… : ………………………………………………………………
ii) Paper - ………………… : ………………………………………………………………
iii) Paper - ………………… : ………………………………………………………………
iv) Paper - ………………… : ………………………………………………………………
v) Paper - ………………… : ………………………………………………………………
vi) Paper - ………………… : ………………………………………………………………
vii) Paper - ………………… : ………………………………………………………………
viii) Paper - ………………… : ………………………………………………………………
Notes:
1. Attested copy of last Examination Marksheet should be enclosed by all the candidates.
2. Attested copy of Registration Card should be enclosed by all the candidates.