Deen Dayal Upadhyaya Gorakhpur University
(Online B.P.Ed Application Form)
* Mandatory Field
Name of the applicant
*
*required
*required
First Name
Middle Name
Last Name
Father's Name
*
*required
Mother's Name
*
*required
Date of Birth
*
Day
1
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31
*required
Select Month
January
February
March
April
May
June
July
August
September
October
November
December
*required
Year
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1982
1981
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1971
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1965
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1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
*required
Age :
Sex
*
Male
Female
*required
Social Category
*
Select Category
General
OBC
SC
ST
*required
Caste Certificate Attached
*
Yes
No
N/a
Domicile of
*
Uttar Pradesh
Other State
*required
E-mail
*yourid@websitename.com.
Name
*
House No.
*
*required
Street / Village
*
*required
Post
*
*required
District/City
*
*required
State
*
Andaman and Nicobar Islands
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chattisgarh
Dadra and Nagar Haveli
Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Orissa
Pondicherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Tripura
Uttaranchal
Uttar Pradesh
West Bengal
Pin Code
*
*required
Invalid format.
Exceeded maximum number of characters.
Phone No.
Invalid format.
Minimum number of characters not met.
Exceeded maximum number of characters.
(With STD CODE)
Mobile No.
Invalid format.
Minimum number of characters not met.
Exceeded maximum number of characters.
Details of Previous Examinations
Name of Examination
Board / University
Insitute/College
Year
Marks Obt.
Max. Marks
Percentage
High School
*
*required
*required
*required
Invalid format.
Year
*wrong
*required
Invalid format.
*wrong
*required
Invalid format.
*wrong
*required
Invalid format.
*wrong
Intermediate
*
*required
*required
*required
Invalid format.
Year
*wrong
*required
Invalid format.
*wrong
*required
Invalid format.
*wrong
*required
Invalid format.
*wrong
Graduation
*
*required
*required
*required
Invalid format.
Year
*wrong
*required
Invalid format.
*wrong
*required
Invalid format.
*wrong
*required
Invalid format.
*wrong
Others
Invalid format.
Year
*wrong
Weightage Claimed
Competition
Year
Organizing Body
Certificate Issuing Body
Place
Marks Claimed
International Senior/Junior
Invalid format.
Year
*wrong
National Championship
Invalid format.
Year
*wrong
All India Inter University/Junior National Medalist
Invalid format.
Year
*wrong
Participation in National (Junior or Senior/ Inter University
Invalid format.
Year
*wrong
Position in State/ University
Invalid format.
Year
*wrong
Represented the State/ University
Invalid format.
Year
*wrong
Enclosure With Application Form
Marksheet Of High School
Certificate Of Intermediate
Character Certificate
Marksheet Of Intermediate
Marksheet Of Graduation
Sport Achievements Certificate
Certificate Of High School
Certificate Of Graduation
Others
DD Details
Branch Code
*
*required
Name and address of the issuing Bank
*
*required
Date of issue
*
*required
Invalid format.
DD / Bank Pay Order Number
*
*required
Exceeded maximum number of characters.
Amount
*
*required
Invalid format.
*
*wrong
(Rs. 1000 for General / OBC & Rs.500 for SC/ST)
Declaration : I certify that I have filled online form myself and made all entries in this form correctly. No request shall be made for any change whatsoever. If there are any incorrect then it is my responsibility. I solemnly declare that the information given in the form is true to the best of my knowledge. I promise that during the period of my study, I shall abide by the rules & regulation of the University.
Agree
Disagree
You cannot submit the form until you accept the Declaration!