HOME About Us Courses Faculty Gallery Director's Message Principal's Message News & Events Online Admissions Contact Us ADMISSION FORM Course Subject... B. Ed. B.T.C. Name of Applicant Father's Name Mobile E-mail * Required. * Email Not Valid. Date of Birth Month January February March April May June July August September October November December Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Mother's Name Telepone Academic Information 10th 12th UG PG Gender I am... Male Female Physically Handicapped Select... No Yes Address Category Select... General SC ST OBC Minority Others Nationality Indian Other Captcha Declaration I, hereby declare that all the particulars given above are true, complete and correct to the best of my knowledge and belief. I have never been convicted by any court of law or disqualified by any Board / University. My admission may be cancelled and appropriate action be taken against me at any stage, if any information furnished by me is found to be incorrect or misleading. I am aware of University approach toward ragging and the punishment to which I am liable and if found guilty of ragging. Disputes, if any, are subject to Azamgarh jurisdiction only.