Govt.
of Rajasthan
                                          Registrar, Education Departmental Examinations
      Application Id:
                                                              Rajasthan, Bikaner
     REDE173495600
                                           Application for Pre D. El. Ed. Examination, 2022
1. Personal Information:
Name:                                  SUSHIL KUMAR MEENA                        Date of Birth:                           29 December 1997
Gender:                                Male                                      Nationality :                            Indian
Programme:                             Pre D. El. Ed.                            Divyang:                                 No
Category :                             ST (NOT APPLICABLE)                       State of Domicile :                      Rajasthan
Marital Status :                       Married                                   Qualifying Exam (Passed/Appeared) : Sr. Sec. Passed
From Sanskrit Varishtha Upadhyay : No                                            Sanskrit optional in Sr. Sec.:           No
Do you want to apply for a lingual     No                                        Lingual minor studied in Sr. Sec. / +2   Not Applicable
minor institute/ institution? :                                                  Level:
Do you belong to Ex-service man        No                                        Do you belong to minority :              No
family :
State of Bonafied Residence:           Rajasthan                                 District of Bonafied Residence:          Jhunjhunu
Father's Name:                         HOSHIYAR SINGH                            Mother's Name:                           SULOCHANA DEVI
2. Permanent Address:
Address Line 1:                                           00, Govt. School, Khajpur Naya
PIN Code:                                                 333024                                   State:             Rajasthan
Alternate Mobile No:                                      7732931290
3. Communication Address:
Address Line 1:                                           00, Govt. School, Khajpur Naya
PIN Code:                                                 333024                                   State:             Rajasthan
Alternate Mobile No:                                      7732931290
4.             7732931290        5. Registered E-     msushil144@gmail.com
Registered                       mail
Mobile No.
6. Educational Qualification:
    Name of Examination         Year of School (Centre if                        Board/ University                              Marks    Percentage
                                Passing    Open School)
                                         GOVT. SEC. SEH.
10th (Secondary) / Equivalent 2012        KHAJPUR NAYA              Rajasthan Board of Secondary Education, Ajmer             296 / 600     49.33
                                            JHUNJHUNU
                                            AMBEDKAR
                                          PUBLIC SR. SEC.
12th (Senior Secondary) /
                                  2014     SCH KHAJPUR              Rajasthan Board of Secondary Education, Ajmer             293 / 500      58.6
Equivalent
                                              PURANA
                                            JHUNJHUNU
7. Course Type Opted for:
 S.N. Course Type
  1   General
8. Exam Center Preference:
 S.N. Exam Center
9. Payment Details:
Order ID:          PDEE63020090b4374587                          Payment Date Time:                      21-08-2022 03:24 PM
Amount:            450                                           Payment ID:                             220821127942346
10. Preference Payment Details:
Order ID :                      PDEE63858531eabc8859                      Payment Date Time:                 29-11-2022 09:39 AM
Payment Amount:                 3000                                      Payment ID:                        221129137416211
11. Bank Account Details:
Account        SUSHIL KUMAR Account Holder      Candidate
Holder :       MEENA          Person:
Bank :         Bank of Baroda Account No.:      01280100043234
IFSC :         BARB0JHUNJH Passbook/Cheque Click here
                              :                 (https://d1cmkr5tdoeyjk.cloudfront.net/laraveldemo/PIY0000081/bank/PDEE1732249711Y922.pdf)
Branch :       JHUNJHUNU BRANCH, JHUNJHUNU BRANCH,GANDHI CHOWK JHUNJHUNU,JHUNJHUNU,333001
Status :       Submitted
                                                              Selected Colleges
      District       Course     College
S.No.                                     College Name                                                                           Preferences
      Name           Type       Type
   1 JHUNJHUNU GENERAL GOVT.              805GC04 - DISTRICT INSTITUTE FOR EDUCTION & TRAINING(DIET), JHUNJHUNU                        1
                                          805GC15 - SETH MOTI LAL TEACHERS EDUCATION COLLEGE, INFRONT OF RANISATI
   2 JHUNJHUNU GENERAL PRIVATE                                                                                                         2
                                          TEMPLE, JHUNJHUNH
                                          805GC20 - SMT. RAMKUMARI ELEMENTARY TEACHER TRAINING COLLEGE,
   3 JHUNJHUNU GENERAL PRIVATE                                                                                                         3
                                          MUKUNDGARH MANDI, JHUNJHUNU
                                          813GC10 - MARUDHARA SHIKSHAK PRASHIKSHAN MAHAVIDYALAYA, V&P- BASNI,
   4 SIKAR           GENERAL PRIVATE                                                                                                   4
                                          LAXMANGARH, MUKUNDGARH ROAD, SIKAR
   5 SIKAR           GENERAL PRIVATE 813GC23 - VINAYAK COLLEGE, PLOT NO. 1,3, VINAYAK VIHAR, LAXMANGARH, SIKAR                         5
                                          816GC03 - POKHRAN T.T. COLLEGE POKHRAN PLOT NO 17 PULSOON, POKHRAN,
   6 JAISALMER GENERAL PRIVATE                                                                                                         6
                                          JAISALMER
   7 BIKANER         GENERAL GOVT.        803GC02 - DISTRICT INSTITUTE FOR EDUCTION & TRAINING(DIET), BIKANER                          7
                                          805GC02 - Bhanwar Kanwar Sugan Singh Shiksha Mahavidhyalaya, Plot No 194,Inderpura,
   8 JHUNJHUNU GENERAL PRIVATE                                                                                                         8
                                          Udaipurwati, Jhunjhunu
                                          805GC17 - SHEKHAWATI TEACHER TRAINING SCHOOL, SIKAR-JHUNJHUNU ROAD,
   9 JHUNJHUNU GENERAL PRIVATE                                                                                                         9
                                          DUNDLOD, JHUNJHUNU(RJ-715)
  10 SIKAR           GENERAL GOVT.        813GC08 - DISTRICT INSTITUTE FOR EDUCTION & TRAINING(DIET), SIKAR                           10
Any where in Rajasthan : No
Declaration/ Undertaking by the Candidate:
I hereby declare that all statements made in this application are true, complete and correct to the best of my knowledge and belief. I understand that in the event of
any information being found false or incorrect at any stage, my candidature for Pre D. El. Ed. Admission is liable to be cancelled.
Date: 21-08-2022, Application Last Edited on: 21-08-2022 15:22:56
Printed on : 06-03-2025 10:52 AM
                                                                                                                                     (Signature of the candidate)