Common Application Form
D.El.Ed Course
Directorate of Teacher Education and SCERT, Odisha, Bhubaneswar 25DE000833
Thursday, June 12, 2025, 12:54 PM
Candidate Personal Details
Photo
Course : D.EL.ED
Application Number : 25DE000833
Applicant's Name : SHIBAJI NAIK
Mother's Name : DULLABHI NAIK
Father/Spouse/Guardian's Name : TIKELAL NAIK
Gender : MALE Date of Birth : 09-Aug-2002
Email : xxxxxxxxxxxx@gmail.com
Facsimile Signature
Aadhaar No. : XXXXXXXX7424
Mobile No. : 9861750124 Whatsapp No. : 9861750124
Marital Status : UNMARRIED Alternate Mobile No : 9337719958
Social Category : SEBC Reserve Category : NA
Quota : STATE
I am giving my consent to receive the
whatsapp notification. : Yes
Present Address
State : ODISHA District : BOLANGIR
SHANTI PADA ,POST- RAJENDRA COLLEGE,
Block : BALANGIR Address Line-1 :
BALANGIR
SHANTI PADA, POST- RAJENDRA COLLEGE,
Address Line-2 : Pincode : 767002
BALANGIR
Permanent Address
State : ODISHA District : BOLANGIR
SHANTI PADA ,POST- RAJENDRA COLLEGE,
Block : BALANGIR Address Line-1 :
BALANGIR
SHANTI PADA, POST- RAJENDRA COLLEGE,
Address Line-2 : Pincode : 767002
BALANGIR
Have you studied Odia at HSC/+2 Level (or Passed Odia as a special paper from BSE Odisha in 10th Standard) YES
Stream
Stream Name
SCIENCE
Educational Qualification
Year Of Mark Maximum Mark
Examination Passed College Board Exam Type Roll No Percentage
Passing Type Mark Obtained
10TH/HSC/EQUIVALENT BSE, ODISHA ANNUAL 2018 144EG0101 Mark 600 384 64.00
+2/12TH/EQUIVALENT CHSE, ODISHA ANNUAL 2020 332BA184 Mark 600 300 50.00
Payment Details
Mode of Payment Payment Status Amount Paid Transaction Number
Unified Payments Success 500.00 113803659929
Bank Account Details
Account Number : 80450100000785 AccountHolder Name : SIBAJI NAIK
IFSC Code : BARB0VJBAGI MICR Code : 767012004
Bank Name : BANK OF BARODA Branch Name : BALANGIR, ORISSA
Institution Choice locking Details
Option No District Institute Name Amount
1 BOLANGIR DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), BALANGIR 2800
2 BOLANGIR ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), BALANGIR 2800
3 BOLANGIR ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), PATNAGARH 2800
4 BOLANGIR ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), TITILAGARH 2800
5 SONEPUR DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), SONEPUR 2800
6 BARAGARH DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), BARAGARH 2800
7 ANGUL DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), ANGUL 2800
8 ANGUL ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), KISHORE NAGAR 2800
9 SAMBALPUR DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), SAMBALPUR 2800
10 KALAHANDI DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), KALAHANDI AT BHAWANIPATNA 2800
11 DHENKANAL DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), DHENKANAL 2800
12 GAJAPATI DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), GAJAPATI AT PARLAKHEMUNDI 2800
13 DEOGARH DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), DEOGARH 2800
14 BOUDH DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), BOUDH AT LANDIBANDHA 2800
15 CUTTACK DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), CUTTACK AT NARASINGHPUR 2800
16 CUTTACK ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), ATHAGARH 2800
17 CUTTACK ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), RAGADI 2800
18 BALASORE DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), BALASORE AT REMUNA 2800
19 BALASORE ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), BAGUDI 2800
20 BALASORE ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), LANGALESWAR 2800
21 BALASORE ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), TUDIGADIA 2800
22 BHADRAK DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), BHADRAK AT AGARPADA 2800
23 BHADRAK ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), PAHIMAHURA 2800
24 CUTTACK RADHANATH ELEMENTARY TEACHER EDUCATION INSTITUTION (RNETEI), CUTTACK 2800
25 GANJAM DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), GANJAM AT KHALLIKOTE 2800
26 JAGATSINGHPUR DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), JAGATSINGHPUR 2800
27 JAJPUR DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), JAJPUR AT DOLIPUR 2800
28 JHARSUGUDA DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), JHARSUGUDA AT PANCHAPADA 2800
29 KANDHAMAL DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), KANDHAMAL AT TIKABALI 2800
30 SUNDARGARH DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), SUNDARGARH AT SANKARA 2800
31 SUNDARGARH ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), KUNDUKELA 2800
32 RAYAGADA DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), RAYAGADA AT BISSAMCUTTACK 2800
33 PURI ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), SAKHIGOPAL 2800
34 PURI ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), PIPILI 2800
35 PURI ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), NIMAPARA 2800
36 NUAPADA DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), NUAPADA 2800
37 PURI DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), PURI 2800
38 NAYAGARH DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), NAYAGARH AT RAJSUNAKHALA 2800
39 NAWARANGPUR DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), NAWARANGPUR 2800
40 MAYURBHANJ ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), KUSHALDA 2800
41 MAYURBHANJ ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), BARIPADA 2800
42 MAYURBHANJ DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), BARIPADA 2800
43 MALKANGIRI DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), MALKANGIRI AT CHITRAKONDA 2800
44 KORAPUT DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), KORAPUT AT JEYPORE 2800
45 KHURDA ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), BHUBANESWAR 2800
46 KHURDA PANCHAGARH ANANGA NARENDRA (PAN) ELEMENTARY TEACHER EDUCATION INSTITUTION, BANKOI 2800
47 KHURDA ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), TANGI 2800
48 KHURDA DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), KHURDA 2800
49 KEONJHAR ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), FAKIRPUR 2800
50 KEONJHAR ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), REMULI 2800
51 KEONJHAR DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), KEONJHAR 2800
52 KENDRAPARA ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), KENDRAPARA 2800
53 KENDRAPARA DISTRICT INSTITUTE OF EDUCATION AND TRAINING (DIET), KENDRAPARA AT BALIA 2800
54 KANDHAMAL ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), PHULBANI 2800
55 KANDHAMAL ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), BALIGUDA 2800
56 KALAHANDI ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), DHARMAGARH 2800
57 GANJAM ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), POLASARA 2800
58 GANJAM ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), CHIKITI 2800
59 GANJAM ELEMENTARY TEACHER EDUCATION INSTITUTION (ETEI), BHANJANAGAR 2800
Declaration
I do hereby declare that all the information furnished by me in this application form is true and complete to the best of my knowledge and belief. I understand that entries
made by me in this application form are final binding on me.
Place: Date: Signature of the candidate:
25DE000833
