[ Computer Copy ]

Chaudhary Charan Singh University, Meerut

Application Form for Admission through Entrance Test in University Campus and Aided / Affiliated Colleges : 2024-25

1. Course Applied For : M.Ed.

2. Name of the Candidate : KASHISH TYAGI
3. Father`s Name : ANUJ TYAGI
Form No:24503080
4. Mother`s Name : POONAM TYAGI
5. Date of Birth : 05/12/2000 6. Gender : Female
7. Original Resident of : U.P. 8. Kashmiri : No
9. Category : General [101]
10. Belongs to EWS : No
11. State from where Graduated : UP
12. Do you have Domicile Cert. of U.P. State : Yes 13. Marital Status : Unmarried
14. Permanent Address : VILL.KHINDORA POST KHINDORA, MODINAGHAR,
GHAZIABAD, Pin : 201204
15. Present Address : VILL.KHINDORA POST KHINDORA, MODINAGHAR,
GHAZIABAD, Pin : 201204
16. Mobile No. (Candidate) : 8954266816
Mobile No. (Parent) : 9891112002 Signature of Candidate
Mobile No. (Friend) : 6398767354
17. Email ID : TYAGI.KASHISH2000@GMAIL.COM
18. Description of Examination:
Name of Year Name of the School/College Name Subject Offered Mrks Max. Per.
Examination Board/University obt. Mrks (%)
High School 2015 CBSE BOARD D.G.R PUBLIC SCHOOL Hindi English Maths Science 361 500 72.20
S.St
Intermediate 2017 CBSE BOARD D.G.R PUBLIC SCHOOL Hindi Economics B.St 405 500 81.00
Accountancy Physical ed.
Graduation 2020 CCS UNIVERSITY RCCV GIRLS COLLEGE COMMERCE 1219 2000 60.95
B.Ed/L.T./B.T. 2022 CCS UNIVERSITY GINNI DEVI MODI INSTITUTE EDUCATION 727 900 80.78
(Theory) OF EDUCATION
B.Ed/L.T./B.T. 2022 CCS UNIVERSITY GINNI DEVI MODI INSTITUTE EDUCATION 448 500 89.60
(Practical) OF EDUCATION
B.Ed/L.T./B.T. (Total) 2022 CCS UNIVERSITY GINNI DEVI MODI INSTITUTE EDUCATION 1175 1400 83.93
OF EDUCATION
Post Graduation
Post Graduation
19. If Qualifying Exam Result is Awaited and Student of CCS University Roll No. : Enrolment No. :
20. Whether you were punished for any offence/unfair means committed by you in the previously attended or the present institution, then fill-up the
following information Year : Class : Result :
21. Dependent of Freedom Fighter : No
22. Dependent of Ex-serviceman categories : No
23. If in services whether part-time or full time give details :
24. Reservation Claimed : No
25. Annual Income of the Parents : 500000

Page 1/4
 [ Computer Copy ]
Chaudhary Charan Singh University, Meerut
Application Form for Admission through Entrance Test in University Campus and Aided / Affiliated Colleges : 2024-25

Course Applied For Name of the Candidate From No.

M.Ed. (01) KASHISH TYAGI 24503080

26. Checklist (Attached Documents)

Marksheet of High School : Yes Marksheet of Intermediate : Yes Marksheet of Graduation : Yes
Marksheet of Post Graduation : No Residence/Domicile Certificate : No Handicap Certificate : No
Caste Certificate :No Mark Sheet of B.Ed/L.T./ B.T. : Yes
Any other certificate 1. 2.
Detail of Application Fee
Amount(in Rs.) Payment Status Transaction No. Payment Date
Rs. 700/- PAID CCSU-ET-12B400F3143E-1 06/05/2024

Important Note :
Note 1: Current GOs accepted by executive council of C.C.S. University, Meerut will be applicable.

Note 2: All Candidates whose result is awaited must submit the complete result to office of DSW,CCS University, Meerut within one week of
declaration of their results or before starting of Admission process in colleges and campus, whichever is earlier. If the result of qualifying course is not
received in the office of DSW in time, the candidature will not be entertained for admission

Note 3: The declaration of Entrance Exam result does not ensure position in merit or admission. Tentative merit will be displayed coursewise after
receiving completed result of qualifying course up to the certain date declared by the university.

Declaration
I KASHISH TYAGI(24503080) hereby declare that I have read the eligibility conditions given in Information Brochure very carefully and I undertake
the responsibility of fulfilling eligibility conditions. The entries in the form are correct to the best of my knowledge and belief. If any entry is found to be
wrong or false, my admission may be cancelled at any time. I will pay all dues in accordance with the University rules and regulations and also abide
by the rules of conduct, behavior and studies

Undertaking
I, KASHISH TYAGI D/o Shri. ANUJ TYAGI , undertake not to involve directly or indirectly, in any kind of ragging.

Instruction for Candidates

Printed hard copies of the downloaded copy of the filled Application Form with documents must be submitted at the time of counselling. No Form will
be accepted by hand or through courier or registered post in any case.

Date:___________________

Place:___________________ (Full Signature of the Applicant)

Page 2/4
 [ University Copy ]
Chaudhary Charan Singh University, Meerut
Application Form for Admission through Entrance Test in University Campus and Aided / Affiliated Colleges : 2024-25

1. Course Applied For : M.Ed.

2. Name of the Candidate : KASHISH TYAGI
3. Father`s Name : ANUJ TYAGI For Office Use Only Form No:24503080
4. Mother`s Name : POONAM TYAGI
5. Date of Birth : 05/12/2000 6. Gender : Female
7. Original Resident of : U.P. 8. Kashmiri : No 1. Obtained Marks in
9. Category : General [101] Entrance Test = .................
10. Belongs to EWS : No
11. State from where Graduated : UP
12. Do you have Domicile Cert. of U.P. State : Yes 13. Marital Status : Unmarried
14. Permanent Address : VILL.KHINDORA POST KHINDORA, MODINAGHAR,
GHAZIABAD, Pin : 201204
15. Present Address : VILL.KHINDORA POST KHINDORA, MODINAGHAR,
GHAZIABAD, Pin : 201204
16. Mobile No. (Candidate) : 8954266816 Signature of the teacher

Mobile No. (Parent) : 9891112002 Signature of Candidate

Mobile No. (Friend) : 6398767354
17. Email ID : TYAGI.KASHISH2000@GMAIL.COM
18. Description of Examination:
Name of Year Name of the School/College Name Subject Offered Mrks Max. Per.
Examination Board/University obt. Mrks (%)
High School 2015 CBSE BOARD D.G.R PUBLIC SCHOOL Hindi English Maths Science 361 500 72.20
S.St
Intermediate 2017 CBSE BOARD D.G.R PUBLIC SCHOOL Hindi Economics B.St 405 500 81.00
Accountancy Physical ed.
Graduation 2020 CCS UNIVERSITY RCCV GIRLS COLLEGE COMMERCE 1219 2000 60.95
B.Ed/L.T./B.T. 2022 CCS UNIVERSITY GINNI DEVI MODI INSTITUTE EDUCATION 727 900 80.78
(Theory) OF EDUCATION
B.Ed/L.T./B.T. 2022 CCS UNIVERSITY GINNI DEVI MODI INSTITUTE EDUCATION 448 500 89.60
(Practical) OF EDUCATION
B.Ed/L.T./B.T. (Total) 2022 CCS UNIVERSITY GINNI DEVI MODI INSTITUTE EDUCATION 1175 1400 83.93
OF EDUCATION
Post Graduation
Post Graduation
19. If Qualifying Exam Result is Awaited and Student of CCS University Roll No. : Enrolment No. :
20. Whether you were punished for any offence/unfair means committed by you in the previously attended or the present institution, then fill-up the
following information Year : Class : Result :
21. Dependent of Freedom Fighter : No
22. Dependent of Ex-serviceman categories : No
23. If in services whether part-time or full time give details :
24. Reservation Claimed : No
25. Annual Income of the Parents : 500000

Page 3/4
 [ University Copy ]
Chaudhary Charan Singh University, Meerut
Application Form for Admission through Entrance Test in University Campus and Aided / Affiliated Colleges : 2024-25

Course Applied For Name of the Candidate From No.

M.Ed. (01) KASHISH TYAGI 24503080

26. Checklist (Attached Documents)

Marksheet of High School : Yes Marksheet of Intermediate : Yes Marksheet of Graduation : Yes
Marksheet of Post Graduation : No Residence/Domicile Certificate : No Handicap Certificate : No
Caste Certificate :No Mark Sheet of B.Ed/L.T./ B.T. : Yes
Any other certificate 1. 2.
Detail of Application Fee
Amount(in Rs.) Payment Status Transaction No. Payment Date
Rs. 700/- PAID CCSU-ET-12B400F3143E-1 06/05/2024

Important Note :
Note 1: Current GOs accepted by executive council of C.C.S. University, Meerut will be applicable.

Note 2: All Candidates whose result is awaited must submit the complete result to office of DSW,CCS University, Meerut within one week of
declaration of their results or before starting of Admission process in colleges and campus, whichever is earlier. If the result of qualifying course is not
received in the office of DSW in time, the candidature will not be entertained for admission

Note 3: The declaration of Entrance Exam result does not ensure position in merit or admission. Tentative merit will be displayed coursewise after
receiving completed result of qualifying course up to the certain date declared by the university.

Declaration
I KASHISH TYAGI(24503080) hereby declare that I have read the eligibility conditions given in Information Brochure very carefully and I undertake
the responsibility of fulfilling eligibility conditions. The entries in the form are correct to the best of my knowledge and belief. If any entry is found to be
wrong or false, my admission may be cancelled at any time. I will pay all dues in accordance with the University rules and regulations and also abide
by the rules of conduct, behavior and studies

Undertaking
I, KASHISH TYAGI D/o Shri. ANUJ TYAGI , undertake not to involve directly or indirectly, in any kind of ragging.

Instruction for Candidates

Printed hard copies of the downloaded copy of the filled Application Form with documents must be submitted at the time of counselling. No Form will
be accepted by hand or through courier or registered post in any case.

Date:___________________

Place:___________________ (Full Signature of the Applicant)

Page 4/4