Course Applied for :
Applicant’s Name(Block Capital Letter)
Gender :
Category :
Cast Certificate No:
Date of Birth :
Age :
Blood Group :
Place of Birth :
Marital Status :
Nationality :
Mobile :
Aadhaar Number :
Email ID :
Confirm Email ID :
Personal Identification Mark :
Height :
Weight :
Religion :
Sl. Language Speak Read Write
1. Odia
2. English
3. Hindi
4. Others
Name of Bank :
Application Fees DD No. :
Amount :
DD Date :
Father's Name :
Father's Occupation :
Father's Mobile :
Mother's Name :
Mother's Occupation :
Mother's Mobile:
Plot No/House No:
Village/Area/Locality :
Post :
PS :
District :
State :
Plot No/House No:
Village/Area/Locality :
Post :
PS :
District :
State :
Examinations Stream Board/ University Year Result Awaiting Total Marks Marks obtained % of Marks
H.S.C. (10+) OR Equivalent

C.H.S.E. (+2) OR Equivalent

Graduation OR Equivalent
B.P.Ed. OR Equivalent
Name of the Sport & Games School level Inter college Level University Level District level State Level National/ International Level
I undertake to abide all the instructions, rules & regulations that are prescribed by the institution for a student. I also agree to put my best effort on studies and will participate all types of programme stipulated by the institution. I certify that all the informations submitted above are true to best of my knowledge.
Applicants Signature :
Passport Size Photo :
Place :
I Sri :
, father/ guardian of the applicant hereby undertake to maintain the applicant during his/ her studies
at the College and shall be responsible for all liabilities. I also stand for the good conduct of my son/ daughter/ward and have no objection for any accident during practical training and outward activities.
Place :
Certified that Sri/ Smt./ Kumari
is employed in
as a :
and he/she is permitted to go on study leave for the entire period of the teachers training.
He/ she will be allowed to rejoin in his/ her duties after completion of the course work.
Place :

Applicants are advised to carefully fill-up and verify the data filled in the online application as no change will be possible after clicking the FINAL SUBMIT BUTTON. Candidates should modify the details of data if required before final submission.

Candidates whose results are not published are advised to click on “Result Awaiting” box and can update the same after publishing the result with their login credential in “Students login” section.

Before uploading the Photograph/signature on the online application form, candidates should check that the images are clear and have been uploaded correctly.

After successful submission of online application, candidates are advised to take printout of their online generated application and preserve it in hard copy and soft copy format. If Application will not generate the applicant can downloaded his application through their login credential in “Students login” section.

Your Application No./Login ID & Password will be sent to your register Email ID.

Hard copy of online application Form along with DD send to “Baliapal College of Physical Education, AT/PO: Baliapal, Balasore, Odisha-756026” by Speed/Registered Post only.

On received of Application hard copy along with DD, the date of Entrance/Interview and date of admission will be intimated to the candidates.