Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1697750199569.pdf (India)
NIEPID/RCNM/Adm/Anx/2:A Serial No.

_____ M. Ed.

SE (ID)/2021/ APPLICATION FORM AND PROSPECTUS M. Ed.
SPECIAL EDUCATION (INTELLECTUAL DISABILITY) (Two Academic Years Masters Degree Course Affiliation from Mumbai University is under process*) Approved by the Rehabilitation Council of India ACADEMIC YEAR 2021 – 2023 NATIONAL INSTITUTE FOR THE EMPOWERMENT OF PERSONS WITH INTELLECTUAL DISABILITIES (DIVYANGJAN) REGIONAL CENTRE, NAVI MUMBAI (Department of Empowerment of Persons with Disabilities, Ministry of Social Justice & Empowerment, Government of India) B 102, Vasundhara CHS, Plot No.
13-14 Sector 8, Kharghar, Navi Mumbai.

410210 (An ISO 9001:2015 Institution) Tel.

: 022-2774 6889 Email:- niepidrcnm@gmail.com Web Site :- www.niepid.nic.in __________________________________________________________________________ Last date for sale and receipt of Application form WITHOUT LATE FEE: 30/08/2021 Last date for sale and receipt of Application form WITH LATE FEE Rs.
200/-: 13/09/2021 Tentative Date of common entrance test (CET): 17/09/2021 (Friday) _________________________________________________________________________________ *For affiliation status with University f Mumbai, please regularly check our website.

PRICE: Rs.

1300.00 for General/OBC Category PRICE: Rs.

900 .00 for SC/ST/PH Category 1 NIEPID REGIONAL CENTRE, NAVI MUMBAI M. Ed.
SPECIAL EDUCATION (INTELLECTUAL DISABILITY) PROSPECTUS 1.0 INTRODUCTION: The National Institute for the Empowerment of Persons with Intellectual Disabilities (NIEPID, Divyangjan) formerly known as National Institute for the Mentally Handicapped is a registered society established in the year 1984 as an autonomous body under the Department of Empowerment of Persons with Disabilities (Divyangjan), Ministry of Social Justice and Empowerment, Government of India.
The Institute is an apex body having tripartite functions of training, research and services in the field of Intellectual Disability in the country.

For 36 years, the Institute has been making significant advances in building capacities to empower Persons with Intellectual Disability.

Based on the latest developments and recent trends in the field, the Institute strives to organize new programmes and make innovations through research and development.
National and International collaborations entered into by the Institute in its various activities reflect the global characteristics of the organization.

The activities of NIEPID are planned in accordance with the mandates of United Nations Convention on the Rights of Persons with Disabilities (UNCRPD), the Legislative Acts and the National Policy promulgated for the Persons with Disabilities.
NIEPID strives to be an Institute of excellence focusing on high standards in every aspect of its functioning to bring equality and dignity in the lives of Persons with Intellectual Disability which is endorsed by ISO 9001: 2015 certification.

NIEPID has made noticeable progress in Human Resource Development, Research and Development and Direct Therapeutic Services in its efforts to improve the quality of life of Persons with Intellectual Disability.
Objectives of NIEPID NIEPID, at its inception itself projected multifarious activities to enhance the quality of life of Person with Intellectual disability.

Accordingly, the aims and objectives of the society have been spelt out as follows: 1.

To conduct, sponsor, coordinate or subsidize research into all aspects of the education and rehabilitation of Person with Intellectual disability.

2.
2.

To undertake sponsor, coordinate or subsidize research into bio-medical engineering leading to the effective evaluation of aids/suitable surgical or medical procedure or the development of new aids.

3.

To undertake or sponsor the training of trainees and teachers, employment of officers, psychologists, vocational counselors and such other personnel as may be deemed necessary by the Institute for promoting the education, training or rehabilitation of Persons with Intellectual Disability.

4.
4.

To distribute and promote or subsidize the manufacture of proto-types and distribution of any or all aids designed to promote any aspects of the education, rehabilitation or therapy of Persons with Intellectual Disability.

2 Functional Objective  To create manpower and develop human resources for delivery of services to person with Intellectual Disability.

 To Identify Conduct and Coordinate Research In The Area Of Intellectual Disability in the Country.
 To develop appropriate models of care and habilitation for person with Intellectual Disability suitable to Indian culture.

 To provide consultancy services to voluntary organization in the area of Intellectual Disability.

 To serve a documentation and information centre in the area of Intellectual Disability.

 To Develop Community Based Rehabilitation Services for rural and low income, needy population.

 To undertake extension and outreach programme in the field of Intellectual Disability.
NIEPID Value Statement: 1.

Vision: The quality of life of every person with intellectual disability is equal to other citizens in the country; in that they live independently to the maximum extent possible.

2.

Mission: Through constant professional endeavours, empowering the persons with intellectual disability to access the state-of-the-art rehabilitation intervention, viz., educational, therapeutic, vocational, employment, leisure and social, sports and cultural programmes and full participation.

3.
3.

Value Statement: NIEPID values equal opportunity, protection of rights and full participation for the persons with intellectual disability.

NIEPID believes in participation of the persons with disabilities, parents, professionals, employees and other stakeholders the rehabilitation programmes that are client focused.

in NIEPID Regional Centre Navi Mumbai: NIEPID Regional centre Navi Mumbai was established in the year 1987 at Mumbai.
The institute endeavors to excel in building capacities to empower persons with Intellectual Disability.
Since the quality of life of every Person with Intellectual Disability (Divyangjan) is equal to other citizens in the country, in that they live independently to the maximum extent possible and through constant professional endeavors, To achieve optimum results, the institute has developed and introduced innovative structured training courses like: 1.1 LONG TERM PROGRAMMES:- a) b) c) d) All courses are recognized by RCI Diploma in Early Childhood Special Education (Intellectual Disability): For 1 Year B. Ed.
in Special Education (Intellectual Disability): for 2 Year, University of Mumbai Diploma in Vocational Rehabilitation (Intellectual Disability): For 1 Year M. Ed.
in Special Education (Intellectual Disability): for 2 Year, University of Mumbai (proposed from 2021-23) 3 SHORT TERM PROGRAMMES: 1.2 Various training programmes, Workshops, Seminars and Diagnostic Camps are conducted in the field of Intellectual and Developmental Disabilities in the States of Maharashtra, Gujarat, Madhya Pradesh, Rajasthan, Goa and Union Territories of Diu, Daman and Dadra & Nagar Haveli.
SERVICE ACTIVITIES: 1.3 Services in Assessment and Intervention are provided at the NIEPID RC, Navi Mumbai for persons with Intellectual Disabilities in the areas of Special Education, Psychological Assessment, Occupational Therapy, Speech therapy, Physiotherapy, Vocational; Training, Guidance and Counseling etc.

Persons coming from outstation are assessed.

AIM: 2.0 OVERALL AIMS & GENERAL OBJECTIVES of M.Ed SE (ID) Course: 2.1 The aim of the M.Ed.Spl.Ed.
(ID) programme is of preparing teachers as education leaders.

The major thrust of the M.Ed.Spl.Ed.

(ID) programme would be professional preparation of teacher educators who would through this process be equipped with the knowledge and competencies to facilitate and conduct initial preparation and continuing professional development of teachers.
They would need to be necessarily equipped with the core competencies and knowledge related to teacher education, its philosophical underpinnings, research methodology, curriculum planning and be aware of best practices in the field of pedagogical interventions and adaptations for children with intellectual disabilities.

2.2 GENERAL OBJECTIVES:- The M.Ed.Spl.Ed.

(ID) program supports three shared philosophical stances underlying longstanding tradition of preparing teacher educators as education leaders.
These stances include teaching as inquiry, teaching as curriculum making and teaching for social justice.
The objectives of the program are to:  Assist potential teacher educators to exert leadership in advocating and meeting educational needs of children with disabilities in various settings  Offer special teacher educators the opportunity to develop specialized capacity for leadership in curriculum, pedagogy and universal design  Build theoretical knowledge and skills in research methodologies and conducting research in order to enhance education of children with intellectual disabilities in all settings.
PLACEMENT OPPORTUNITIES TO WORK AS TEACHER EDUCATOR/ ADMINISTRATOR/ RESEARCHER:-      In teacher-education colleges in Special Education (Intellectual Disability) In research projects funded by government/non-government organizations in the field of disability rehabilitation In regular/inclusive schools.

Rehabilitation clinics.

Community Based Rehabilitation programmes.

4 3.0 ELIGIBILITY: - A candidate who has successfully passed B.Ed.
Special Education (MR/ID) regular/distance mode from a recognized University or any other degree equivalent from an affiliating University and/ or Teaching Department under any University recognized by U.G.C.

and RCI with a minimum of 50% aggregate marks.

OR A candidate who has successfully passed the B.Ed.
(General Education) with minimum 50% aggregate and has successfully completed Diploma in Special Education (Mental Retardation/Intellectual Disability) or equivalent recognized by the RCI with minimum 50% aggregate marks.

OR A candidate who has successfully passed the Integrated BA/BSc/BCom & B.Ed Special Education recognized by the RCI with minimum 50% aggregate marks For Foreign Nationals 1.
15% of the total intake approved by the Council to be allocated as supernumerary seats for management quota for all the above said programmes.

2.

15% of the total intake approved by the Council to be allocated as supernumerary seats for foreign/ NRI quota.

The fee structures for foreign students are as under.

Fee for Indian national – at the existing fee rate.

Foreign national from the SAARC and African countries – Five times of the existing fees.
Foreign nationals outside the SAARC countries – Fifteen times of the existing fees I. II.

III.

SELECTION: - 5.0 Admission is given on the basis of the merit obtained by the candidates in the entrance examination and followed by counseling/interview conducted as per the rules and regulations of University of Mumbai.

ENTRANCE EXAMINATION: 5.1 The Entrance examination will be conducted at above address.
The total marks for the entrance examination will be 100 and the duration of the examination will be of 90 minutes.

The questions will be objective type, covering (i) General Mental Ability, (ii) General Knowledge, (iii)General English, (iv) Broad aspects of general education and special education.

5 Selection will be made in the order of merit.
In case a candidate is appearing or has appeared in the qualifying examination and results are awaited at the time of applying, he/she would submit a certificate to this effect from the Principal/Head of the college but he/she shall have to provide documentary evidence of his/her having passed the qualifying examination with attested photocopy of the marks sheet showing percentage of marks obtained by him/her at the time of admission latest by failing which his/her performance in the Entrance Examination will not be considered.
5.2 COUNSELING:- All top 25 candidates in merit list must attend counseling on given date.

The admission made is provisional subject to approval by the University of Mumbai regarding the recognition of the qualifying examination, submission of Transfer Certificate and Migration Certificate.

HEALTH: Candidates are required to declare their health status in the application in case of pregnancy, infectious diseases, chronic health problems or suffering from any psychiatric problem.
If the candidate is unable to complete course requirement due to health problems then NIEPID reserves the right for termination from admission to M.Ed Spl.Edn.(ID).

NUMBER OF SEATS: The total number of seats will be 15 (Fifteen).

Reservation will be applied as per the rules of Government of India (Reservation for PH – Persons having disability only in lower limbs without reverse limitations in mobility may be considered for this category).
DURATION OF THE COURSE : 2 years The Course/programme will be of 4 Semesters (two years) with 2 semesters in each year.

Each semester will be of 16-18 weeks; 2 weeks in summer and 2 weeks in inter semester break will also be utilized for covering the courses.
In this way, the following operational weeks will be available for transacting the course: Year 1- 16-18 weeks for each of the two semesters + 2 weeks in summer Year 2- 16-18 weeks for each of the two semesters + 2 weeks in inter-semester breaks No admission / readmission are to be made after the expiry of four weeks from the date of commencement of instruction.
In case there are any court cases consequent on which the Convener of admissions is compelled to admit any candidate after the last date of admission, the admission (seat) of such a student be reserved for the subsequent year on supernumerary basis.

Supplementary or any other examination (except internal tests) shall be conducted during the instruction period of the semester.
A candidate admitted to M.Ed Special Education (Intellectual Disability) course will forfeit seat and admission stands cancelled if;  He/she does not put in at least 40% of the attendance in Semester – I.

OR  He/she does not secure promotion to Semester-II within a maximum period of two academic years starting from the year of admission.

The same system will be applicable for semester III and IV.
6 OR  He/she fails to fulfil all the requirements for the award of the degree as specified, within two academic years from the time of admission.

AWARD OF CERTIFICATE: 7.0 M. Ed.

in Special Education (Intellectual Disability) issued by Mumbai University.

ATTENDANCE: 8.0 The programme will be conducted for at least 200 working days each year exclusive of the period of examination and admission.
Physical presence in the institution of all the teachers and student teachers is necessary to ensure their availability for advice, guidance, dialogue and consultation as and when needed.

The minimum attendance of Student-Teachers shall have to be 80% for all course work, 90% for all practicum, and 100% for internship (10% attendance may be condoned by OU on health grounds).
Attendance at NCC/NSS Camps or Inter-Collegiate or inter-University or Inter-State or National or International Matches or Debates, Youth Festivals or Educational Excursions if they form part of the curriculum of such other Inter-University, Inter-College activities as approved by the University will not be counted as absence.

However the aggregate of all such absences should not exceed four weeks in a semester.
In any semester of the M.Ed Special Education (ID) course, if a candidate fails to secure the minimum percentage of attendance, he/she shall not be eligible to appear in the examination of that semester and he/she shall have to enroll himself/herself to undergo afresh a Regular Course of Study of the corresponding semester in a subsequent academic session in order to become eligible to appear for the examination.
Attendance shall be reckoned from the date of commencement of instruction as per the almanac communicated by the College/University.

However, in the case of late admitted candidates (but within the stipulated time), the attendance will be reckoned from the date of admission.
To enable the students to know their attendance, at the end of each month the concerned Heads of Departments shall display cumulative attendance for information 8.0 AGE: While no minimum and maximum age is prescribed, preference will be given to those below 35 years of age.

9.0 MEDIUM OF INSTRUCTION AND EXAMINATION: The medium of Instruction will be English however examination will be allowed to write in English/Marathi/Hindi.
7 COURSE STRUCTURE: 11.0 FEES: The course fee will be charged as prescribed by the Mumbai University, Mumbai and the National Institute for the Empowerment of Persons with Intellectual Disabilities (Formerly National Institute for the Mentally Handicapped- NIMH) Regional Centre, Navi Mumbai.

Present Course Fee details: Sr. No.


01 02 03 04 05 06 07 08 09 10 11 Particulars Registration Fee Tuition Fee (Per year) Examination Fee Migration Fee (Students from other Mumbai University) Affiliation Fee Caution Deposit (Refundable on completion of the Course) Library Deposit (Refundable on completion of the Course) Stationery Enrolment University Fee* Provisional Eligibility Fee Amount (Rs.)

12 13 Hostel charges (per year) Hostel Deposit (Refundable on completion of the Course) A.

Total B.
Total B.

Total Grand Total (A+B)* 150/- 27,000/- 3,500/- 250/- 1,000/- 1,500/- 2,000/- 1,000/- 200/- 200/- 320/- 37,120/- 6,000/- 1,500/- 7,500/- 44,620/- * University Fee Details: S. No.

Particulars 1.

E-Suvidha 2.

Vice Chancellor’s Fund 3.

Annual State Level Fund 4.

Disaster Relief Fund 5.

E-charges 6.

NSS Registration Fee 7.

Student Welfare Fund 8.

National Service Scheme Yojne 9.

Sports Contribution Amount (Rs.)


50/- 20/- 24/- 10/- 10/- 10/- 6/- 10/ 60/- 200/- Total *In case of any increase in the University fees from time to time, an extra amount if any, may be collected from the students later during the course period.

The admission cannot be cancelled in any circumstances, if still candidates wants to cancel the admission all deposits & fees paid by candidates will be forfeited.

8 12.0 HOSTEL ACCOMMODATION: NIEPID Regional Centre building is under construction.
In case completion of the building shared hostel accommodation to outstation candidates will be provided on nominal charge at NIEPID, Regional Centre Navi Mumbai Sector 05, Kharghar, Navi Mumbai subject to availability on first- come-first- served basis.

The trainees will have to bear the expense on food.

13.0 SCHOLARSHIP: - i.

Central Government Scholarship for Top Class Education for SC / ST students.
The SC / ST students should submit the documents of caste and income certificates at the time of admission itself to enable academic section to initiate forwarding application for Top Class Education Scheme within two working weeks of admission, listed in guidelines by Ministry of Social Justice and Empowerment, New Delhi.

ii.
ii.

State Government Scholarship for SC/ST/BC to be applied by the individual students NOTE:- ELIGIBILITY CERTIFICATE: - Candidates admitted in the course have to submit Eligibility Certificate from University of Mumbai (students from other than University of Mumbai) within 15 days from date of joining.

If the candidate fails to submit the same, the admission will be cancelled duly forfeiting the amount paid by them.
 Original certificates deposited will not be released during the course and students are advised to keep sufficient number of photo copies before submission of original certificates to office at the time of admission.

 Procedure for acquiring bonafide certificate: Bonafide certificate will be provided if the student applies for the same to the Incharge, Academics The candidate once admitted in the course will not be allowed to leave the course under any circumstances.
If the candidate still desires to leave the course for any reason, the total fee and deposits paid by the candidate will be forfeited.

14.0 ENCLOSURES WITH THE APPLICATION: Please enclose the following documents with your application a.

Degree certificate of B.Ed Spl.

Edn.

(MR/ID) / B.Ed (General) & Diploma in Special Education (MR/ID) or B.A./B.Sc./B.Com certificate and Certificate of B.Ed.Special Education (4yrs integrated) Marks/ Grade statement of the examination (Attested copy).

b.
b.

Conduct certificate from the Head of the Institution last attended (Attested copy).

c. Birth certificate or matriculation certificate as proof of date of birth (Attested copy).

d. In case of SC/ST/OBC, Certificate of Social Status should be obtained from the authority competent to issue such certificate.

e. Certificate of Family Income f. In case of a person with disability a certificate from the certifying authority prescribed by the Government should be produced.
g. Candidate’s name and complete postal address with Pin Code should be written in separate envelop and sent along with the application.

9 h. All candidates suffering from health problems due to infections, chronic health problems, Psychiatric problem or pregnancy must submit medical certificate from authorized/ recognized medical practitioner.

i.
i.

The fill in application form should be sent to Officer Incharge National Institute for the Empowerment of Persons with Intellectual Disabilities (Divyangjan), B 102, Vasundhara CHS, Plot No.

13-14 Sector 8, Kharghar, Navi Mumbai.

410210 16.0 DISCIPLINE: The candidates admitted shall be subjected to strict discipline inside and outside the campus and also in the hostel where accommodation is provided.
The candidates are expected to maintain decorum, decency and discipline throughout their pursuance of the course with the staff, faculty and other supporting workers.

The hostellers should follow the prescribed rules in the hostel.

Infringement or violation of rules shall result in rustication from the hostel for a period as decided by the management of the Institute.

Kindly note: NIEPID is not held responsible for any incident happened in hostel/ outside campus of NIEPID after working hours.
16.1 Ban on mobile phone use: Use of cell phones during working hours is strictly prohibited.

A fine of Rs.

150/- will be levied for use of cell phone during working hours.

16.2 Anti-ragging pledge: - Ragging is a crime prohibited under law.

Anyone found indulging in the unethical act of ragging will be isolated/punished by management and law enforcing authorities as the case may be.

All Candidates selected for admission in M.Ed.


SE (ID) should be signing Anti- ragging Pledge 17.0 ENTRANCE EXAMINATION: The date of Entrance examination and the venue & time of examination will be intimated separately.

Candidates are required to bring the following ORIGINAL certificates along with two sets of Photostat attested copies and necessary fee.

 Transfer Certificate (T.C) from the institution where the candidate last studied.
If the candidate is pursuing any course, regular or correspondence, he/she must submit a proof of admission (Certificate issued by the Head of the Institution).

 No Candidate will be admitted without the submission of original transfer certificate (T.C) or proof of admission if he/she is pursuing a course at the time of counselling.
 The candidates admitted and undergoing different courses will have to submit the TC from the present course within seven (7) days failing which the admission will be deemed to be cancelled.

An undertaking has to be given by the candidate to the effect that they would not pursue two different courses simultaneously.

10  Original Certificate (or provisional certificate if the original is not yet issued as per rules) of qualifying degree examination.

 Migration certificate.


 Consolidated Memorandum of Marks (Part-I and Part-II) of the qualifying degree examination.

 Secondary School Certificate.

 Intermediate Marks Memo.

 Proof of Local/Non local status – A residence certificate from MRO must be submitted.

 Community, Nativity and Date of Birth certificate for SC, ST/OBC.

 Latest Income Certificate (for scholarship purpose)  Relevant original certificate in respect of candidates called for admission against Physical Handicapped.
 Medical Certificate as stated in ‘g’  RCI Registration certificate if available SAMPLE QUESTIONS FOR CET: SECTION – A: General English 1.

Which is the right word to mean 'Harmless' a) b) c) d) innocuous inocous innoeous innoeuoes 2.

'Gusto' means a) b) c) d) a group of guests enjoyment disgusting unavoidable 3.

Choose the appropriate word from those given below in the following sentence.

Through his friend ________________ him to accept the job, he declined the job offer.
a) b) c) d) prosecuted persuaded pervaded pursued SECTION – B: General Mental Ability 1.

In a line of horses, the white horse is the eleventh from either ends.

The total number of horses in the row are a) b) c) d) 22 23 21 20 11 2.

If the sixth day of a month is Tuesday, what is the day on the 8th day prior to the 28th of the month a) b) c) d) Thursday Friday Wednesday Saturday 3.

By following certain logic 'THEIR' is written as 'TRITE' and 'SOLDIER' is written as 'SROLIED'.
How is 'CUSTOM' written in that logic?

a) b) c) d) UTSOMC CTSUOM CUSTOM None of These SECTION – C: General Knowledge 1.

Gregor John Mendel is connected with a) b) c) d) 20th Century Fox Laws of Inheritance Rugby Football Law of molecular energy 2.

3.
3.

The famous Mughal Garden is situated in Bangalore Nainital Srinagar New Delhi a) b) c) d) Hundred rupee note holds the signature of Governor of Reserve bank Finance Minister of India Secretary of World Bank None of the above a) b) c) d) SECTION – D: General and Special Education aspects 1.

Which educational philosopher advocated multi sensory approach?

a) b) c) d) Pestolozzi Tagore Montessori Gandhi 2.


The Objective of Special education and general education is a) b) c) d) The same Different Unique None of the above 3.

Special education means a) b) c) d) Use of Special Materials.

Education to meet the unique needs of children that is not met by regular education.

Integrated education of minority children in the country.

All of the above.
All of the above.

12 NATIONAL INSTITUTE FOR THE EMPOWERMENT OF PERSONS WITH INTELLECTUAL DISABILITIES (DIVYANGJAN), Regional Centre, Kharghar, Navi Mumbai M. Ed.

SE (ID) 2021/ APPLICATION FORM FOR ADMISSION INTO M.ED SPECIAL EDUCATION (INTELLECTUAL DISABILITY) (Application form may be filled in by English/Marathi/Hindi language) PHOTO SESSION 2021 –2023 The Application form should be submitted before __________ 1.
Name of the candidate (In block letters as given in High School Certificate): Surname: First name: Middle name : 2.

Father’s Name (In block letters as given in High School Certificate): 3.

Date of birth DD MM YEAR 4.

Age (in complete Years as on 31st December, 2020) 5.

Address:- Complete Postal Address (in block letters) (Please do not write your name or father’s name) Permanent Address of Father /Guardian Phone: Fax: Phone: Fax: PIN: PIN : 13 6.
Health certificate as stated in ‘g’ of page no.8 6a.Blood Group 7.

Nationality:- Indian Foreign Gender M F T Category SC ST OBC PH G Handicapped Religion: Caste: Sub-caste: PH.

: Physically 8.

State to which the candidate belongs: 9.

Annual income of self /Parent.

Guardian: 10.


Details of Qualification: (enclose separate sheet if required) Name of the degree Name of the School/colle ge Year of passing Universit y Board No .of Attempts Class Division Subjects Taken Aggregate % of marks Medium of instructio n S.S.C H.S.C B.A/ B.COM/ B.SC or Eqvt B.Ed Special Educati on (ID)/ B.Ed General D.Ed Special Educati on (ID) 14 OTHER 11.

RCI registration details with number (if any): 12.


Experience : to be supported by attested copies of certificates failing which, no weight age for experience will be given (enclose separate sheet if required ) Name and address of the Employer Designation From To (indicate dates) 13.

Whether the candidate is a parent or sibling of a child with Intellectual Disability (Divyangjan): Yes / No 14.

Languages known : Language Speak Read Write 15.

Have you worked with persons having Intellectual Disabilities?
If yes, give details 16.

Please state in your own handwriting “Why do you want to join the M.Ed SE (ID) Course”?

15 17.

Additional talents/interest (please indicate your involvement in curricular activities in school/college): 18.

Any history of major health problems with on going treatment of the students?

DECLARATION I hereby declare that all the information furnished in the application form is true to the best of my knowledge and belief.
I have read the prospectus and satisfied myself that I fulfil all the eligibility requirements prescribed.

In the event of being found ineligible even at the later date, I understand that I will be denied the opportunity to appear in the Entrance Exam.

If admitted I promise to abide by the rules and discipline and norms of the Institute and University.
SIGNATURE OF APPLICANT HEALTH STATUS DECLARATION I hereby declare that I am / am not suffering with infectious diseases / chronic health problems / psychiatric problems / having pregnancy.

In the event of my above health problems I am enclosing Medical Certificate issued by authorized Medical Practitioner for my above health problems.
I agree with the decision of NIEPID authorities that my admission is liable to be cancelled if I am unable to complete the course requirement as prescribed norms of attendance or completion of assignments.

SIGNATURE OF APPLICANT Please enclose the following documents with the application (without which your application will not be considered): a.

Attested copies of Degree Certificate b.

Attested copies of statement of marks of B.Ed Spl.

Edn.
Edn.

(MR/ID) / B.Ed (General) & Diploma in Special Education (MR/ID)/ Integrated BA/BCom/BSc & B.Ed Special Education c. Attested copy of proof of date of birth (10th Certificate)/ birth certificate d. Attested copy of conduct certificate.

e. Attested copy of Migration certificate in case of students completing the degree from universities other than Osmania University.

f. Proof for SC/ST/OBC status or Certificate of Disability issued by competent authority.
g. Proof of Income if under EWS category h. Medical certificate.

i. Self addressed envelope cover.

Place: Date: SIGNATURE OF APPLICANT 16 Endorsement by Forwarding Authority (If the candidate is working) Certified that Mr. / Mrs./ Ms. _______________________________________ is/was working in our organization as ___________________________from ____________ to ________________.

His /her application for admission to the training programme leading to M. Ed.

SE (Intellectual Disability) is forwarded.


CATEGORY CERTIFICATE (i) SC/ST Candidates This is to certify that Mr./Ms./Mrs.____________________________ son/daughter/wife of Shri ______________________________________of Village ____________________________ Town ______________ District.

_______________________State/U.T.


____________belongs to ________________________Caste which is recognized as Scheduled Caste/Scheduled Tribe under the Constitution (Scheduled Caste Part C States) Order 1951 read with the SC/ST list (Modification Order, 1956) Mr./Ms./Mrs _____________________________________________and his/her family reside in Village/Town ____________________ District _______________ State U.T.

______________.
______________.

Signature of Tehsildar/Commissioner/District Magistrate) Place : ___________ Signature : ___________________________ Date : ____________ Seal/Stamp 17 CATEGORY CERTIFICATE (ii) OBC candidates (only non-creamy layer) This is to certify that Mr./Ms./Mrs.

___________________________________son/daughter/wife of Shri _________________________ of Village _________________________________Town ________________ District _____________________ State/U.T.
_________________ belongs to _______________________________________ Caste who are eligible for availing the benefits as per central list of 5 to 13 Cs/OBC as per Resolution No.12011/68/93-DCC(C) of Ministry of Social Justice & Empowerment as modified from (Scheduled Caste Part C States) Order 1951 read with the SC/ST list (Modification Order, 1956) Mr./Ms./Mrs.

___________________________________________ and his/her family reside in Village/Town _______________ District _____________ State U.T.
________________.

Place : __________ Signature : ___________________________ Date : ____________ Seal/Stamp Signature of Tehsildar/Commissioner/District Magistrate) DECLARATION (For SC/ST/OBC/PH students) I Mr/Ms._________________________________ S/o, D/o.Shri_________________________ Aged__________________ years R/o______________________________________do hereby undertake that I am not drawing any scholarship (SC/ST/OBC/PH) from any Government authority for my studies for the year 2018-19.
The annual income of my family is Rs._____________________________(Rupees______________________________________ ____________________) per Annum as per the certificate of Mandal Revenue Officer / Tahsildar / Local authority attached.
Signature of the Parent Signature of the candidate Date: Place: 18 NATIONAL INSTITUTE FOR THE EMPOWERMENT OF PERSONS WITH INTELLECTUAL DISABILITIES (DIVYANGAJAN) REGIONAL CENTRE, NAVI MUMBAI (An ISO 9001:2015 Institution) (Ministry of Social Justice & Empowerment, Government of India) B 102, Plot No.

13-14, Sector 8, Kharghar, Navi Mumbai 410 210 Telephone No.

022 - 2774 6889 2774 3877 Email:- niepidrcnm@gmail.com Web Site :- www.niepid.nic.in UNDERTAKING BY THE CANDIDATE / STUDENT 1.
I,____________________________________________________________________ S/o.

D/o.

Mr/Mrs/Ms_____________________________________________________ have carefully read and fully understood the law prohibiting ragging and the directions of the Supreme Court and Central / State Government in this regard.

 I hereby undertake that: a. I will not indulge in any behavior or act that may come under the definition of ragging.
b. I will not participate in or bet or propagate ragging in any form, c. I will not hurt anyone physically or psychologically or cause any other harm.

2.

I hereby agree that if found guilty of any aspect of ragging, I may be punished as per the provisions of the regulations mentioned above and / or as per the law in force.

3.

I hereby affirm that I have not been expelled or debarred from admission by any Institution earlier.
Signed this ___________________day of ______________month of ____________year Date: Name: Address: 19 Signature NATIONAL INSTITUTE FOR THE EMPOWERMENT OF PERSONS WITH INTELLECTUAL DISABILITIES (DIVYANGAJAN) REGIONAL CENTRE, NAVI MUMBAI (An ISO 9001:2015 Institution) (Ministry of Social Justice & Empowerment, Government of India) B 102, Vasundhara CHS, Plot No.

13-14, Sector 8, Kharghar, Navi Mumbai 410 210 Telephone No.
022 - 2774 6889, 2774 3877 Email:- niepidrcnm@gmail.com Web Site :- www.niepid.nic.in UNDERTAKING BY PARENT / GUARDIAN I, ___________________________________________________________________ F/o.

M/o.

G/o.

_________________________________________________________ have carefully understood the law prohibiting ragging and the directions of the Supreme Court and the Central / State Government in this regard on curbing the Menace of Ragging in Educational Institutions 2011.
I assure you that my son/ daughter/ ward will not indulge in any act of ragging.

I hereby agree that if he / she is found guilty of any aspect of ragging, he / she may be Punished as per the provisions of the regulations mentioned above and / or as per the law in force.
Signed this ___________________day of ______________month of ____________year Date: Name: Address: Signature 20 NATIONAL INSTITUTE FOR THE EMPOWERMENT OF PERSONS WITH INTELLECTUAL DISABILITIES (DIVYANGAJAN) REGIONAL CENTRE, NAVI MUMBAI (An ISO 9001:2015 Institution) (Ministry of Social Justice & Empowerment, Government of India) B 102, Vasundhara CHS, Plot No.

13-14, Sector 8, Kharghar, Navi Mumbai 410 210 Telephone No.
022 - 2774 6889, 2774 3877 Email:- niepidrcnm@gmail.com Web Site :- www.niepid.nic.in UNDERTAKING BY THE CANDIDATE / STUDENT 1.

I, _______________________________ S/o, D/o, ____________________________ Have carefully read and fully understood the following: 2.

I here by undertake that:  I do not have any objection to be placed in various institutes in the field of disability rehabilitation in India, as part of the course curriculum.
Signed this ________________ day of ____________ month of _________________year Date: Signature Name: Address: 21 NATIONAL INSTITUTE FOR THE EMPOWERMENT OF PERSONS WITH INTELLECTUAL DISABILITIES (DIVYANGAJAN) REGIONAL CENTRE, NAVI MUMBAI (An ISO 9001:2015 Institution) (Ministry of Social Justice & Empowerment, Government of India) B 102, Vasundhara CHS, Plot No.

13-14, Sector 8, Kharghar, Navi Mumbai 410 210 Telephone No.
022 - 2774 6889, 2774 3877 Email:- niepidrcnm@gmail.com Web Site :- www.niepid.nic.in UNDERTAKING BY PARENT / GUARDIAN 1.

I, _______________________________ F/O, M/o, G/o ______________________ have carefully read and fully understood the following: 2.

I here by assure that:  I do not have any objection that my son / daughter to be placed in various Institutes in the field of disability rehabilitation in India, as part of the course curriculum.
 I do not have any objection that my son/daughter will also placed in community work settings in the field of disability rehabilitation any where in India during the period of the course.
Signed this ________________ day of ____________ month of _________________year Date: Signature Name: 22 NATIONAL INSTITUTE FOR THE EMPOWERMENT OF PERSONS WITH INTELLECTUAL DISABILITIES (DIVYANGAJAN) REGIONAL CENTRE, NAVI MUMBAI (An ISO 9001:2015 Institution) (Ministry of Social Justice & Empowerment, Government of India) Vasundhara CHS, Plot No.

13-14, Sector 8, Kharghar, Navi Mumbai 410 210 Telephone No.
022 - 2774 6889, 2774 3877 Email:- niepidrcnm@gmail.com Web Site :- www.niepid.nic.in IDENTITY CARD Date & Time of Exam at Candidates are allowed to enter their room & occupy seats 15 Minutes before the examination.

Full Name: ……………………………………………………….. Age on 31st December 2019 ……………………..

Gender: M/F…………..

Course for Admission : M.Ed Special Education (ID) Venue of Exam Centre:………………………………….

Roll No.

: ……………………………………………….. Sign.

of Candidate : …………………………………….


AFFIX PHOTOGRAPH HERE ATTESTATION NOT TO BE DONE Sign of Exam Invigilator: ……………………… 23 INSTRUCTIONS 01.

The admit card must be shown to the Officer supervising the Examination.

02.

A candidate without the valid admit card shall be debarred from taking the examination.

03.

This card should be preserved till the admission is over.

04.

No traveling expenses will be paid for the journey for appearing in the Entrance Examination 05.
Violation of instruction and adoption of any unfair means in the examination hall shall render a candidate liable for cancellation of his/her script and forfeiture of his/her claim for admission.

Decision of the Officer Incharge of the Examination centre shall be final.

06.

No Candidate shall be allowed or admitted to the Examination hall half an hour after the commencement of the examination.
So also, no candidate will be permitted to leave the Examination Hall till the expiry of at least one and half an hour after the question paper has been given out.

07.

No candidate without the permission of the invigilator shall leave his/her seat in the middle of the Examination.

08.

Strict silence should be maintained in the examination hall.

Any candidate found guilty of disorderly or improper behaviour will be liable to expulsion from the examination hall.

09.
09.

Candidates are strictly prohibited from smoking in the examination hall.

10.

Candidates should sign when required to do so by the invigilator.

11.

Candidates are prohibited from writing their names on any part of the answer book.

They should write their Roll Number both in the question booklet as well as in the answer booklet.

12.

Except marking on the appropriate place in the answer column nothing else should be written on the book.
Rough work may be carried out on the blank pages provided for the purpose.

13.

No sheet should be detached from the book.

The Book should be returned intact at the end of the examination.

14.

Candidates should not leave the hall without handing over their answer books to the invigilator.

15.

Candidates appearing at Entrance Examination of the institute are under the disciplinary control of the Invigilator and are required to obey his/her instruction.

16.
16.

Use of Cell phone during the examination is strictly prohibited.

24 NATIONAL INSTITUTE FOR THE EMPOWERMENT OF PERSONS WITH INTELLECTUAL DISABILITIES (DIVYANGAJAN) REGIONAL CENTRE, NAVI MUMBAI (An ISO 9001:2015 Institution) (Ministry of Social Justice & Empowerment, Government of India) Vasundhara CHS, Plot No.

13-14, Sector 8, Kharghar, Navi Mumbai 410 210 Telephone No.

022 - 2774 68892774 3877 Email:- niepidrcnm@gmail.com Web Site :- www.niepid.nic.in M. Ed.
SE (ID) 2021/ Date & Time of Exam at __________________________ ADMIT CARD Candidates are allowed to enter their room & occupy seats 15 minutes before the Examination Full Name: .

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Photo Age on 31st December 2019: .

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Sex: M/F Course of Admission: M. Ed.


Special Education (ID)-2020-22 Venue of Exam Centre: NIEPID RC, 2nd Floor, Commercial Complex, Vasundhara CHS, Plot no 13-14, Sector 8, Kharghar, Navi Mumbai, Maharashtra 410210 Roll No.

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Sign of Candidate: .

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Sign of Exam Invigilator: .

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25 INSTRUCTIONS 01.


The admit card must be shown to the Officer supervising the Examination.

02.

A candidate without the valid admit card shall be debarred from taking the examination.

03.

This card should be preserved till the admission is over.

04.

No traveling expenses will be paid for the journey for appearing in the Entrance Examination 05.
Violation of instruction and adoption of any unfair means in the examination hall shall render a candidate liable for cancellation of his/her script and forfeiture of his/her claim for admission.

Decision of the Officer Incharge of the Examination centre shall be final.

06.

No Candidate shall be allowed or admitted to the Examination hall half an hour after the commencement of the examination.
So also, no candidate will be permitted to leave the Examination Hall till the expiry of at least one and half an hour after the question paper has been given out.

07.

No candidate without the permission of the invigilator shall leave his/her seat in the middle of the Examination.

08.

Strict silence should be maintained in the examination hall.

Any candidate found guilty of disorderly or improper behaviour will be liable to expulsion from the examination hall.

09.
09.

Candidates are strictly prohibited from smoking in the examination hall.

10.

Candidates should sign when required to do so by the invigilator.

11.

Candidates are prohibited from writing their names on any part of the answer book.

They should write their Roll Number both in the question booklet as well as in the answer booklet.

12.

Except marking on the appropriate place in the answer column nothing else should be written on the book.
Rough work may be carried out on the blank pages provided for the purpose.

13.

No sheet should be detached from the book.

The Book should be returned intact at the end of the examination.

14.

Candidates should not leave the hall without handing over their answer books to the invigilator.

15.

Candidates appearing at Entrance Examination of the institute are under the disciplinary control of the Invigilator and are required to obey his/her instruction.

16.
16.

Use of Cell phone during the examination is strictly prohibited.

****** 26 NATIONAL INSTITUTE FOR THE EMPOWERMENT OF PERSONS WITH INTELLECTUAL DISABILITIES (DIVYANGAJAN) REGIONAL CENTRE, NAVI MUMBAI (An ISO 9001:2015 Institution) (Ministry of Social Justice & Empowerment, Government of India) B 102, Vasundhara CHS, Plot No.

13-14, Sector 8, Kharghar, Navi Mumbai 410 210 Telephone No.

022 - 2774 6889, 2774 3983 Fax no.


: 2774 3877 Email:- niepidrcnm@gmail.com Web Site :- www.niepid.nic.in RANK CARD 1.

Name of the Candidate : 2.

Fathers Name : 3.

Candidate Address : 4.

Course : B.Ed Special Education (ID) 5.

Roll No.

: 6.

Rank obtained : 7.

Date of Counseling : 8.

Place of Counseling : 9.

Time of Counseling : Signature of the Competent Authority Note: - Please bring all your original certificates along with fees of amount Rs.
44,620/- (For Hostellers) & Rs.37,120/- (For Non-Hostellers) for 1st year.

27