CENTRAL BOARD OF SECONDARY EDUCATION, DELHI CENTRAL TEACHER ELIGIBILITY TEST CONFIRMATION PAGE FOR CTET - JULY 2013

Registration No.:

2941584

You have successfully submitted the Online CTET-JULY 2013 Application. Kindly take the PRINTOUT of this confirmation page. Paste your one recent photograph and sign in the specified box. Send the original printout of CONFIRMATION PAGE through Registered / Speed Post only along with CBSE copy of Challan of the prescribed fee, if fees paid through challan so as to reach latest by 22.04.2013 in the CBSE office to THE ASSISTANT SECRETARY (CTET), CENTRAL BOARD OF SECONDARY EDUCATION, PS 1-2, INSTITUTIONAL AREA, I P EXTENSION, PATPARGANJ, DELHI-110 092 Candidate's Name: Mother's Name: Father's/Husband's Name: If Differently Abled : Employment Status: Languages offered for CTET: Apply For: Minimum Qualifications for Classes I to V: Minimum Qualifications for Classes VI to VIII: Subject Offered for Paper-II: Choice of Exam Centres:

SHUBHRA SHARMA KAMLESH SHARMA MAHESH SHARMA No Not Employed 1st : Hindi, 2nd : English Both (Paper I & Paper II)

Date of Birth: Gender:

25/11/1988 Female Category: General Status of Qualifying Exam: Appearing in Final Exam Mobile No.: 8276801288 Email Id: mailme.shubhra@rediffmail.c om Question Paper Medium: English

Graduation and passed or appearing in final year of two year Diploma in Elementary Education (by whatever name known) Graduation with at least 50% marks and passed or appearing in 1-year Bachelor in Education (B.Ed) Social Science 1st : Agra, 2nd : Mathura, 3rd : Gwalior

College/Institution/University from which Degree/Diploma in Education/Elementary Education etc. obtained:

State Diploma Degree Uttar Pradesh Distt. Agra Name of College/Institution/University raghubeersaran dbrau agra Pincode 282007 % Marks -

Candidate's mailing address

Address: Locality / Mohalla: City / Town / Village: District: State: Pincode:

208 A STREET NO4 UMA KUNJ COLONY K K NAGAR AGRA AGRA AGRA UTTAR PRADESH 282007

DECLARATION
I hereby solemnly and sincerely affirm that all the particulars stated by me in this Application Form are true and correct and I have verified my eligibility to apply for CTET - JULY 2013. I have not concealed any information. However, if any information furnished herein is found false, wrong, incorrect or inaccurate, I understand that my candidature for CTET - JULY 2013 will be cancelled and lead to cancellation of the test result, forfeiture of certificate and even prosecution. I agree to abide by the Rules and Regulations governing the Examination as contained in the CTET - JULY 2013 Information Bulletin, which I have duly gone through.

Signature of the Candidate in running hand (within the box only)

Paste (do not staple) a recent unattested Photograph Size 3.5 x 4.5 cm Photograph must not be larger than this box

UNATTESTED

Details of Payment through Syndicate Debit/ Credit Card

Amount :800 /Transaction Id No. :MUDC2972247084 Transaction Date :17-04-2013

Registration No.: 2941584

Note: While sending the Confirmation Page to CBSE do not enclose any photocopy of Educational or Caste Certificate along with this Confirmation Page. Applications sent through courier will not be received.