CENTRAL BOARD OF SECONDARY EDUCATION, DELHI CENTRAL TEACHER ELIGIBILITY TEST CONFIRMATION PAGE FOR CTET - FEB 2014

Registration No.:

30823439
Date of Birth: Gender:

You have successfully submitted the Online CTET-FEB 2014 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(Not required if fees paid by debit/credit card) so as to reach latest by 07.11.2013 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: Roll No.(CTET- NOV 2012): Unique AADHAAR Number: Minimum Qualifications for Classes I to V: Minimum Qualifications for Classes VI to VIII: Subject Offered for Paper-II: Choice of Exam Centres:

SANKET MUDGAL KUSUM LATA SHARMA KESHAV DAYAL SHARMA No Employed other than Teacher 1st : English, 2nd : Hindi Both (Paper I & Paper II) -

19/04/1985 Male Category: General Status of Qualifying Exam: Passed Mobile No.: 9784542344 Email Id: sanketmudgal@gmail.com Question Paper Medium: English Roll No.(CTET- JULY 2013):

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 : Jaipur, 2nd : Noida, 3rd : Ajmer

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

State Diploma Degree Rajasthan Distt. Jaipur Name of College/Institution/University University Of Rajasthan Pincode 302004 % Marks 80

Candidate's mailing address

Address: City / Town / Village: State:

35/04 , RAJAT PATH JAIPUR RAJASTHAN

Locality / Mohalla: District: Pincode:

MANSAROVER JAIPUR 302020

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 - FEB 2014. 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 - FEB 2014 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 - FEB 2014 Information Bulletin, which I have duly gone through.

Your Scanned Signature below

Affix identical passport size Photograph of the candidate similar to the uploaded photo.

Put your signature in running hand in the box below

(DO NOT USE STAPLER OR PIN)

Details of Payment through Syndicate Debit/ Credit Card

Amount :800 /Transaction Id No. :MCIT3151197602 Transaction Date :31-10-2013

Registration No.: 30823439

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.