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

Registration No.:

2142648

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: Choice of Exam Centres:

NEERAJ SHARMA ANITA KUMARI POORAN CHAND No Not Employed 1st : Hindi, 2nd : English Paper I (Classes I to V)

Date of Birth: Gender:

07/08/1992 Male Category: General Status of Qualifying Exam: Passed Mobile No.: 9467634936 Email Id: rahul260792@gmail.com Question Paper Medium: Hindi

Senior Secondary (or its equivalent) with at least 50% marks and passed or appearing in final year of 2year Diploma in Elementary Education (by whatever name known) 1st : Ambala, 2nd : Kurushetra, 3rd : Chandigarh

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

State Diploma Degree Jammu & Kashmir Distt. Udhampur Name of College/Institution/University NARSINGH DEV ETT COLLEGE Pincode 182101 % Marks 74 -

Candidate's mailing address

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

H. NO. 15 PARRSHURAM NAGAR NEAR MOHAN ATTA CHAKKI AMBALA CITY AMBALA HARYANA 134003

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 :500 /Transaction Id No. :MCIT2954972424 Transaction Date :28-03-2013

Registration No.: 2142648

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.