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

Registration No.:

30532716
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 VI to VIII: Subject Offered for Paper-II: Choice of Exam Centres:

YASHWANT THAKUR SURESHA DEVI HET RAM No Not Employed 1st : English, 2nd : Hindi Paper II (Classes VI to VIII) -

30/04/1983 Male Category: General Status of Qualifying Exam: Passed Mobile No.: 9459766444 Email Id: yashwanthakur02@gmail.co m Question Paper Medium: English Roll No.(CTET- JULY 2013):

Graduation with at least 50% marks and passed or appearing in 1-year Bachelor in Education (B.Ed) Mathematics & Science 1st : Chandigarh, 2nd : Ambala, 3rd : Shimla

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

State Diploma Degree Haryana Distt. Yamunanagar Name of College/Institution/University g.k Pincode 135001 % Marks 72

Candidate's mailing address

Address:

City / Town / Village: State:

HOUSE NO 51-2-1 TOP FLOOR WARD NO 01 , NEAR AGRICULTURE DEPARTMENT JAWAHAR NAGAR MANDI HIMACHAL PRADESH

Locality / Mohalla:

KHALIYAR

District: Pincode:

MANDI 175001

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 :500 /Transaction Id No. :MHCC3148046445 Transaction Date :28-10-2013

Registration No.: 30532716

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.