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

Registration No.:

2508457

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:

ABHA DUBEY USHA BUDHOULIYA KAMLESH DUBEY No Employed as Teacher 1st : Hindi, 2nd : English Both (Paper I & Paper II)

Date of Birth: Gender:

24/06/1979 Female Category: General Status of Qualifying Exam: Passed Mobile No.: 8989400460 Email Id: anuragbudhouliya@gmail.co m Question Paper Medium: Hindi

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 B.Ed. (Special Education) Mathematics & Science 1st : Jabalpur, 2nd : Bhopal, 3rd : Indore

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

State Diploma Degree Madhya Pradesh Madhya Pradesh Distt. Bhopal Jabalpur Name of College/Institution/University JAIHIND DEFFENCE COLLEGE/BARKATULLA UNIVERSITY matagujri girls college/R.D.V.V. JABALPUR Pincode 462026 482001 % Marks 63 56

Candidate's mailing address

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

E-119, SANJAY NAGAR NEAR VIVEKANAD PARK RANJHI JABALPUR MADHYA PRADESH 482005

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. :MUDC2965161182 Transaction Date :09-04-2013

Registration No.: 2508457

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.