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05. 12.

APPLICATION FOR ADMISSION TO THE TEACHERS TRAINING CERTIFICATB COURSE. 2012-2014 (SELF FINANCING-MERIT OUOTA)

l.
2.

Name of Revenue District in which admission

ii#:lT*il

of the applicant (in block letters)

3. Full address to which communications are to be sent

4. 5.

Date ofbirth and age as on 1.7.2012

Sex

6. If the applicant

Community and sub

belongs to OBC/SC/ST State the - division, if any (Self Attested Copy of Community Certificate to be attaehed) Whether the applicant is an Ex-serviceman, if so true copy of the discharge certificate to be attached is the Wife/Child of Ex-service, if so copy of self attested certificate showing his service or relationship with him etc, to be attached

7.

8. Whether the applicant g.

Whether the applicant is the wife/child of Ex-Service if so copy of self attested certificate showing his service or relationship, with him etc, to be attached

10 Applicant's mother tongue 11 Qualifications : HSE or equivalent l. Name of qualifuing Examination 2. Register No. and year of Passing 3. Number of chances ( including SAY examination) taken for passing the quali$ing Examination
1

2. Additional Qualification

13. Marks obtained in HSE

/ Equivalent Exam

: Subjects

Gradellr4ark secured

Total
14. Total percqntage of marks

_*'.-

15 Name of University /Examination

Board

16 Whether the candidate is physically handicapped

(copy of self attested Certificate to be produced)

17 Whether the candidate is NCC

cadet

18 State the names of games played and whether

applicant has distinguished athletics or presented the school in any (Enclose self attested copies of

the i himself in games or certificates)

a)

All India Level

b) State Level

competition c) District Level

d) Sub - district Level

19. Whether the candidate has acquired by Rajyapuraskar : or Rashtrapathi Puraskar or Bharath Scouts and Guides

20. Whether the candidate is coming under Quota / Sports Council

Sports

21. Whether the applicant is eligible for weightage a

details 22.Demand Draft No. , Date and Name of Bank

NSS volunteerA{CC cadet? If so

23 Name of Institute preferred (Please see the list of

Training Schools).

(l)
(2) (3)

DECLARATION I hereby declare that the statement furnished above are true and are bonafide as can be proved by proper records in my possession.

I also
to pass

I have not taken more than three chances including 'SAY' examination the qualiffing examination for admission to the course.
declare that

I also declare that I have not applied to any other district for the course during this year.

Signature of APPlicant Date : N.B: Candidates who does not fumish information against co' 6 will be treated as applied against general qryta

Place:

-l

l.
2.

APPLI R ADMIS E TEA TRAININ CERTIFICATE 2012-2014 (Manaeement Ouota) On Duplicatel

Name of Revenue District in which admission is sought Name in full of the applicant (in BLOCK letters)

J.

Full address to which communications are to be sent

4. 5. 6.

Date of birth and age as on 1.7.2012 Sex

Ifthe applicant belongs to OBC/SC/ST, State the Community and sub - division, if any ( Self Attested Copy of Community Certificate to be attached)
Applicant's mother tongue
Qualifications: HSE or equivalent

7.
8.

l. Name of quali$ing Examination

2. Register No. and year of passing
3. Number of chances including SAY Examination taken for passing the qualiSing Examination 9.

Additional Qualifi cation /Equivalent Exam:

Grade/Marks secured

10. Marks obtained in HSE

Subjects

Total
I 1. Total percentage of marks

12. Name of University/ Examination Board

13.

DDNo. & Date andName ofthe Bank

DECLARATION

I hereby declare that the statement furnished above are true and are bonafide as can be proved by proper records in my possession. I also declare that I have not taken more than three chances including'SAY' examination to pass the qualiffing examination for admission to the course. I also declare that I have not applied to any other district for the couae during this year.
Place:

Date

Signature of Applicant

otF
1. Thiruvananthapuram
Kunju Krishnan Nadar Memorial T.T.l,
Kanjiramkulam P.O, Neyyattinkara Thiruvananthapuram (Malayalam, Tamil & English) Viswadarsini Uriyacode P.O, Thiruvananthapuram

.te r\'
14 15

Ezhuthachan TTl, Marayamuttom P.O, Neyyattinkara, Thiruvananthapuram CSI

TTl, Chembur, Thiruvananthapuram

fi|,

CSI TTl, Amaravila, Thiruvananthapuram

Thunchan Smaraka TTl, Airanimuttom,

Manacaud. P. O, Thiruvananthapuram ( Malayalam Medium 2 Batches) Pattom Thanupillai Memorial TTl, Maruthoorkonam, Kottukal P.O, Balarampuram, Th iruvananthapuram ( Malayalam & English) Cresent Teacher Training lnsitute, Pamangode P.O, Peringammala,

16

IFFER T.T.l Pariyaram, Vencode,

Thiruvananthapuram

fi

Pushpa Geetha School of Teachers Education, l, Kattoor P. O Kattakada, Thiruvananthapu ram

Thiruvananthapuram
Quaide

B.N.V TTl, Thiruvallam, Thiruvananthapuram Kochukarikkakam,

-A-

Millath

TTl,

Daivappura P.O, Thiruvananthapuram

M.V. Teacher Training lnstitute, Chowara P.O, Chapath, Thiruvanathapuram Rose Dale Teachers Training lnstitute, Rose Dale Public SchoolComplex, Kallambalam, Thiruvananthapuram lndian TTl, Kilimannnor, Peroor.P.O,
19

ll.

Kollam

Fathima Memorial T.T.l, Manacaud, Vadakkevila. P.O, Kollam AS Teacher Training lnstitute, Ghandanathope, Near Karikode Sarathy Junction, Melkone, Chandanathope P.O, Chathinamkulam, Kollam Milade Sherif Memorial T.T.l, Chandanathope P.O, Chathinamkulam, Kollam

20

Thiruvananthapuram Theera Jyothi TTl, Menamkulam, Kazhakuttom P.O, Thiruvananthapuram 695 582 Karunya Keezhkolla, Amaravila P.O, Neyyattinkara (Malayalam 2 batch)

21

10

22

Seethi Sahib Memorial T.T.l, Arkanoor P.O, Ayur, Kollam

fi|,

1',!

23

Kasthorba Gandhi T.T.l, Mathilil, Kadavur, Perinad P.O, Kollam

12

Victory TTl, Neyyattinkara, Olathani,

24

Culamudiyil Neelakandan Nair Memorial TTl, Pavithreswaram P.O, Vil Puthor, Kottarakara,
Kollam Manjappara Teachers Training lnsitute, Manjappra Educational and Charitable Trust, Manjappara P.O, Ayur, Via Kollam

Thiruvananthapuram

25

26 ' 27 28 ,o 30
e

Badhiriya Teachers Training lnsitute, Nedumpana, Kundumon, Velichikal P.O, Kollam

41 St, Francis AssissiTTl, Arthunakl. P.O,

Cherthala, Alapuzha

C.H. Memorial Teachers Training lnstitute, ISEDNL Complex & C.H. Society,
S.V. Market P.O, KarunagappalV, Kollam Erathur Teachers Tralning lnstitute, Chenlloor, Nettayam P.O, Pooyappally, Kollam R.B.M. Teacher Training lnstitute, Punalur, Pathanapuram, Kollam .Sri. Vidyahiraja Model Teacher Training lnstitute, Vendar P.O, Kottarakkara, Kollam (Malayalam two bateh) APRM Teachers Training lnstitute, Chithara P.O, Kadakkal, Kollam NGPM Teachers Training lnstitute, Venchempu, Punalur, Kollam PKJM Teachers Training lnstitute, Mulavana, Kollam Devivilasam Teachers Training lnstitute,

42

Sree Narayana Guru Memorialfil, Thuravoor, Thirumalabhagom P.O, Alappuzha

( Malayalam Medium 2 batches
)

43 Budha Schoolof Elementary TTl, Muthukulam,

Alappuzha

44 :i:|;}=H',

sreekanteswaram, Poochakkal P.o'

V. Kottavam AE Sree Mahadeva TTl, Aiyerkulangara, rs P.o, Vaikom, Pin -686 142 AA -v Nedumkunnam P.O, Kottayam
j

r ^,t

Thekkenada

?, JJ ^.
1,a

St. John the Baptists College of Education,

47

ffil;.,|',

TTl, Perunnai P.o, Chansanacherry,

Thalavoor, Kollam Ramavilasom Valakom P.O, Kottarakkara,Kollam S.V.TT|. Kalayapuram (Via), Kottarakkara,
Kollam

,o +o
49
5o

Mangalam Teacher Training lnstitute, Vettimughal P.o, Eftumannoor, Kottayam

eE ss

fi|,

St. George TTl, Karikode, Kottayam

36 ,a \" 38 ao vs

St. Joseph's TTl, Mannanam, Kottayam St. Thomas College of Teacher Education TTl, Pala, Kottayam

NationalTTl, Kuttikonam, Kunnikode P.O,

Kollam St. Thevaras TTl, Mulavana , Kollam Haneefa Kunju MemorialTTl, Umayanallor, Kollam

E,t s

E. rL

Al- Azhar

Vl. ldukki TTl, K.K.R. Junction,

(Malayalam&Tamil)

Thodupuzha,

lll. Pathanamthitta

40

KonniyoorMeenakshiAmma Memorial TTl, Ayravon P.O, Konni, Pathanamthitta

10

Vll. Ernakulam

69 SL Joseph's TTI , Pavaratty,

70 71

Thrissur - 680507

53 qa
cD

Indira Gandhi Teacher Training lnstitute, Opposite Telephone Exchange, Kothamangalam, Ernakulam HM Training Schools, Randarkara, Muvattupuzha, Ernakulam Sophiya Training School, Kothamangalam, Ernakulam

Sree Vivekananda TTl, Akkikavu, Thrissur SNS Samajam TTl, Edamufton, Thrissur

lX. Palakkad

56
57

NationalTTl, Vengola, Kothamangalam,

Ernkulam

72 Karuna Teacher
73

Training lnstitute, Prabhapuram, Mannengode P.O, Pattambi, Palakkad

SDPYS TTl, Palluruthy, Ernakulam

Sneha College of TTl, Muthalamada, GoVindapuram P.O, Palakkad ( Malayalam & Tamil)

58

SreeNarayana

fi|,

Okkal, Ernakulam

7a

ldeal Educational lnstitute of Teacher Training. ldeal Edcuation & Charitable Trust, Cherpulassery
P.O, Medium 2 batches)

Palakkad

( Malayalam

59 Ar.uilium fi|, Kidangoor, Ernakulam Assissi lnstitute of Elementary Teacher 60 Education,

Aquinas Ground, Edacochin, Emakulam

75

Sree Narayana Teacher Training lnstitute, Kottappuram P.O, Sreekrishnapuram, Palakkad

61 ^^
oz

St. Joseph's Training Gollege for Women, Kovilvattom Road, Emakulam

76 aa tI 78
79

Mannampatta Teacher Training lnstitute, Mannampatta (Via), Sreekrishnapu ram, Palakkad Teacher Training lnstltute, Nenmara P.O, Palakkad ( Malayalam &Tamit) Gurds TTl, Kallamcode, Nenmeni P.O, Palakkad

S.N.M Elementary
ErnaKuEm

T.T.l,

Moothakunnam,

63 U 65 66

MES TTl, North Edathala, Emakulam

Vlll. Thrissur
Vikram Sara Bai Teacher Training lnstitute, Vikram Sara Bai EducationalTrust, Kodungallur, Kaipamangalam, Thrissur
C.N.N. Teacher Training lnstitution, C.N.N. Schools, SanjeeviniSamajam, Cherpu, K.B.R.T.T.l, Vadakkancherry, Palakkad Daya Teacher Training lnstitute, P.O. Athicode, Palakkad (Tamil2 Batches)

80 Kozhinjampara,

Thrissur
Mar Osthatheos TTl, Perumbilavu, Thrissur

X. Malappuram

67 ffiJ;|t" rrainins collese, Kodakkara, 68 St. Joseph's TTl, Kuriachira, Thrissur

81 MelmuriP.O,Malappuram
(Malayalam 2 batches)

M.C.T. Teacher Training lnstitute,

*i_

82

Melmuri Muslim Educational lnstitute of Teacher Training, Melmuri P.O, Malappuram, ( Malayalam 2 676 514 batches) Sree Vivekananda Padana Kendram TTl, Palemad, Malappuram (Malayalam 2 Batches)

TTKM Teacher Training lnsitute, Thekkekulamba,

Parappur P.O, Malappuram
( Malayalam 2 Batches)

Hayathul lslam Orphanage TTl, Olavattur,

Mebppuram, (Malayalam 2 Batches)

F azlari Teachers Training I nstitute, MAFM Orphanage and Arabic College, Padinhattummuri P.O, Malappuram, 676 506 ( Malayalam 2 batches)

97

Beeran Haji Memorial TTl, Kunnamangalam, Malappuram Sidheeqyiya Teacher Training oe vv Anakkayam,Malapuram Institute,

85

Markaz Teachers Training lnstitutes, Athavanad, Karthala. P.O, Malappuram

J.T. l.Teacher Training Institute, M.M. K

86

Building, East Bazar, Jablul Furkhan, Tirur, Malappuram Mankada Orphanage TTl, Mankada Anadhasala Sangam, Mankada, Malappuram ( Malayalam ,2 Batcfies) Jawahar Bharathi Educational & Charitable

99

DevakiAmma MemorialTTl, Chelambra,

Malappuram

87

100 Moulana College of Teachers Education TTl,

Koottayi, Malappuram

88

Trust, ( Malayalam & English) Nettikulam,

Uppada P.O, Malappuram

101

Sulla Musalam TTl, Areacode, Malappuram

89

Jamina Nadwiya TTl, EdavannaP.O,

Malappuram Farook Education Society, Changuvetty P.O, Parappur, Malappuram 676 503

102

Yatheemkhana TTl, Kalpakanchery, Marappuram

P-alakhy

Xl. Kozhikode

Kottakkal,

Calicut Orphanage Teacher Training lnstitute,

103 Calicut lslamic Caltural Society, Sneha Nagar,

Kolathara P.O, Calicut ( Malayalam & English) Muslim Orphanages TTl, Cheruvatta, Parambil

Darul Uloom Teachers Training lnstitute, Thootha P.O, Malappuram - 679 357
92

104 P.O, Kozhikode

Jamiya Salaltya Teacher Training College, Pulikkal P.O, Mdappunm

K. P. P.

.,.,^

'""

Koduvally Muslim Orphanage TTl,

Koduvally.P.O, Kozhikode

M Teacher Training I nstitute,

93

Anakkayam P.O, Malappuram,

106 KMCT Teacher Training lnstitute,

Chathamangalam P.O, Kozhikode

Pin - 676 509

Majilsu THA - Aleemil lslamiya TTl, Majlis Nagar, Vengad. P.O, Malappuram

nn, Darul Huda TeacherTraining

P.O, Kallachi, Kozhikode

lnstitute, Vanimal

.,.,o Seethi Sahib Charitable Trust ( Malayalm &

'""

English) Kodiyathoor, Kozhikode

109 110

Meppayur Salafi Teacher lnstitute, Meppayur. P.O, Kozhikode

122

Kadambur Teacher Training lnstitute, Kadambur P.O, Medakkad, Kannur - 670 663 ( Malayalam 2 Batches) Educational and Charitable Trust,

D.H.M.

T.T.t Patayad Nada p.o.,

Kozhit<ooe

.,,o Malanadu

''"

Taliparampa, Kannur

11'l
,11)

A.W.H.T.T.|, Kallai, Kozhikode

Farook lnstitute of Teacher Edcuation, Farook College P.O, Kozhikode

XIV Kasaraqode

n, '-'

Thanbeehullslam TTC, T.l.H.S.S. Campus,

Naimaramoola, Vidhyanagar P.O, Kasaragod

Affiliated T.T.l with the Examination Board of Kerala

Xll
113

Wavanad
125 Sree Narayana TTl, Mahee, Pondicherry

Valummel TTl, Meenakshy Charitable Trust,

Sulthanbathery P.O, Moolankav, Wayanad ( Malaylam 2 Batches) St. George Teacher Training lnstitute, P0lpally, Sulthanbathery,Wayanad ( Malayalam 2 Batches)

114

ib fi;[*TJ*"n Memoricl rrl, Pulppalrv,

Cotlege of Teacher Education TTl, Suthan Bethery, Wayanad

.t.rA Mar. Baselios

Xlll Kannur
117
Malabar Teacher Training lnstitute, Chakarakkal, Mowancherry P.O, Kannur ( Malayalam 2 batches) Cresent Teacher Training lnstitute, Maddayipara, Payangadi P.O, Kannur ( Malayalam 2 Batches)

118

119

Peringathur Teacher Training lnstitute, Dars Yatheemkhana, Peringathur P.O, Kannur Unity Teacher Training lnstiute, C.H. Memorial Educationaland Chad6le Trust, lGnhirode ( Ma), Koodali, Kannur ( Mabyalam two batchds)

.trn

,1.4 t

''

MayyilTeacher Training Institute, Hira Gharitable Trust, Mayyil, Kannur