REGISTARTIONRECEIPT

ODISHATEACHERELIGIBILITYTEST2016(2nd)
RegistrationNo.
NameoftheCandidate:
MothersName:
FathersName:

253192

EnterDUReference
Number:

DU54840209

IPSITA
RAYAGURU
SNEHALATA
DASH
BRAJAKISHORE
RAYAGURU

DateofBirth:

21/02/1994

Gender:

Female

MobileNo.:

8908984654

EmailID:

ipsitatheangel21@gmail.com

PWD(Physically
CasteCategory:

GENERAL

Disabled)Category NO
:

TrainingStatus:

ContinuingfinalyearD.El.Ed./DiplomainSpl.Education

PAPEROPTEDFOREXAMINATION: PAPERI

LANGUAGEOPTED:ODIA

I declare that the information furnished by me in the application form is true in all respects and in
caseanyentryofinformationisfoundtobefalse,Ishallentailautomaticcancellationofmyeligibility
test besides rendering me liable to such action as the Board of Secondary Education may deem
proper,IherebyundertakethatIhavecarefullygonethroughtheeligibilityconditionsprescribedin
thenotification.IamapplyingforandshallappeartheeligibilitytestaftersatisfyingmyselfthatIdo
fulfillthesame.IfanystageitisfoundthatIdonotfulfiltheminimumprescribedeligibilitycriteria,
appointment, if granted, shall stand cancelled and I shall have no right to appoint as Teacher
whatsoever.FurtherIundertakethat,Ihaveenteredcorrectinformationandshallnotclaim/applyfor
change of any information already entered by me at the later stage or approach before any FORUM
forchangeofinformation.