Central Teacher Eligibility Test (CTET JULY 2019)

CENTRAL BOARD OF SECONDARY EDUCATION

Confirmation Page

Application No. 19111633647 -

DO NOT SEND THIS PAGE TO CTET UNIT.
CANDIDATE IS REQUESTED TO RETAIN THE PRINTOUT OF CONFIRMATION PAGE FOR FUTURE REFERENCE.

Personal Details
Candidate's Name ROFIQUE ISLAM Date of Birth 30-06-1993
Mother's Name REZIA KHATUN Category General
Father's Name NUR ISLAM Gender Male
Person with Disability (PwD) No Nationality Indian
Language 1 English Language 2 Assamese
Employment Status Not Employed

Apply For
Applying For Both (Paper-I and Paper-II) Subject offered for Paper-II Mathematics & Science
Minimum Educational Senior Secondary (or its equivalent) with at least Minimum Educational Graduation and passed or appearing in final year
Qualifications for Classes I to 50% marks and passed or appearing in final year Qualifications for Classes VI of 2-year Diploma in Elementary Education (by
V of 2- year Diploma in Elementary Education (by to VIII whatever name known).
whatever name known)
Question Paper Medium English Qualifying Exam Diploma in Education
1st Choice of Exam Centre GUWAHATI 2nd Choice of Exam Centre SHILLONG
3rd Choice of Exam Centre KOLKATA

Education Details
Qualification Pass Status Course/Stream Name Board/University Name Year Of ResultMode Mark Details Pincode
Passing/
Appearing
Diploma in Appearing Education/Elementry NATIONAL INSTITUTE FOR 2019 NA NA 782403
Education Education etc TEACHER EDUCATION, KHETRI,
KAMRUP, ASSAM- 782403

Contact Details
Address VILL- JHOWDANGA PO- JHOWDANGA PS- Locality
MANKACHAR DIST- S S MANKACHAR PIN- 783131
City/Town/Village JHOWDANGA District DHUBRI
State ASSAM Pin Code 783131
Email Address raf****@gmail.com Mobile Number (+91) 700****633
Land Line No. with STD code or any other Contact No. --

Fee Payment Details

Payment Mode: Online Payment through Billdesk Transaction ID: QSM27287321238
Exam Fee: 1200 /- Date of Transaction: 05-03-2019 00:00:57
Fee Submitted On: 04/03/2019
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 2019. 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 2019 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 2019 Information Bulletin, which I have duly gone through.

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Date of Printing : 04/03/2019 11:54:14 PM