Central Teacher Eligibility Test (CTET) DECEMBER 2019

CENTRAL BOARD OF SECONDARY EDUCATION

Confirmation Page

Application No. 19120885546 -

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 BRIJ BHUSHAN VERMA Date of Birth 19-09-1978
Mother's Name PREM BALA VERMA Category OBC-NCL
Father's Name RAGHUVIR SINGH VERMA Gender Male
Person with Disability (PwD) Yes Type of Disability Locomotor Impaired (Ortho)
Nationality Indian Language 1 Hindi
Language 2 English Employment Status Not Employed

Apply For
Applying For Both (Paper-I and Paper-II) Subject offered for Paper-II Mathematics & Science
Minimum Educational “Graduation with at least 50% marks and Minimum Educational Graduation with at least 50% marks and passed
Qualifications for Classes I to Bachelor of Education (B.Ed)” Qualifications for Classes VI or appearing in 1-year Bachelor in Education
V “(a) who has acquired the qualification or to VIII (B.Ed).
Bachelor of Education from any NCTE
recognized institution shall be considered for
appointment as a teacher in classes I to V
provided the person so appointed as a teacher
shall mandatorily undergo a six month Bridge
Course in Elementary Education recognized by
the NCTE, within two year of such appointment
as primary teacher”.
Question Paper Medium Hindi Qualifying Exam Degree in Education (In accordance with the
prescribed minimum qualification)
1st Choice of Exam Centre BAREILLY 2nd Choice of Exam Centre MORADABAD
3rd Choice of Exam Centre LUCKNOW 4th Choice of Exam Centre GHAZIABAD

Education Details
Qualification Pass Status Course/Stream Name Board/University Name Year Of ResultMode Mark Details Pincode
Passing/
Appearing
Degree in Passed Education/Elementry OTHERS - MJPRU BAREILLY 2004 Percentage Obtained Marks: 490 243006
Education (In Education etc Total Marks: 800
accordance Percentage: 61.25
with the
prescribed
minimum
qualification)

Contact Details
Address SURJAN NAGAR Locality THANA THAKURDWARA
City/Town/Village MORADABAD District MORADABAD
State UTTAR PRADESH Pin Code 244602
Email Address bri******@gmail.com Mobile Number (+91) 971****227
Land Line No. with STD code or any other Contact No. --

Fee Payment Details

Payment Mode: Pay through Syndicate Bank Transaction ID: QSM27967906671
Exam Fee: 600 /- Date of Transaction: 11/09/2019 12:44:13
Fee Submitted On: 11/09/2019
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 DECEMBER 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 DECEMBER 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 DECEMBER 2019 Information Bulletin, which I have duly gone through.

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Date of Printing : 25/09/2019 05:29:21 PM