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CENTRAL BOARD OF SECONDARY EDUCATION, DELHI

CONFIRMATION PAGE FOR CTET - NOVEMBER 2012
 

Registration No
1771523  

You have successfully submitted Application On-Line. Kindly take the PRINTOUT of this 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 original Demand Draft so as to reach positively by 07.09.2012 in the CBSE office to THE
ASSISTANT SECRETARY (CTET), CENTRAL BOARD OF SECONDARY EDUCATION, A-1, SWASTHYA VIHAR, VIKAS
MARG (Opp. Metro Pillar-76), NEW DELHI-110 092.
 
Candidate's Name KRISHAN KANT MEENA Date of  Birth 29/10/1987

Mother's Name SHANTA DEVI Gender Male

Father's/Husband's Name PANNA LAL MEENA Category ST

If Differently Abled No Status of Qualifying Exam Passed

Employment Status Not Employed Mobile No. 9667119977

Languages offered for CTET 1st : Hindi, 2nd : English Email Id meetkkm@gmail.com

Applied For Paper II (Classes VI to VIII) Question Paper Medium Hindi

Subject Offered for Paper-II Mathematics & Science

Minimum Qualifications for Graduation with at least 50% marks and passed or appearing in 1-year Bachelor in Education
Classes VI to VIII (B.Ed)

Choice of Exam Centres 1st : Jaipur, 2nd : Ajmer, 3rd : Kota

College/Institution/University from which Degree/Diploma in Education/Elementary Education etc. obtained:
  State Distt. Name of College/Institution/University Pin Code % Marks

Diploma : - - - - -

rekha devi memorial t.t college

Degree : Rajasthan Tonk 304502 66
malpura tonk rajasthan

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 - Nov 2012. 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 - November 2012 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 - November 2012 Information Bulletin, which I have
duly gone through.

Candidate's mailing address

Paste (do not staple) a recent unattested
Photograph 
VILLAGE PARLIYA POST GIRVERPURA THSIL Signature of the Size 3.5 x 4.5 cm 
Address
KEKRI DIST AJMER RAJASTHAN Candidate in running Photograph must not be larger than this
hand (within the box box 
Locality SAWER only) UNATTESTED

  
City / Town /
Village
AJMER   
  
State RAJASTHAN
Pincode 305407

Details of Demand Draft (Write Registration No., Name, Address and Mobile No. at the back of Demand Draft)

Draft No. :466877 Amount:250 Date of Issue:30/08/2012

Bank Name :STAT BANK OF BIKANER AND

Branch Code: 10767 Branch Name :SFS MANSAROVER JAIPUR
JAIPUR

Registration No:1771523
   
Note: While sending to CBSE do not enclose any photocopy of Educational or Caste Certificate along with
this Confirmation Page