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CENTRAL BOARD OF SECONDARY EDUCATION, DELHI

CONFIRMATION PAGE FOR CTET - NOVEMBER 2012
 

Registration No
1772087  

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 VIJAY KUMAR 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. 9667182418

Languages offered for CTET 1st : Hindi, 2nd : English Email Id MEETVKM29@GMAIL.COM

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

Subject Offered for Paper-II Social 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 : Ajmer, 2nd : Jaipur, 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 : - - - - -

Degree : Jammu & Kashmir Jammu SARASWATI TT COLEGE JAMMU 184120 66

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

VILLAGE PARLIYA POST GIRVERPURA THANA

Address SAWER THSIL KKEKRI DIST. AJMER Signature of the
RAJASTHAN Candidate in running
hand (within the box
Locality KEKRI only)
  
City / Town /
Village
AJMER   
  
State RAJASTHAN
Pincode 305407

Paste (do not staple) a recent unattested

Photograph 
Size 3.5 x 4.5 cm 
Photograph must not be larger than this
box 
UNATTESTED

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

Draft No. :466876

Amount:250
Date of Issue:30/08/2012

Bank Name :STAT BANK OF BIKANER AND JAIPUR

Branch Code: 10767
Branch Name :SFS MANSAROVER JAIPUR RAJASTHAN

177208
Registration No:
7
 
  
Note: While sending to CBSE do not enclose any photocopy of Educational or Caste Certificate along with
this Confirmation Page