Central Teacher Eligibility Test (CTET) December 2021

CENTRAL BOARD OF SECONDARY EDUCATION

Confirmation Page

Application No. 21100357384 -

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 UMME HABIBA Date of Birth 06-02-1992
Mother's Name SHAHNAZ KHATOON Category General
Father's Name MD IZHAR ALAM Gender Female
Person with Disability (PwD) No Nationality Indian
Language 1 Urdu Language 2 Hindi
Employment Status Not Employed

Apply For
Applying For Paper-I (Class I-V) Subject offered for Paper-II
Minimum Educational Senior Secondary (or its equivalent) with at least Question Paper Medium Hindi
Qualifications for Classes I to 50% marks and passed or appearing in final year
V of 2- year Diploma in Elementary Education (by
whatever name known)
Qualifying Exam Diploma in Education (In accordance with the prescribed minimum qualification)
1st Choice of Exam Centre BIHAR - BHAGALPUR 2nd Choice of Exam Centre BIHAR - PURNEA
3rd Choice of Exam Centre BIHAR - PATNA 4th Choice of Exam Centre BIHAR - MUZAFFARPUR

Education Details
Qualification Pass Status Course/Stream Name Board/University Name Year Of ResultMode Mark Details Pincode
Passing/
Appearing
Diploma in Passed Education/Elementry PRIMARY TEACHERS’ 2014 Percentage Obtained Marks: 1278 803213
Education (In Education etc EDUCATION COLLEGE, BARH, Total Marks: 1600
accordance PATNA, BIHAR- 803213 Percentage: 79.88
with the
prescribed
minimum
qualification)

Contact Details
Address VILL - KHAIRA PO - KHAIRA PS - SHAHKUND DIST - Locality KHAIRA
BHAGALPUR BIHAR
City/Town/Village KHAIRA District BHAGALPUR
State BIHAR Pin Code 812006
Email Address Mds********@gmail.com Mobile Number 958****840
Land Line No. with STD code or any other Contact No. --

Fee Payment Details

Payment Mode: Pay through Canara Bank Transaction ID: WUR20329617417
Exam Fee: 1000 /- Date of Transaction: 09/10/2021 20:03:52
Fee Submitted On: 09/10/2021
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 2021. 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 2021 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 2021 Information Bulletin, which I have duly gone through.

Images Uploaded by Candidate

Photograph Signature

List of Document Uploaded

Photograph,Signature

Date of Printing : 21/10/2021 07:49:04 PM