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Board of Secondary Education, Rajasthan, Ajmer

Rajasthan Eligibility Examination for Teachers (REET)-2021
REET-2021 – Sample of APPLICATION FORM [vkosnu&i= dk uewuk]
d`Ik;k vkWuykbZu vkosnu djus ls iwoZ bl vkosnu i= dks Hkj dj vo'; tkWp ysa
Basic Details of Candidate Signature

Name of Candidate / vH;FkhZ dk uke

Father’s Name / firk dk uke
Mother’s Name / ekrk dk uke
Gender / fyax Male/Female ……… Marital Status / oSokfgd fLFkfr Married/Unmarried/Divorce/Widow ………….…

Religion / /keZ Hindu/Muslim/Sikh/Christian/Jainism/Buddhist/Other ………....................................

Husband’s Name / ifr dk uke
Aadhar No. / vk/kkj uEcj Date of Birth / tUe frfFk-- ----------------------------------------------------------
Correspondence Detail / i= O;ogkj dk fooj.k ¼d`i;k @,#,$,&,-,’,( ),vkfn ladsrks dk mi;ksx ugha djs½
Address / irk
Post Office / Mkd ?kj
State / jkT; District / ftyk Pin code / fiu dksM
E-mail / bZ&esy
Mobile No. / eksckbZy uEcj ------------------------------------- Lo;a dk Category / Js.kh
Alternate Mobile No./ oSdfYid eksckbZy uEcj ------------------------- GEN / SC / ST / OBC / MBC /EWS ………………..
Are You Ex-Serviceman /D;k vki HkwriwoZ lSfud gS gkW@ugha
;fn gkW rks
Differently Abled / D;k vki fnO;kax gS? gkW@ugha Blind Visually Handicapped Low Vision
Hearing Impaired Locomotive CP Cereble Palsy
Bonafide Resident Status
Nationality/ jk"Vªh;rk Are you Bonafide Resident of Rajasthan ? /
D;k vki jktLFkku ds ewy fuoklh gS ? gkW@ugha
Bonafide State / ewy fuokl dk jkT; Bonafide District / ewy fuokl dk ftyk
Do you belong to Scheduled area ? /D;k vki vuqlwfpr {ks= gkW@ugha
ls gS ? ¼;fn gkW ,oa vuq-tutkfr ds gS rks viuh rglhy ,oa xkWo ;fn gkW ,oa vuq-tutkfr ds gS rks
ds uke dk mYys[k djsa½¼;fn vkidk ftyk] rglhy o xkWo vuqlwfpr rglhy -------------------------- xkWo ----------------------
{ks= ls gS rHkh vki TSP/Saharia Js.kh ls gSA½
Detail / fooj.k
Exam Center Division-I and District-I / ijh{kk dsUnz Exam Center Division-I and District-II / ijh{kk dsUnz
laHkkx&1 o ftyk&1 laHkkx&1 o ftyk&2
Exam Center Division-II and District-I / ijh{kk dsUnz Exam Center Division-II and District-II / ijh{kk dsUnz
laHkkx&2 o ftyk&1 laHkkx&2 o ftyk&2
Level / Lrj
Language for Medium of Instruction / f'k{k.k ek/;e dh Hkk"kk dk p;u
Language-I for Medium of Instruction / Hindi,English,Sanskrit,Urdu,Sindhi, Punjabi, Gujrati
Hkk"kk&1 f'k{k.k ek/;e gsrq ¼mDr esa ls dksbZ ,d½ ------------------------------------------------------
Language-II for Medium of Instruction / Hindi,English,Sanskrit,Urdu,Sindhi, Punjabi, Gujrati
Hkk"kk&2 f'k{k.k ek/;e gsrq ¼mDr esa ls dksbZ ,d ysfdu tks Hkk"kk&1 es p;u ugha dh xbZ gks½
------------------------------------------------------
Area of Specialization / {ks= fo'ks"krk Mathematics and Science/ Social Studies ¼esa ls dksbZ ,d½
¼dsoy Lrj&f}rh; vFkok nksuks Lrj gsrq½ -------------------------------------------------------------------
Previous RTET/REET Details (if any)
Did you appear in REET-2017 / D;k vkius jhV&2017 ijh{kk nh gS ? Roll No. Eligible/Not Eligible

Academic Qualifications / 'kS{kf.kd ;ksX;rk,W

Secondary / lSds.Mjh o"kZ cksMZ dk uke iw.kkZd izkIrkad izfr'kr

Sr.Sec./ mPp ek/;fed o"kZ cksMZ dk uke ladk; iw.kkZd izkIrkad izfr'kr

Graduation / Lukrd o"kZ fofo dk uke ladk; iw.kkZd izkIrkad izfr'kr

Post Graduation / LukrdksRrj o"kZ fofo dk uke ladk; iw.kkZd izkIrkad izfr'kr

Professional Qualifications / iz'kS{kf.kd ;ksX;rk,W

BSTC & Equivalent o"kZ cksMZ dk uke iw.kkZd izkIrkad izfr'kr
ch,lVhlh vFkok led{k
B.Ed & Equivalent o"kZ fofo dk uke ladk; iw.kkZd izkIrkad izfr'kr
ch-,M vFkok led{k
Body Identity Mark /
igpku dk 'kkjhfjd fpUg