Application for Karnataka Teacher Eligibility Test

KARTET ±
Personal Details
Application No. 7499329 Name SULOCHANA
Father Name SHANTAPPA Mother Name KANTAMMA
Date of Birth 10-04-1993 Gender Female
Category SC Mobile No 9148541817
Religion Hindu Caste Madiga
Email ID steffysoniya049@gmail.co State Karnataka
m
Address H/No 15 Karur building 5th cross priyadarshini colony
akshay park gokul road hubli
District Dharwad Pincode 580030
PH No

Education Details
Qualification Degree University Year of Year of Reg.No. Marks %
Code Adm. Pass
SSLC Karnataka Secondary Education 2009 20090207663 62.24
Examination Board
PUC Department of Pre-University Education 2011 654851 71.50

Professional Qualification
Description College Name Status College State Year of Year of Marks
Type Adm. Passed %
2 Year Gandhiji College of D.Ed Jewargi Passed Unaid Karnataka 2011 2013 84.30
Diploma in
Education
(Special
Education)
Eligibility Test
Applied District Name Dharwad

Paper First Language Second Language Optional Subject Medium

P1 Kannada English Mathematics & EVS Kannada
Payment Details
Bank Reference No. Amount Payment Mode Paid Date
0087085260527 350 DC 2022-09-15
Payment Status SUCCESS Order ID 15092154277499329

Declaration :
I here by declare that the information provided by me is true and correct to the best of my
knowledge.I have read the contents and conditions given in the notification and i confirm the same. I am
aware that, If any of the information provided in the application form is found to be false/Incorrect, My
application is liable to be rejected at any point of time and the post for which i am selected if any is also
liable to be cancelled at any stage and action to be taken as per law.
Applicant Signature

Printed On:9/15/2022 10:07:39 PM