Central Teacher Eligibility Test (CTET) December 2021

CENTRAL BOARD OF SECONDARY EDUCATION

Confirmation Page

Application No. 21100038124 -

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 SUJITH S Date of Birth 17-11-1993
Mother's Name AMBILI DEVI J Category General
Father's Name SURESH BABU Gender Male
Person with Disability (PwD) No Nationality Indian
Language 1 English Language 2 Malayalam
Employment Status Employed other than Teacher

Apply For
Applying For
Minimum Educational
Qualifications for Classes VI
to VIII
Qualifying Exam
1st Choice of Exam Centre
3rd Choice of Exam Centre
Paper-II (Class VI-VIII) Subject offered for Paper-II Mathematics & Science
Graduation with at least 50% marks and passed Question Paper Medium English
or appearing in 1-year Bachelor in Education
(B.Ed).
Degree in Education (In accordance with the prescribed minimum qualification)
KERALA - KOLLAM 2nd Choice of Exam Centre KERALA - IDUKKI
KERALA - KOZHIKODE 4th Choice of Exam Centre KERALA - ALAPPUZHA

Education Details
Qualification Pass Status Course/Stream Name Board/University Name Year Of ResultMode Mark Details Pincode
Passing/
Appearing
Degree in Passed Education/Elementry OTHERS - KERALA UNIVERSITY 2019 Percentage Obtained Marks: 85 691009
Education (In Education etc BEd centre Thevally kollam Total Marks: 100
accordance Percentage: 85
with the
prescribed
minimum
qualification)

Contact Details
Address A S BHAVAN SREE NAGAR 120 VADAKKEVILA P O Locality KOLLAM
KOLLAM
City/Town/Village KOLLAM District KOLLAM
State KERALA Pin Code 691010
Email Address suj***********@gmail.com Mobile Number 953****979
Land Line No. with STD code or any other Contact No. 04742727127

Fee Payment Details

Payment Mode: Pay through Canara Bank Transaction ID: WHMP0321088094
Exam Fee: 1000 /- Date of Transaction: 06/10/2021 13:58:38
Fee Submitted On: 06/10/2021
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 : 06/10/2021 01:59:21 PM