4/30/23, 4:00 PM Applicant Print

JHARKHAND STAFF SELECTION COMMISSION

POST GRADUATE TRAINED TEACHER COMPETITIVE EXAMINATION – 2023
(PGTTCE -2023)

APPLICATION FORM

Registration No. : 230204013838

Registration Completed Date. : 30-04-2023 15:57:04:530

Have you completed Registration for PGTTCE-2022

: No
(Advt. No.-14/2022)?

Select your Post Apply for : PGT-Hindi

Are you an Indian Citizen? : Yes

Applicant Name : ARTI KUMARI MISHRA

Date of Birth (DD-MM-YYYY) : 30-09-1981

Father's Name : SHUBH KANT MISHRA

Mother's Name : MUNNI MISHRA

Gender : Female

Marital Status : MARRIED

Husband Name : RAJESH KUMAR JHA

Are you a local resident of Jharkhand? : No

Candidates will be considered in Unreserved

Category.

Reservation Category : UR

Vacancy type : Regular

Visible Identification Mark 1 : BURN MARK UNDER CHIN

B.Ed Result Status : COMPLETED

Do you have 3 years teaching experience as

Secondary School Teacher in the Schools of : Yes
Jharkhand Government:

: UTKRAMIT UCHHA VID

Name of School
YALAYA MADANDIH
: MADANDIH, NIRSA, DH
Address of the School
ANBAD, JHARKHAND
Date of Joining as
: 25-07-2019
Secondary Teacher
Total Experience : 03 YEARS 09 MONTHS
Any Departmental
Proceeding/Judicial : No
Proceeding is pending
Currency of penalty
: No
awarded
Experience Certificate
: 1110
Number

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Designation of Issuing : DIST. EDUCATION

authority OFFICER
Date of Issue of the
: 29-04-2023
certificate

Communication Details

Correspondence Address
Address Line 1 : A3E, GURUKRIPA HEIGHTS
Address Line 2 : SHASTRINAGAR EAST
Address Line 3 : BANK MORE
Address Line 4 : --
City/Village : DHANBAD
District : DHANBAD
State : JHARKHAND
Pincode : 826001

Permanent Address
Address Line 1 : A3E, GURUKRIPA HEIGHTS
Address Line 2 : SHASTRINAGAR EAST
Address Line 3 : BANK MORE
Address Line 4 : --
City/Village : DHANBAD
District : DHANBAD
State : JHARKHAND
Pincode : 826001

Mobile No : 9955150660

E-Mail ID : artrajeshjha@gmail.com

Are you under Regulation 2007/2014?

: YES
(As per the Brochure Para No -6, Section - (क))

year of regulation : 2014

Educational Details

Name of the % of
Year of
Name of Examination School/College/Institution Board/University Marks Subject
Passing
(Mention State also) Obtained

KENDRIYA VIDYALAYA MALD

Matriculation/10th A
CBSE 1996 62.6 --

PHYSIC
S,CHEMI
KENDRIYA VIDYALAYA MALD STRY,BI
Intermediate/10+2 CBSE 1998 67.6
A OLOGY,E
NGLISH,
HINDI

HINDI,S
ANSKRI
Graduation VISVA BHARATI VISVA BHARATI 2002 67
T,ENGLI
SH

Post Graduation VISVA BHARATI VISVA BHARATI 2004 69.25 Hindi

B.Ed VISVA BHARATI VISVA BHARATI 2005 64.58 HINDI

Payment Details

Transaction ID Transaction Date Transaction Amount

17270332930 30-04-2023 100.00

Declaration :
I hereby declare that all statements made in this application are true, complete and correct to the best of my knowledge and belief. I
understand that in the event of any information being found false at any stage or not satisfying the eligibility criteria according to the requirements
of the post, my candidature/ appointment is liable to be cancelled/terminated.

Candidates are advised to take a print of his/her application form and keep-it with him/her along with electronically generated bank
receipt in support of payment of his/her examination fee for future communication in this regard.

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Place:DHANBAD Ip:113.21.78.77

Application Print Date:30-04-2023

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