Central Teacher Eligibility Test (CTET) DECEMBER 2019

CENTRAL BOARD OF SECONDARY EDUCATION

Confirmation Page

Application No. 19120919017 -

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 POOJA Date of Birth 05-07-1999
Mother's Name NEENA DEVI Category General
Father's Name NARESH SHOKEEN Gender Female
Person with Disability (PwD) No Nationality Indian
Language 1 English Language 2 Hindi
Employment Status Not Employed

Apply For
Applying For
Question Paper Medium
1st Choice of Exam Centre
3rd Choice of Exam Centre
Paper-I (Class I-V) Minimum Educational Senior Secondary (or its equivalent) with at least
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)
English Qualifying Exam Diploma in Education (In accordance with the
prescribed minimum qualification)
DELHI CENTRAL 2nd Choice of Exam Centre GURUGRAM
NOIDA 4th Choice of Exam Centre KARNAL

Education Details
Qualification Pass Status Course/Stream Name Board/University Name Year Of ResultMode Mark Details Pincode
Passing/
Appearing
Diploma in Passed Education/Elementry OTHERS - DISTRICt institute of 2019 Percentage Obtained Marks: 1818 110073
Education (In Education etc education and training ghumanhera Total Marks: 2300
accordance Najafgarh Percentage: 79.04
with the
prescribed
minimum
qualification)

Contact Details
Address 349 DICHAON KALAN NAJAFGARH NEW DELHI Locality
City/Town/Village DICHAON KALAN VILLAGE District SOUTH WEST DELHI
State DELHI Pin Code 110043
Email Address sun************@gmail.com Mobile Number (+91) 972****111
Land Line No. with STD code or any other Contact No. --

Fee Payment Details

Payment Mode: Pay through Syndicate Bank Transaction ID: QHMP7973640117
Exam Fee: 700 /- Date of Transaction: 12/09/2019 22:29:47
Fee Submitted On: 12/09/2019
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 2019. 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 2019 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 2019 Information Bulletin, which I have duly gone through.

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Date of Printing : 12/09/2019 10:20:15 PM