CENTRAL BOARD OF SECONDARY EDUCATION, DELHI CENTRAL TEACHER ELIGIBILITY TEST CONFIRMATION PAGE FOR CTET - FEB 2014

Registration No.:

30166948
Date of Birth: Gender:

You have successfully submitted the Online CTET-FEB 2014 Application. Kindly take the PRINTOUT of this confirmation page. Paste your one recent photograph and sign in the specified box. Send the original printout of CONFIRMATION PAGE through Registered / Speed Post only along with CBSE copy of Challan of the prescribed fee, if fees paid through challan(Not required if fees paid by debit/credit card) so as to reach latest by 07.11.2013 in the CBSE office to THE ASSISTANT SECRETARY (CTET), CENTRAL BOARD OF SECONDARY EDUCATION, PS 1-2, INSTITUTIONAL AREA, I P EXTENSION, PATPARGANJ, DELHI-110 092 Candidate's Name: Mother's Name: Father's/Husband's Name: If Differently Abled : Employment Status: Languages offered for CTET: Apply For: Roll No.(CTET- NOV 2012): Unique AADHAAR Number: Minimum Qualifications for Classes VI to VIII: Subject Offered for Paper-II: Choice of Exam Centres:

SURENDRA KUMAR SINGH SNEH LATA MISHRI LAL No Not Employed 1st : Hindi, 2nd : English Paper II (Classes VI to VIII) 85031384 -

05/08/1983 Male Category: SC Status of Qualifying Exam: Passed Mobile No.: 9125345729 Email Id: asingh.singh305@gmail.com Question Paper Medium: Hindi Roll No.(CTET- JULY 2013):

Graduation with at least 50% marks and passed or appearing in 1-year B.Ed. (Special Education) Social Science 1st : Lucknow, 2nd : Kanpur, 3rd : Bareilly

College/Institution/University from which B.Ed.Degree/Diploma in Education/Elementary Education etc. obtained:

State Diploma Degree Uttar Pradesh Distt. Agra Name of College/Institution/University DR B R AMBEDKAR University agra Pincode 282004 % Marks 62

Candidate's mailing address

Address: City / Town / Village: State:

R K PIPPAL , H NO 61 POST UDAYPUR UTTAR PRADESH

Locality / Mohalla: District: Pincode:

KAMLAPUR LAKHIMPUR KHERI 262701

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 - FEB 2014. 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 - FEB 2014 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 - FEB 2014 Information Bulletin, which I have duly gone through.

Your Scanned Signature below

Affix identical passport size Photograph of the candidate similar to the uploaded photo.

Put your signature in running hand in the box below

(DO NOT USE STAPLER OR PIN)

Details of Payment through Syndicate Debit/ Credit Card

Amount :250 /Transaction Id No. :MSPD3141713521 Transaction Date :21-10-2013

Registration No.: 30166948

Note: While sending the Confirmation Page to CBSE do not enclose any photocopy of Educational or Caste Certificate along with this Confirmation Page. Applications sent through courier will not be received.