CENTRAL BOARD OF SECONDARY EDUCATION, DELHI CENTRAL TEACHER ELIGIBILITY TEST CONFIRMATION PAGE FOR CTET - JULY 2013

Registration No.:

2853765

You have successfully submitted the Online CTET-JULY 2013 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 so as to reach latest by 22.04.2013 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: Minimum Qualifications for Classes VI to VIII: Subject Offered for Paper-II: Choice of Exam Centres:

VINITA NEGI KAMALA NEGI RANJITSINGH NEGI No Employed as Teacher 1st : English, 2nd : Hindi Paper II (Classes VI to VIII)

Date of Birth: Gender:

27/03/1980 Female Category: General Status of Qualifying Exam: Passed Mobile No.: 9819141277 Email Id: negivinita@gmail.com Question Paper Medium: English

Graduation with at least 45% marks and passed or appearing in 1-year Bachelor in Education (B.Ed), in accordance with NCTE (Recognition Norms and Procedure) Regulations issued from time to time in this regard Social Science 1st : Mumbai, 2nd : Pune, 3rd : Nashik

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

State Diploma Degree Maharashtra Distt. Raigad Name of College/Institution/University Mumbai University Pincode 400055 % Marks 46

Candidate's mailing address

Address: Locality / Mohalla: City / Town / Village: District: State: Pincode:

KL5 BLDG NO. 20, ROOM NO. 6, SEC 3E Kalamboli NAVI MUMBAI Raigad MAHARASTRA 410218

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 - JULY 2013. 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 - JULY 2013 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 - JULY 2013 Information Bulletin, which I have duly gone through.

Signature of the Candidate in running hand (within the box only)

Paste (do not staple) a recent unattested Photograph Size 3.5 x 4.5 cm Photograph must not be larger than this box

UNATTESTED

Details of Payment through Syndicate Debit/ Credit Card

Amount :500 /Transaction Id No. :MCIT2970443750 Transaction Date :15-04-2013

Registration No.: 2853765

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.