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Central Teacher Eligibility Test (CTET JULY 2019)

CENTRAL BOARD OF SECONDARY EDUCATION


Confirmation Page

Application No. 19112171024 C


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 MD MERAJ Date of Birth 15-01-1992
Mother's Name SABA KHATUN Category General
Father's Name MD ISRARUL HAQUE Gender Male
Person with Disability (PwD) No Nationality Indian
Language 1 Hindi Language 2 Urdu
Employment Status Not Employed

Apply For
Applying For Both (Paper-I and Paper-II) Subject offered for Paper-II Mathematics & Science
Minimum Educational Senior Secondary (or its equivalent) with at least Minimum Educational Graduation and passed or appearing in final year
Qualifications for Classes I to 50% marks and passed or appearing in final year Qualifications for Classes VI of 2-year Diploma in Elementary Education (by
V of 2- year Diploma in Elementary Education (by to VIII whatever name known).
whatever name known)
Question Paper Medium Hindi Qualifying Exam Diploma in Education
1st Choice of Exam Centre DHARBHANGA 2nd Choice of Exam Centre MUZAFFARPUR
3rd Choice of Exam Centre PATNA

Education Details
Qualification Pass Status Course/Stream Name Board/University Name Year Of ResultMode Mark Details Pincode
Passing/
Appearing
Diploma in Appearing Education/Elementry OTHERS - NATIONAL INSTITUTE 2019 NA NA 201301
Education Education etc OF OPEN SCHOOLING GOVT OF
INDIA

Contact Details
Address S/O- MD ISRARUL HAQUE HOUSE NO 44 ,VILL- Locality PO- RATANPUR
MALIKPUR
City/Town/Village MALIKPUR District DARBHANGA
State BIHAR Pin Code 847307
Email Address mdm*******@gmail.com Mobile Number (+91) 754****378
Land Line No. with STD code or any other Contact No. --

Fee Payment Details


Payment Mode: Online Payment through Billdesk Transaction ID: QSM27314624363
Exam Fee: 1200 /- Date of Transaction: 12-03-2019 10:37:24
Fee Submitted On: 12/03/2019
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 JULY 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 JULY 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 JULY 2019 Information Bulletin, which I have duly gone through.

Images Uploaded by Candidate


Photograph Signature

List of Document Uploaded


Photograph,Signature

Date of Printing : 31/03/2019 05:59:09 PM