Professional Documents
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Gádå Pàët Àa Éæãzsà É Àävàäû Vàgà Éãw E Ásé: Department of State Education Research and Training
Gádå Pàët Àa Éæãzsà É Àävàäû Vàgà Éãw E Ásé: Department of State Education Research and Training
jP g. 100/(i U Evg U
zj
U)
jP g. 25/(.e v .. zyUU)
No Application Fee .
Exam Fee Rs. 100/- only for GM
and OBC Categories)
(Rs. 25/- for S.C & S.T .)
NTSE
Cf Application Form
gd Pt Azs v vgw ES
DEPARTMENT OF STATE EDUCATION RESEARCH AND TRAINING
NO 4, 100 FT RING ROAD, BANASHANKARI 3RD STAGE
BANGALORE-560 085
E MAIL : dsertkar@gmail.com
http//dsert.kar.nic.in
gdlz gAi w
su jP-2012-13
STATE LEVEL NATIONAL TALENT SEARCH EXAMINATION-2012-13
10
18-11-2012
R PP j Az
zrPjz bAiiav
zyAi A f v vP :.....................................
Passport size
Photograph
(To be attested by the
Head of the
Institution)
jP AP Date of Examination :
........................................
J.n.J.E. APv
NTSE code
gdz APv
State Code
Year
Azz
APv Azt AS
Exam Centre Code
Roll No.
1. zyAi g
2. vAzAi g
Fathers Name
3. nz AP
:
Date of Birth
4.
AU
Sex
2
t
AP
wAU
UAq
Date
Month
year
Male Female
1
5. zyAi
Area in which candidate resides
Ut
Rural
Ug
Urban
General
SC
ST
A
Orthopedic
Hearing Impaired
Blind
:
Visually impaired
Aii
None
gAir ).
8. CAZ ( Cx vAzAi g
Postal Address ( Do not write your or fathers name again Write the address only.)
(Pin Code)
v (Name and Address of the Institution)
9. Ai g
(Pin Code)
Ai A (...AA
School Phone Number (with STD code)
10. zyAi AU iqwg Ai F PV
Aii U P jz.
Type of the Institution in which Candidate is studying.
1
Pj
Govt.
SV Czv
Private Aided
SV Cz gv
Private UnAided
11. Ai Ai 1
A 2 3 4 p
Marathi
Medium of instruction
Kannada
English
Urdu
Telugu
12. Eg z
(Area in which the school is located):
C) gd lz
13. jPA i izs
Medium of Examination a) at the state level
Ut
Rural
Ug
Urban
) g lz
b) at the National Level
2
14. vAzAi zv
Fathers Education
................................
Designation
................................
Address
................................
16. vAi zv
Mothers Education
17 vAi GzU
................................
Designation
................................
Address
................................
Mothers Occupation
g AS
18. PlA z
No. of family members
19
zgg AS
20.
zjAig AS
No. of Brothers
No. of Sisters.
21.
zg
zjAig
At what number is the Candidate among his/her brother and sisters
22. Pg
P g
i (Parental annual income)
1
50,000 gU
Up to 50,000
2,00,001 to 5,00,000
23. zgt AS
25. AAzAv Ai
26.
YES
NO
Ai A AAA .
Signature of the parents
Ai
Signature of the Candidate
Ai/Compulsory
Rg sw iqvPz
To be filled in compulsory by the Head of the Institution
1.
Pig/Pij................................................................................................................................................................ F Ai
10 vgU
w
Ai AU iqwz 9 vgU
w
Ai P jPA i ..............U q Cx ............
CAPU
, CAzg. ..................CAPU
U................. CAPU
qz
GwtVgv/ .
It is Certified that Kum is a regular
student of 10th Std of this school and he/she has secured Grade or %
Marks in the class 9th Annual Examination i.e. he/she has secured. Marks
out of.. Marks.
2.
Pig/Pij................................................................................................................... i U / j ew
/
j UP jggAz zRwUAz zrPjVz
. (.e. v .. CsyUU iv Cvz).
Kum..........belongs to General
Category / Scheduled Caste / Scheduled Tribe Category as per the School records
attested copy of caste certificate is enclosed along with this application. (applicable
only to SC & ST category students)
3.
AP :
Date :
R PP g ( jAU)
Signature of the Head of the
Institution with seal
Very Important:
If the student fails to enclose the attested Xerox copy of caste certificate he or she will
be considered as General Category.
: A
A .
4
gdlz gAi w
su jP-2012
STATE LEVEL NATIONAL TALENT SEARCH EXAMINATION-2012
/ ADMISSION CARD
1) A A
( )
Exam Centre Code
A
bAii
2) Ai .............................................................................
Name of the candidate .................................................................. PHOTO ATTESTED
BY HEAD OF THE
3) Ai ....................................................................
INSTITUTION
School Address of the Candidate ...................................................
........................................................................................................
........................................................................................................
CENTRE CODE
REGISTER NO
NTSE code
State code
Year
APv
A
A A
A A
Scrutinized by
GMAT:................... SAT:.......................
Signature of the Invigilator
at the Examination Centre
/
Examination Chief Superintendent/
Block Education Officer signature and seal
GMAT:....................... SAT:.....................
Ai
Signature of the Candidate in the
Presence of Invigilator
5
INSTRUCTIONS TO CANDIDATES
1)
Ai Ai Ai A.
Candidates should have admission tickets during examination.
2)
A AiA 20 A
.
Candidates should take their place in the examination hall atleast 20 minutes before
the time fixed for the commencement of examination.
3)
OMR Ai A. (
Ai Ai). A .
Candidates are required to fill in all the details sought in the OMR answer sheet. (If
required take the help of room supervisors) failure to write the details will result in
rejection of answer sheets.
4)
Ai Ai A 30 A
Ai .
A candidate who leaves the hall during the period allotted for a paper should
surrender the question paper and will not be allowed to re-enter.
5)
OMR Ai A
. MA AAi .
Use blue/black ball point pen only for filling details and marking answers in the OMR
answer sheet. Only one circle (answer number) should be shaded for each question.
6)
A OMR Ai
.
Before giving the OMR sheet, to the room supervisor please check it again.
7)
AA , Aii
Ai Ai .
Candidates are not allowed to bring mathematical and science tables, calculators
or any other slips to the examination hall.
8)
Ai Ai A .
Candidates should take the question papers after the examination.
6
A
INSTRUCTIONS TO FILL THE APPLICATION FORM.
Read Instructions carefully before filling up the Application Form
1. Use only Blue or Black Ball Point Pen. WRITE IN CAPITAL LETTERS. Do not mark
or write outside the boxes. (Fill the application in English only)
A Ai .
Ai . (Ai A Ai A)
2.
Leave one box blank between two words. Limit your name and address within the
space provided for it. See example as given below.
.
Ai
MA
.
Ai
:
Example for writing Name and Address
Candidate Name:
Postal Address: Do not try to write complete address in one line. Break it
appropriately as shown below.
PIN
3.
4.
5.
6.
Tick(X) only one of the appropriate boxes in item nos. 4, 5, 6, 7, 10, 11, 12 22 and 25.
4, 5, 6, 7, 10, 11, 12, 22 25 Aii Aii MA (X)
.
Please write code number in item nos. 13, 14, 15, 16, 17, 18, 19, 20 and 21 with the help
of the codes given overleaf.
13, 14, 15, 16, 17, 18, 19, 20 21
A A
A.
It is the responsibility of the candidate and the Head of the School to submit the filled in
form to the concerned Office before the last date.
A A
AA
b
Aii.
Roll No of the candidate will be filled by Block Education Office
bAi A.
Ai A Ai
7
Medium of
Examination
(Refer to item 13)
Medium of
Examination Code
Education
A/Ai
English A
13
Up to Primary
Kannada
16
Upper Primary
Code
1
Ai
Urdu
23
Secondary
qs
Telugu
22
Senior Secondary
Tamil
21
Graduation
Marthi
17
Post graduation
Doctor
Ai
8
9
Fathers/Mothers Occupation A/
(Refer to item Nos. 15 & 17)(15 17 A)
Occupation
Code
Not Employed
Aii
Ai.
8
8
INSTRUCTIONS TO THE CANDIDATES
1.
AA b .
A MA Ai.
While submitting the application form submit application and admission card to
the concerned block education office. Candidate can collect the Admission Card only
from the Chief Superintendent of the Examination Centre one week before the Examination.
2.
M A . A i M A
-I 90 -II 90 Ai.
Time for Part I is 90 Minutes and for Part II is 90 Minutes.
4.
A A AAi OMR Ai
.
Mention your Roll Number, as given in the Admission Card, on the OMR Answer Sheet and on the
cover page of the Question Booklet in the space provided.
5.
Aii Ai.
DO NOT write your Name in any part of the Question Booklet
9
6. MA. A .
MA Aii. Aii A Ai
.( )
All Questions in the Booklets are Objective Type. For each Question FOUR possible Answers
are given, but only one is correct. Find out the correct answer and Shade your choice in the
Answer Sheet.
7. / A . A
.
Record your Answer using blue/black point PEN only. Indicate your Answer on the Answer
Sheet by Shading on the serial number of the correct alternative as shown below.
8. OMR A
AiA .
Candidates should practice how to fill the information and shading the answers in OMR answer
sheets before examination with the help of teachers.
10
gd Pt Azs v vgw ES
DEPARTMENT OF STATE EDUCATION RESEARCH AND TRAINING
gdlz gAi w
su jP- 2012-13
STATE LEVEL NATIONAL TALENT SEARCH EXAMINATION- 2012-13
(BROCHURE)
A/ .../ ... 10
.
Karnataka Secondary Board/CBSE/ICSE & other Syllabus Students studying in
10th standard can take the examination.
Chief Superintendents
(Block Education Offices)
Center
Code
Chief Superintendents
(Block Education Offices)
Center
Code
Bangalore North-1
6th Cross Malleshwaram
Bangalore-03
080-23421719
0101
Bangalore South-1
Govt Girls P.U.College Building
B.P.Wadia Road,Basavanagudi
Bangalore-04
080-26608530
0201
Bangalore North-2
4th Cross 5th Main Gandhi Nagar
Bangalore -09
080-23354483
0106
Bangalore South-2
Poornaiah Chatra, Balepet
Bangalore-53
080-22872738
0206
Bangalore North-3
No 250 Kamraj Road,
Shivaji Nagar
Bangalore-01
080-25308815
0111
Bangalore South-3
Jagannatha Govt Higher
Primary School Building
Gurappana Palya
BTM Road Bangalore.
080-26680761
0211
Bangalore North-4
GKMPS Building, Near Taluk
Panchyat Office Yelahanka,
Bangalore-64
080-28567449
0116
Bangalore South-4
Govt P.U.College Building
K.R. Puram,
Bangalore-36
080-25614686
0216
11
District
Bangalore North
Bangalore South
Bangaloare Rural
Bagalakote
Bellary
Belgam
Bidar
Bijapura
Chamarajanagara
Center Name
Bangalore North-1
Bangalore North-2
Bangalore North-3
Bangalore North-4
Bangalore South-1
Bangalore South-2
Bangalore South-3
Bangalore South-4
Anekal
Devanahalli
Doddaballapura
Hosakote
Nelamangala
Badami
Bagalakote
Bilagi
Hunugunda
Jamakandi
Mudhola
Bellari-East
Bellari-West
Hadagali
Hagaribommanahalli
Hosapete
Kudligi
Siraguppa
Sondur
Bailahongala
Kittur Rani Circle
Belgam City
Belgam Rural
Khanapura
Ramadurga
Savadathi
Aaurad
Basavakalyana
Bhalki
Bidar
HumanaBad
BasavanaBagewadi
Bijapura-City
Bijapura-Taluk
Chadachana
Indi
Muddebihala
Sindagi
Chamarajanagara
Gundlupete
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
Chikkaballapura
Chikkamagalur
Chikodi
Chitradurga
Dakshinakannada
Davanagere
Dharawada
Hanur
Kollegala
Yalandur
Bagepalli
Chikkaballapura
Chintamani
Gowribidanur
Gudibande
Shidlagatta
Beerur
Chikkamagalur
Kadur
Koppa
Moodigere
Narasimharajapura
Shringeri
Tarikere
Athani
Chikkodi -Taluk
Chikkodi-New Range
Gokak
Hukkerei
Kagawada
Mudalagi
Raibag
Chellakere
Chitradurga
Hiriyur
Holalkere
Hosadurga
Molakalmuru
Bantwala
Belathangadi
Mangalur -City
Mangalur-Taluk
Moodabidre
Puttur
Sulya
Chennagiri
Davanagere-North
Davanageresouth
Harapanahalli
Harihara
Honnali
Jagalur
Dharawada city
Dharwada Taluk
Hubbli taluk
Hubbli-City
Kalaghatagi
Kundagola
Navalagunda
0911
0916
0921
1001
1006
1011
1016
1021
1026
1101
1106
1111
1116
1121
1126
1131
1136
1201
1206
1211
1216
1221
1226
1231
1236
1301
1306
1311
1316
1321
1326
1401
1406
1411
1416
1421
1426
1431
1501
1506
1511
1516
1521
1526
1531
1601
1602
1606
1611
1616
1621
1626
13
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
Gadag
Gulbarga
Hasan
Haveri
Kodagu
Kolar
Koppala
Madhugiri
Mandya
Gadag-City
Gadag-Taluk
Mundaragi
Naragunda
Rona
Shirahatti
Aland
Aphazalpura
Chincoli
Chittapura
Gulbarga-North
Gulbarga-South
Jevargi
Sedam
Aluru
Arakalgoodu
Arasikere
Belur
Chennarayapattna
Hasan
Holenarasipura
Sakaleshapura
Byadagi
Hanagal
Haveri
Hirekerur
Ranibennur
Savanoor
Shiggav
Madkeri
Somavarapete
Veerajpet
K.G.F
Bangarapet
Kolar
Malur
Mulabagilu
Srinivasapura
Gangavathi
Koppala
Kushtagi
Yelaburga
Koratagere
Madhugiri
Pavagada
Sira
K.R.Pete
Maddur
Malavalli
Mandya-North
Mandya-South
Nagamangala
1701
1706
1711
1716
1721
1726
1801
1806
1811
1816
1821
1826
1831
1836
1901
1906
1911
1916
1921
1926
1931
1936
2001
2006
2011
2016
2021
2026
2031
2101
2106
2111
2201
2206
2211
2216
2221
2231
2301
2306
2311
2316
2401
2406
2411
2416
2501
2506
2511
2516
2521
2526
14
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
Mysore
Raichur
Ramanagara
Shivamogga
Tumkur
Udupi
Uttara-kannada
Shirsi
Yadgiri
Pandavapura
Srirangapatna
Heggada devanakote
Hunusur
Krishanarajanagara
Mysore-North
Mysore-South
Mysore-Taluk
Nanjanagudu
Piriyapatna
T.Narsipura
Devadurga
Lingasuguru
Manvi
Raichur
Sindhanur
Chennapatna
Kanakapura
Magadi
Ramanagara
Bhadravthi
Hosanagara
Sagara
Shikaripura
Shivamogga
Soraba
Thirthahalli
Chikkanayakana halli
Gubbi
Kunigal
Thiptur
Tumkur
Turvekere
Baindur
Karkala
Kundapura
Brahmhavara
Udupi-South
Ankola
Bhatkala
Karawar
Kumata
Honnavara
Haliyala
Joyoda-Supa
Mundagodu
Shirsi
Siddapura
Yellapura.
Shapura
Shorapura
Yadgiri
2531
2536
2601
2606
2611
2616
2621
2626
2631
2636
2641
2701
2706
2711
2716
2721
2801
2806
2811
2816
2901
2906
2911
2916
2921
2926
2931
3001
3006
3011
3016
3021
3026
3101
3106
3116
3121
3126
3201
3206
3211
3216
3221
3326
3331
3341
3346
3351
3356
3401
3406
3411
15
Ai 2012-13 (10 Ai )
NATIONAL TALENT SEARCH EXAMINATION 2012-13(FOR CLASS 10 th)
Ai Ai : Ai 10 Ai A
A Ai
Ai A .
SCHEME DETAILS: The main purpose of this scheme is to identify talented students at the end of Class X and to
give them financial assistance towards getting the best possible education, so that talent may develop and they may
serve the country well .
Ai A Ai (1) A() (2)Ai A()
A:: A Ai A
A Ai 18/11/2012 A .
This Examination is conducted at two phases , (1) First Phase (State Level)
(2) Second Phase (National Level)
FIRST PHASE: The Department of State Educational Research and Training shall hold the State Level Examination
in the first phase on 18/11/2012 at Identified Taluk centers all over the State .
: 2012-13 10 Ai Aii Ai Ai
. A : 55 A ,
45 A / A 9 Ai Ai
.
ELIGIBILITY:Any regular student of 10th Standard shall be eligible to appear in the National Talent Search
Examination. Eligibility marks to apply:55% for General and 45% for SC/ST Candidates, in 9th Standard
Annual Examination.
A Ai MA.
First Level Examination consists of Two Papers.
) , A
. M 90 A
(A) GENERAL MENTAL ABILITY TEST (GMAT): This paper consists of items on reasoning,
analysis and synthesis etc. Total 90 Questions..
() A 90 Ai35 Ai ,
, Ai, 35 Ai , Ai
20 Ai . : . 10 Ai
/CBSE/ICSE
16
:
1.
. 100/- . (.)
A (.) jP g. 25/- ivVgvz.
Exam fee for General and other Categories is Rs. 100/- only, (Candidates belonging to SC/ST is Rs. 25/only)
2.
Ai Aii AAi .
The application of ineligible Candidates shall be cancelled at any stage.
3.
17
A Ai .
Ai. AA A MA A
.
Chief Superintendents of the examination centre should give proper acknowledgement to the candidates for
having received the application form.
The Admission Card will be issued one week before examination by the Examination Chief Superintendent to
the candidates.
:
AiAii AiAii
A P g. 2000/- zAv
. (Ai. )
Special Encouragement by Government of Karnataka
The candidates who are selected at the State level but not at the National level will be awarded a scholarship of
Rs. 2000/- p.a. for two years from Karnataka State Student Welfare Fund. (Depending on the funds available only)
A:
CONTINUANCE OF THE AWARD;
.....Ai Ai Ai AAi
AAi .
Continuance of Scholarship shall be subject to the maintenance of such academic excellence as may be prescribed
by the NCERT from time to time.
A ... . .
Ai .
The award of scholarship shall further be governed by the following conditions and also by those guidelines laid
down by the NCERT from time to time.
:NOTE TO SCHOLARSHIP
AWARDEES;
1. A Ai i Ai
A .
An Awardee will not be considered for scholarship if he/she fails in subsequent Examination or any subsequent class
or discontinues studies .
2. Ai A
M Ai .
Scholarship shall be available for studies up to the graduate level or for higher levels, both in India and aborad,
subject to the specified conditions.
18
3. Ai A A A .
Scholarship shall be paid through the institution where the awardee is studying.
4. Ai i Ai A .
This scholarship does not restrict the receipt of other scholarships.
:
A Ai A Ai A A
A Ai A Ai
Ai AAiA Ai Ai [ ] A A
.
SCHOLARSHIP; The scholarship shall be available for their future studies and subsequently after suitable revalidation at terminal stage upto the Doctorate level in Basic and Social Sciences including Commerce and up to the
second degree (Post-Graduate) level in Engineering and Medicine.
A :()
EXISTING RATE OF SCHOLARSHIPS AT DIFFERENT LEVELS:(Subject to change)
.A Sl.No
Rate of Scholarship
1)
2)
3)
2007-08 A Ai ( A ) 3
. 1 1
1 . A
.(GMAT SAT).
A Ai . A
30 . AiA
.
19
Ai A Ai
Ai. Ai 40
.
1)
J Pv PuPjU Pb jAi Cf s g
AP 06-08-2012.
The date of application available in all Block Education Offices is
on 06-08-2012
2)
sw
irz CfU
Pv PuPjU Pb jU AgV
PAi AP 10-09-2012.
The last date to submit filled in application to Block Education
Office is 10-09-2012.
3)
x
Avz gd lz jP 18-11-2012.
First State Level Examination is on 18-11-2012.
20