GOVERNMENT OF ANDHRA PRADESH

DEPARTMENT OF SCHOOL EDUCATION ON-LINE APPLICATION FORM - APTET - 2013 Reference Id : 2013200003603 EXAMINATION CENTRE DETAILS Exam Centre : 1. APPLICATION DETAILS Name of Applicant : 2. Mother's name : 3. Father's name : 4. Date of birth : 5. Gender : 6. Community : 7. If Differently Abled(PH) : 8. APPLYING FOR Paper : 9. Language I Offered : 9a. 9b.
Your Question Paper Medium is : PAPER-II: ENGLISH/TELUGU KURNOOL VAISHNAVA MURALI MOHAN V JANAKAMMA V SATYANARAYANASWAMY 26-February-1984 Male GENERAL No PAPER - II (CLASSES 6 to 8) PAPER-II : TELUGU

Note: Your question paper medium is the same as language-I offered by you at S.No. 9a. 10. QUALIFICATIONS 10b. Minimum Educational Qualifications for PAPER-II : B.A (Telugu

11.

Literature) OR BA (Oriental Languge Telugu) OR Bachelor of Oriental Language Telugu OR A Graduate degree with optional subject Telugu OR MA (Telugu) AND Pass in or pursuing Telugu Pandit Training course. Subject offered for paper - II if applying for Social Studies classes 6 to 8 :

12. 13. 14.

Identification Marks as given in SSC Certificate : 1) A MOLE ON THE RIGHT HAND 2) A MOLE ON THE RIGHT THROUGHT Do You Belong to Andhra Pradesh State : Yes Residential Address in Andhra Pradesh : HNO 1-2 H-MURAVANI VILLAGE AND POST

14a. 14b. 14c. 15. 16.

District : KURNOOL Mandal : Pedda Kadubur Pincode : 518323 Mobile : 9948052972 SSC HallTicket No : 1293102 Professional Course for Paper-II : Telugu Pandit Studied at : Sri Brahmeswara Pyramid TPT College, 9/123, Srirama temple, Veldurthi post, Kurnool dist-518216 Aadhaar No. : -Have you Appeared APTET Exam : No You admit that you did not appear for first three TETs. Hence, at the time of application for DSC only fourth TET Marks will be considered

17. Professional Course Details

18. 19.

Fee Amount
200

Payment Details Journal Number

EKNMN0006701

Payment Date
16/07/2013

I hereby declare that all information furnished by me in this application is true and correct I undertake to produce the original documents at any moment, failing which my candidature may be cancelled. I am fully aware that furnishing false information will lead to a criminal case against me, apart from cancelling my candidature as it amounts to cheating. I am alone responsible if any wrong entries are made by me in the application form.

Sd/VAISHNAVA MURALI MOHAN ( 17-07-2013 01:22:55 PM )