APPLICATION FORM FOR THE ACCEPTANCE OF PATWARI CANDIDATES

I. Name of the Distt. to which applied, __________________________________________

2. Name of the Candidate_____________________________________________________________
(In Block letters)
3. Father's Name_________________________________________________________

Affix recent

4. Date of Birth ____________________________________________________________

passport size

5. Correspondence Address:

photograph duly

House No/Village__________________________________________________________

attested by a

Post Office___________________Tehsil/Sub Tehsil______________________________

Gazetted officer

District

______________________________________________

State

_____________________________________________

Pin Code

______________________________________________

Contact Number

______________________________________________

6. Permanent Address
House No/Village:

______________________________________________

Post Office/Tehsil/Sub-Tehsil

______________________________________________

District

______________________________________________

State

______________________________________________

Pin Code

______________________________________________

7. Category to which belong _________________________________________________

8. Educational Qualification

______________________________________________

9. Any other qualification /experience _________________________________________

10. Fee Rs. _______Demand Draft No. ________________Date____________________
I I. Whether registered in any employment exchange Yes/ No ______________________
12. If Yes. Registration No. and name of the employment exchange __________________
13. I hereby declare:(a) That I am not involved in any criminal case and no criminal proceedings are
contemplated against me in any court of law.
(b) That the above particulars mentioned in the application are correct and true to the
best of my knowledge and belief. II' particulars mentioned by me are found false
at any stage, then I shall be liable to be terminated without any notice.

Dated :-

2013.

(Signature of the applicant)

ADMIT CARD
I. Name of Candidate. ________________________________________________
(To be filled by the Candidate)

Affix recent

2. S/o, D/o _________________________________________________________

(To be filled by the Candidate)

passport size

3. Roll No. _________________________________________________________

attested by a

Examination Centre: _________________________________________________

Gazetted officer

photograph duly

4. Date of Examination, _______________________________________________

Time ______________________________________________________________

Signature of Candidate

Signature of Issuing Authority

Name:

Smt. Shankuntla Devi w/o Sh. Parkash Chand

Mother Name:

Smt. Rajji Devi

Father Name:

Sh. Hakam Rai

Date of Birth:

1951 (Approx 60 Years)

Address:

VPO - Badehar, Ward No. - 2, Teh. & Distt: Una (HP), Pin 174306.

LPG Connection No:

3359

AAdhar Card Enrolment Date: 21-05-2011

Fax No:

01975-225427

FOR DETAIL CALL ME 9998443030

Aakash Tablet
India
563 Baba Deep Singh Complex,
East Mohan Nagar,
Amritsar -143001
call : 1800-1802-180

82.

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Sureshanandji Haridwar 25th May' 2013

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2. Choose a topic such as "Chat", "Like" etc.
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1.

Please read the Information Bulletin of CTET - FEB 2014 carefully before you start filling the

Online Application Form.

2.

Candidates can apply for CTET - FEB 2014 ON-LINE through website www.ctet.nic.in
For ON-LINE SUBMISSION - www.ctet.nic.in

Candidates can apply ON-LINE at CTET website www.ctet.nic.in. The candidate should supply all details
while filling the Online Form. Candidates are required to take a print out of the computer generated
Confirmation Page with Registration Number after successful submission of data. The Confirmation Page duly
complete should be sent to CBSE.
3.

Examination Fees

Category

Only Paper I or II

General / OBC Category

Both Paper I & II

Rs. 500 /- (Five hundered)

SC / ST / Differently Abled Category

Rs. 800 /- (Eight hundered)

Rs. 250 /- (Two hundered Fifty)

Rs. 400 /- (Four hundered)

Service Charges & Service Taxes (as applicable) will be charged extra by the Bank or Post Office
The fee can be remitted in the following ways:
Through Challan by deposit of prescribed fees in CBSE Account with Syndicate Bank or e-Post Office
By Debit/Credit Card.
4.
Step 1:

Application Procedure: 4 Simple Steps to be followed to apply online

Fill in the Online Application Form and note down system generated Registration No. The

candidate should supply all details while filling the Online Form. The Application Form mainly contains the
personal details and contact details of the candidates. After successful submission of the data, Registration No.
will be generated and it will be used to complete the remaining Steps of the Application Form and also
required for all future correspondence.
Step 2:

Upload Scanned Images of Photograph and Signature

Note : The scanned images of photographs and signature should be in jpg format.
Size of the photo image must be greater than 4 kb and less than 100 kb.
Size of the signature image must be greater than 1 kb and less than 25 kb.
Image Dimension of photograph should be 3.5 cm(width) * 4.5 cm(Height) only
Image Dimension of signature should be 3.5 cm(length) * 1.5 cm(Height) only
* NOTE : THE Candidate particulars can be edited till the payment of fees by Debit/Credit Card has not been
made or the challan is not downloaded.Once the payment of fee has been made / challan downloaded,
candidate particulars cannot be edited at this stage. Thereafter corrections can be made only during the period
in which on-line corrections will be allowed as per the given schedule of CTET - FEB 2014.
Step 3:

Pay Examination Fee by challan or debit/credit card:

For Payment by Sundicate Bank challan: The candidate has to select Bank e-Challan to submit the
application fee through bank. As soon as he/she selects, an e-Challan will be generated containing details of the
candidate along with amount to be paid as per their category and paper(s) opted. The candidate has to take a
printout of the same and take it to the nearest Core Banking Service (CBS) facility enabled Branch of the

respective Bank for making payment. After payment, the candidate has to login again to the system and enter
the details written on the e-Challan by the bank official like Transaction ID, Branch Code, Branch Name and
date of fee deposit. After the details are uploaded, a Confirmation Page will be generated.
For Payment by India Post challan: The candidate has to select India Post e-Challan to submit the application
fee through India Post. As soon as he/she selects, an e-Challan will be generated containing details of the
candidate along with amount to be paid as per their category and paper(s) opted. The candidate has to take a
printout of the same and take it to the nearest e-payment active branch of India Post office for making
payment. After payment, the candidate has to login again to the system and enter the details written on the eChallan by the India Post official like Receipt No., Pin Code, Post Office Name and date of fee deposit. After
the details are uploaded, a Confirmation Page will be generated.
OR Candidate can also pay fee by Debit/ Credit Card of any bank.
Step 4:

Download Confirmation Page(and Address Slip); complete in all respects should be sent to

CBSE for futher processing.

5.

All four Steps are mandatory. On-line application submission will be considered as complete only after

receipt of "Confirmation Page".

6.

Please ensure before dispatching the Confirmation Page that:-

(i)

The candidate has signed the Confirmation Page at the specified place.

(ii)

The candidate has pasted the recent similar passport size photograph as uploaded on the space

earmarked for it on the confirmation page.

(iii)

The candidate has attached the CBSE copy of Challan of the prescribed fee, in case fees was paid

through challan(Not required in case fee paid by Debit/Credit Card).

(iv)

The candidate has kept a photocopy of the Confirmation Page for use as reference for future

correspondence.
The Confirmation Page must be dispatched in an Envelope of size 12x9 only and paste the computer
generated address slip on the envelope superscribing APPLICATION FOR CTET- FEB 2014.
7.

The Confirmation Page, complete in all respect,along with CBSE copy of Challan if fees paid

through Challan, should be sent through Registered/Speed Post only so as to reach positively by 07.11.2013 in
the CBSE office addressed to;
THE ASSISTANT SECRETARY (CTET),
CENTRAL BOARD OF SECONDARY EDUCATION,
PS 1-2, INSTITUTIONAL AREA,
I P EXTENSION, PATPARGANJ,
NEW DELHI-110 092
Note While sending to CBSE do not enclose any photocopy of Educational or Caste Certificate along with
this Confirmation Page. 8.

The Confirmation Page, sent by courier shall be REJECTED. The Confirmation

Page shall not be received personally. CBSE will not be responsible for non-receipt of Confirmation page due
to any transit/postal loss.

Candidate Particulars Registration Number :

30738791

Candidate's Name : MEENA KUMARI

Father's Name :

SH. BUDHI SINGH

Mother's Name :

SMT. SURITA DEVI

Date of Birth :

30/12/1983

Choice of Examination Centre 1st Choice of Exam Centre Hamirpur

2nd Choice of Exam Centre

Shimla

3rd Choice of Exam Centre

Kangra

Languages offered for CTET Language offered for CTET Language - I

Hindi

Language offered for CTET Language - II English

Question Paper Medium

Hindi

Differently Abled If Differently Abled

NO

Personal Details Unique Aadhaar No.

Gender

Female

Category

General

Status of Qualifying Exam

Passed

Employment Status Not Employed

Applying For Paper II (Classes VI to VIII)
Minimum Educational Qualifications for Classes Minimum educational qualification for classes I to V Minimum educational qualification for classes VI to VIII Graduation with at least 50% marks and passed or
appearing in 1-year Bachelor in Education (B.Ed)
Subject offered for Paper-II Social Science
Previous Years Examination Details Roll No.(CTET - NOV 2012):
Roll No.(CTET - JULY 2013):

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

obtained:

State

Distt. Name of College/Institution/University

Diploma :

Himachal Pradesh

Shimla Himachal Pradesh University, Shimla

171005

63

Degree :

Himachal Pradesh

Shimla Himachal Pradesh University, Shimla

171005

50

Candidate's Mailing Address Address

Locality / Mohalla

BANGANA

UNA

State HIMACHAL PRADESH

Pin Code

174307

Mobile Number
Email Id

% Marks Obtained

MEENA KUMARI W/O MANEESH KUMAR

City / Town/ Village BANGANA

District

Pin Code

0981685666 2nd

maneeshthakur22@gmail.com 1st 2nd 3rd






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