GOVERNMENT OF ANDHRA PRADESH

DEPARTMENT OF SCHOOL EDUCATION ON-LINE APPLICATION FORM - APTET - JANUARY, 2012 Reference Id : 2012100409966 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 ANANTHAPUR BEESABATTUNI RAMADEVI B LAKSHMIDEVI B PEDDA RANGA SWAMY 14-June-1980 Female BC No
*2012100409966*

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 / B.Sc / B.Com and or Masters Degree with at

11.

least 40% marks AND pass in 1 year Bachelor in Education (B.Ed) (In accordance with NCTE (Recognition norms and procedures) Regulations issued from time to time). Subject offered for paper - II if applying for Mathematics and Science classes 6 to 8 :

12. 13. 14.

Identification Marks as given in SSC Certificate : 1) A MOLE NEAR THE LEFT EAR 2) A MOLE ON THE THROAT Do You Belong to Andhra Pradesh State : Yes Residential Address in Andhra Pradesh : B RAMADEVI W/O R SRINIVASULU H NO 51-966D2 SEETHA RAMA NAGAR KURNOOL District : KURNOOL Mandal : Kallur Pincode : 518003 Mobile : 9246921529 Fee Amount
300

14a. 14b. 14c. 15.

Payment Details Journal Number

A9A1DD1E14CE

Payment Date
23/11/2011

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/- ( 24-NOV-2011 ) BEESABATTUNI RAMADEVI