Central Teacher Eligibility Test (CTET JULY 2019)

CENTRAL BOARD OF SECONDARY EDUCATION

Confirmation Page

Application No. 19110456992 -

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 MAHENDRA HANSDAH Date of Birth 23-02-1995
Mother's Name MUNGULI HANSDAH Category ST
Father's Name KANHU CHARAN HANSDAH Gender Male
Person with Disability (PwD) No Nationality Indian
Language 1 Oriya Language 2 English
Employment Status Not Employed

Apply For
Applying For Paper-II (Class VI-VIII) Subject offered for Paper-II Social Science
Minimum Educational Graduation with at least 50% marks and passed Question Paper Medium English
Qualifications for Classes VI or appearing in 1-year Bachelor in Education
to VIII (B.Ed).
Qualifying Exam Degree in Education
1st Choice of Exam Centre BHUBANESHWAR 2nd Choice of Exam Centre KOLKATA
3rd Choice of Exam Centre SAMBALPUR

Education Details
Qualification Pass Status Course/Stream Name Board/University Name Year Of ResultMode Mark Details Pincode
Passing/
Appearing
Degree in Appearing Education/Elementry OTHERS - North odisha 2019 NA NA 757003
Education Education etc UNIVERSITY

Contact Details
Address AT-KHERNA ,PO-HATBADRA Locality
City/Town/Village RAIRANGPUR District MAYURBHANJ
State ODISHA Pin Code 757050
Email Address mah***************@gmail.com Mobile Number (+91) 775****897
Land Line No. with STD code or any other Contact No. --

Fee Payment Details

Payment Mode: Online Payment through Billdesk Transaction ID: PSM27251188188
Exam Fee: 350 /- Date of Transaction: 23-02-2019 10:30:34
Fee Submitted On: 23/02/2019
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 : 23/02/2019 10:23:56 AM