Application No. 19120906759: Central Teacher Eligibility Test (CTET) DECEMBER 2019

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Central Teacher Eligibility Test (CTET) DECEMBER 2019

CENTRAL BOARD OF SECONDARY EDUCATION


Confirmation Page

Application No. 19120906759 -


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 SUBHANKAR KHARA Date of Birth 07-04-1986
Mother's Name SIPRA RANI KHARA Category General
Father's Name MANINDRA NATH KHARA Gender Male
Person with Disability (PwD) No Nationality Indian
Language 1 Bengali Language 2 English
Employment Status Not Employed

Apply For
Applying For Paper-I (Class I-V) Minimum Educational Senior Secondary (or its equivalent) with at least
Qualifications for Classes I to 50% marks and passed or appearing in final year
V of 2- year Diploma in Elementary Education (by
whatever name known)
Question Paper Medium English Qualifying Exam Diploma in Education (In accordance with the
prescribed minimum qualification)
1st Choice of Exam Centre KOLKATA 2nd Choice of Exam Centre BHUBANESWAR
3rd Choice of Exam Centre BOKARO 4th Choice of Exam Centre BHOPAL

Education Details
Qualification Pass Status Course/Stream Name Board/University Name Year Of ResultMode Mark Details Pincode
Passing/
Appearing
Diploma in Passed Education/Elementry OTHERS - WEST BNGAL BOARD 2018 Percentage Obtained Marks: 1136 721430
Education (In Education etc OF PRIMARY EDUCATION Total Marks: 1400
accordance Percentage: 81.14
with the
prescribed
minimum
qualification)

Contact Details
Address VILL-BRAJANATHCHAK,P O-HALDIA PORT,P S- Locality
HALDIA,DIST-PURBA MEDINIPUR,PIN-721605
City/Town/Village HALDIA District PURBA MEDINIPUR
State WEST BENGAL Pin Code 721605
Email Address sub**************@gmail.com Mobile Number (+91) 973****371
Land Line No. with STD code or any other Contact No. --

Fee Payment Details


Payment Mode: Pay through Syndicate Bank Transaction ID: QSM27973190152
Exam Fee: 700 /- Date of Transaction: 12/09/2019 20:16:55
Fee Submitted On: 12/09/2019
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 DECEMBER 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 DECEMBER 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 DECEMBER 2019 Information Bulletin, which I have duly gone through.

Images Uploaded by Candidate


Photograph Signature

List of Document Uploaded


Photograph,Signature

Date of Printing : 12/09/2019 08:09:03 PM

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