Central Teacher Eligibility Test (CTET) JULY 2020

CENTRAL BOARD OF SECONDARY EDUCATION

Confirmation Page

Application No. 20110174712 -

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 BORNALI PHUKON Date of Birth 28-12-1993
Mother's Name RANI CHUTA PHUKON Category OBC- NCL
Father's Name SUSHIL PHUKON Gender Female
Person with Disability (PwD) No Nationality Indian
Language 1 Assamese Language 2 English
Employment Status Not Employed

Apply For
Applying For Both (Paper-I and Paper-II) Subject offered for Paper-II Social Science
Minimum Educational Senior Secondary (or its equivalent) with at least Minimum Educational Graduation and passed or appearing in final year
Qualifications for Classes I to 50% marks and passed or appearing in final year Qualifications for Classes VI of 2-year Diploma in Elementary Education (by
V of 2- year Diploma in Elementary Education (by to VIII whatever name known).
whatever name known)
Question Paper Medium English Qualifying Exam Diploma in Education (In accordance with the
prescribed minimum qualification) , Degree in
Education (In accordance with the prescribed
minimum qualification)
1st Choice of Exam Centre ASSAM - TEZPUR 2nd Choice of Exam Centre ASSAM - GUWAHATI
3rd Choice of Exam Centre ASSAM - DIBRUGARH 4th Choice of Exam Centre ASSAM - JORHAT

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 - DIET TINSUKIA 2019 Percentage Obtained Marks: 1551 786145
Education (In Education etc Total Marks: 2000
accordance Percentage: 77.55
with the
prescribed
minimum
qualification)
Degree in Passed Education/Elementry OTHERS - DIBRUGARH 2014 Percentage Obtained Marks: 893 786004
Education (In Education etc UNIVERSITY Total Marks: 1400
accordance Percentage: 63.79
with the
prescribed
minimum
qualification)

Contact Details
Address NIZ TENGAKHAT, TENGAKHAT, DIBRUGARH, Locality
ASSAM- 786103
City/Town/Village DIBRUGARH District DIBRUGARH
State ASSAM Pin Code 786103
Email Address bor***************@gmail.com Mobile Number 600****824
Land Line No. with STD code or any other Contact No. --

Fee Payment Details

Payment Mode: Pay through Syndicate Bank Transaction ID: RSM28546710956
Exam Fee: 1200 /- Date of Transaction: 21-02-2020 22:30:48
Fee Submitted On: 21/02/2020
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 2020. 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 2020 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 2020 Information Bulletin, which I have duly gone through.

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Photograph Signature

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Date of Printing : 21/02/2020 10:31:52 PM