Central Teacher Eligibility Test (CTET) JULY 2020

CENTRAL BOARD OF SECONDARY EDUCATION

Confirmation Page

Application No. 20111472260 -

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 DIPALI Date of Birth 14-04-1982
Mother's Name BIJITKAR Category OBC- NCL
Father's Name TUKARAM Gender Female
Person with Disability (PwD) No Nationality Indian
Language 1 Marathi Language 2 Hindi
Employment Status Not Employed

Apply For
Applying For Paper-I (Class I-V) Subject offered for Paper-II
Minimum Educational Senior Secondary (or its equivalent) with at least Question Paper Medium Hindi
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)
Qualifying Exam Diploma in Education (In accordance with the prescribed minimum qualification)
1st Choice of Exam Centre MAHARASHTRA - MUMBAI 2nd Choice of Exam Centre GOA - PANAJI
3rd Choice of Exam Centre KARNATAKA - BENGALURU 4th Choice of Exam Centre GUJARAT - SURAT

Education Details
Qualification Pass Status Course/Stream Name Board/University Name Year Of ResultMode Mark Details Pincode
Passing/
Appearing
Diploma in Passed Education/Elementry GOVERNMENT COLLEGE OF 2001 Percentage Obtained Marks: 700 415612
Education (In Education etc EDUCATION BOARDING ROAD, Total Marks: 1200
accordance CITY:RATNAGIRI Percentage: 58.33
with the
prescribed
minimum
qualification)

Contact Details
Address 541, NEAR EVEREST SERVICIN CENTER SAPTLINGI Locality DEVRUKH
NAGAR
City/Town/Village SADAVALI District RATNAGIRI
State MAHARASTRA Pin Code 415804
Email Address bij*********@gmail.com Mobile Number 940****557
Land Line No. with STD code or any other Contact No. 9404993087

Fee Payment Details

Payment Mode: Pay through Syndicate Bank Transaction ID: RUR28551736493
Exam Fee: 1000 /- Date of Transaction: 23-02-2020 17:57:05
Fee Submitted On: 23/02/2020
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.

Images Uploaded by Candidate

Photograph Signature

List of Document Uploaded

Photograph,Signature

Date of Printing : 23/02/2020 05:58:07 PM