Central Teacher Eligibility Test (CTET) December 2021

CENTRAL BOARD OF SECONDARY EDUCATION

Confirmation Page

Application No. 21101288533 -

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 JASBEER KAUR Date of Birth 03-07-1987
Mother's Name BALBEER KAUR Category General
Father's Name S.TRILOCHAN SINGH Gender Female
Person with Disability (PwD) No Nationality Indian
Language 1 English Language 2 Hindi
Employment Status Employed as Teacher

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 English
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 Degree in Education (In accordance with the prescribed minimum qualification)
1st Choice of Exam Centre UTTARAKHAND - ROORKEE 2nd Choice of Exam Centre UTTAR PRADESH - MUZAFFARNAGAR
3rd Choice of Exam Centre UTTARAKHAND - DEHRADUN 4th Choice of Exam Centre UTTARAKHAND - HALDWANI

Education Details
Qualification Pass Status Course/Stream Name Board/University Name Year Of ResultMode Mark Details Pincode
Passing/
Appearing
Degree in Passed Education/Elementry VISHVA BHARTI COLLEGE OF 2020 Percentage Obtained Marks: 1045 135003
Education (In Education etc EDUCATION,SECTOR - 18,HUDA Total Marks: 1500
accordance HONDE WALE FARM,JAGADHRI Percentage: 69.67
with the
prescribed
minimum
qualification)

Contact Details
Address H NO. 2A/278 HARISH HANDLOOM MADHO PRASAD Locality
WALI GALI GURUDWARA ROAD SAHARANPUR
City/Town/Village SAHARANPUR District SAHARANPUR
State UTTAR PRADESH Pin Code 247001
Email Address jas************@gmail.com Mobile Number 945****315
Land Line No. with STD code or any other Contact No. --

Fee Payment Details

Payment Mode: Pay through Canara Bank Transaction ID: WIC40343902118
Exam Fee: 1000 /- Date of Transaction: 15/10/2021 23:28:46
Fee Submitted On: 15/10/2021
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 2021. 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 2021 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 2021 Information Bulletin, which I have duly gone through.

Images Uploaded by Candidate

Photograph Signature

List of Document Uploaded

Photograph,Signature

Date of Printing : 25/11/2021 09:07:32 AM