8/11/2015 ApplicationFormforCTETSEPT2015http://ctet.nic.in/ctetapp/online/ApplicationForm.aspx 1/2CentralTeacherEligibilityTest(CTET)CENTRALBOARDOFSECONDARYEDUCATIONHome Instructions#MarkedBlockareOptionalCandidate'sParticulars(Asper10thClassSecondaryBoard)Candidate'sName: NEHAYADAVMother'sName: PRABHAWATIDEVIFather'sName: RAMNAVALYADAVDateofBirth: 07 May 1987ChoiceofExaminationCentres1stChoiceofExamCentre:GORAKHPUR2ndChoiceofExamCentre:VARANASI3rdChoiceofExamCentre:ALLAHABADLanguagesofferedforCTETLanguage1: HindiLanguage2: English *LanguageIIshouldbealanguageotherthanlanguageIQuestionPaperMedium: Hindi *ForsubjectsotherthanlanguagesDifferentlyAbledIfDifferentlyAbled: NoPersonalDetailsUniqueAadhaarNo.: #OptionalGender: FemaleCategory: OBCStatusofQualifyingExam: PassedEmploymentStatus: NotEmployedApplyingfor: PaperII(ClassesVItoVIII)MinimumEducationalQualificationsforClassesVItoVIII: 2SubjectofferedforPaperII SocialScience (IfapplyingforClassesVItoVIII)HaveyouappearedinanyoneormoreofthelastthreeCTETExaminations:NoCollege/Institution/UniversityfromwhichB.Ed.Degree/DiplomainEducation/ElementryEducationetc.obtained. State Distt. NameofCollege/Institution/University PinCode%MarksObtainedDiploma: Select Select Degree: UTTARPRADESH OTHER SHUBHIDEVIMAHILAMAHAVIDYALAYKHALILABADSANTKABIRNAGAR 273403 70 Candidate'smailingaddressAddress: H/No733/DJANGALTULSIRAMApplicationFormforCTETSEPT2015Select8/11/2015 ApplicationFormforCTETSEPT2015http://ctet.nic.in/ctetapp/online/ApplicationForm.aspx 2/2BICHHIYASARVODYANAGARHANUMANMANDIRLocality/Mohalla: BICHHIYACity/Town/Village: GORAKHPURDistrict: GORAKHPURState: UTTARPRADESHPincode: 273014MobileNo.: 8572944100ReEnterMobileNo.: 8572944100STDCodewithTelephoneNo: #OptionalEmailId:ReEnterEmailId:SecurityPinEnterSecurityPin(Showningreencolour):SecurityPin:NEXT RESETDisclaimer:ThissiteisdesignedandhostedbyNICandthecontentsareprovidedbyCBSE.Foranyfurtherinformation,pleasecontactCBSE.