No.GHS/ND/NTSE-NMMSS/2014-15/
U.T. Administration of Daman & Diu
O/o the Head Master,
Government High School, (E/M)Nani Daman.
Dated : 25 / 07 / 2014
To: All Principals / Head Master of Govt. / Aided Schools,Daman & Diu.
CIRCULAR
The first phase of NTSE/NMMSS Exam for the A/Y 2014-15 are to be held on 2ndNovember 2014 at Government High School (E/M), Nani Daman.
For NTS Exam students studying in class X, during the A/Y 2014- 15 from Govt/GovtAided /Private /JNV are eligible . No income criteria.
For NMMS Exam students studying in class VIII during the A/Y 2014-15 in Govt.School and at least 55% marks obtained in class VII are eligible ( relaxable by 5% forSC/ST). The income limit for parents should not exceed Rs. 1,50 , 000 /-.
The Exam fee for NTS/NMMS EXAM is Rs. 75/- for General /Physically challengedand Rs . 55/- for SC/ST students . The application forms can be downloaded directly fromthe NCERT website http ://www.ncert.nic.in and also http ://www.daman . nic.in .
The completed application forms in all respect should through concern schoolalong with the prescribed fee to this office on or before 31s' August 2014 . The formsreceived after the last date shall not be accepted /entertained at any cost . Studentsbelongs to SC/ST, OBC are requested to submit their caste certificate ( Attested Copy)along with application form.
Also the school should send the entries of students of NTSE /NMMSS separately insoft and hard copy in the given Excel sheet proforma.
(Rajesh J . PT 1pati)Liaison officer,
NTSE/NMMSS Exam.Encl: As above.
Copy to:-
1) Dr. S. D.Bhardwaj , DY Director Nodal Officer(DBTS)
2) The A. D.E., Collectorate , Diu with kind request to vide publicity and distribute the forms
to all schools stationed at Diu , and consolidate the forms and submit to the Liaison
Officer in the stipulated time.
3) The A .D.E., D.P ., Diu with kind request to vide publicity and distribute the forms to all
schools stationed at Diu , and consolidate the forms and submit to the Liaison Officer in
the stipulated time.
4) State information Officer, NIC Daman with kind request to upload the application forms
in the public website.
5) The A. D.E., D.P., Daman with kind request to vide publicity and distribute the forms to all
schools stationed at Daman , and consolidate the forms and submit to the Liaison Officer
in the stipulated time.
APPLICATION FORM
NATIONAL TALENT SEARCII EX"ANI IINATION, 2015
(For the Students Studying in Class X)
i+r^d lhr instror!ian carefully given on the nest pave before filling the application fnnn. You may take tile help
from your teacher/ parent for filling up the application form.
I sa ri SauunDale of
Nanrc & address of the State Agencyfor conducting First Level NTS Examination
Name of the Statc/UT(where the candidate is studying in Class X as a regular student)
Nanrc of the Examination CenterIns here the candidate is studying in Class X or likely to appear in Exam)
A r lication fee, if any (write NIL if there is no fee)
Amount DD Number Date of DD Name of Bank
',talc Level 12 digit Roll Number
Class X Code State Code Year
C c
('enter Code
Name of the Candidate (Do not write Miss/ Master)
2 I atlrcr's Name (Do not write Mil Dr / Prof )
Mother's Nanrc (Do not v.rilc Ms / Dr./ Prof.)
I Sex 5. Area in which candidate resides
L_J2
Neale Female
L_lRural
I I6. Category of candidate
General SC
rr H
3
Date
1FMonth
7. Disability Status
2S'f
Year
3
Visually
Impaired
(Please enclose a copy of the relevant reservation certificate in support of information at Sr. No.6 & 7)
S Postal address of the candidate for correspondence (Do not write father's or your name)
IPin Code
n Name and address of the school/ institution in which studying at Class X level
None
I( 0. Type of the institution in which studying at Class X level ( see definition overleaf`)
I Govt 0 Local 3 Private 4 Private
Body Aided Unaided
12 Medium of examination ( a) at the State level
I s Mother' s cducalion
I S Number of brothers [
21. Parental annual income
(b) at the NCF.RI ' Level
16. Mother's occupation
19. Number of sisters
Space for the
Photograph
(Passport size
The Photograph shouldhe endorsed by the
Ilead of the Institution/Gazelled Officer
/\ rlication N_2.,_i f alt
Serial No . (Office to fill) ClaSs Date of birth
4
11 Area in which the school is located
LU
0ithopedic Hearing
Impaired
Rural 2 110,311
013, Father' s cducalion
'1(, 4 funily members living in the
20. Al what number is the candidateamong his/her hrslicer and sisters
Lii111) to 50,000 50,001 to 100.000 100.001 to 2.00,000 2,00,001 to 5,00,000 More than 5,00,000
ED
22 'fclcphonc
i 1
STD Code Phone
To he filled in by tile ( lead of (lie Institution / Gazetted Officer
14. Father's occupation El
LIIII
23. . E-mail address
(1) Macrer /Miss ................ ......................... is a regular student of Ili is School / lnstilution and heishc has secured m,0 marks in the ('lass IX annual............ .
rnaoonaton i.e when hclshc war promoted from Class IX to Class X I Id She has secured .....,.., ...
(Candidate nntsl fulfill tike criteria announced by Slatem flI21 1 he articular, given by himflrer in the appliealinn fnnn have teen vetified and found in order.
p
marks out of ...................
(1) AlasterRv1iss _.... _ ......... .... . _........, ....... belongs In Scheduled Caste/Scheduled Tribe categoryas per me records maintained in (lie Institution . ( to be filled far Sc/ST
randidalec only)
Signahne. of the I)eachnatrcr/l IcalnuslresJ Gazetted Officer
Wilt Seal
Signature of like eandidatc7
(See Instructions overleaf)
Collin; flan
Head Instructions carefully before tilling up (h; Application FurfE;fit lJ.,i it.e unl, 11ac ur Black iscll Iloilo 1'en Y..: I; ('r°.^, I ..l_ •_.'l l.^I •^.;^:. ,^^ write outsule the boxes
2. leave one bux blank betw een Iwo Words. Lllllll your Baltic void/or liddl ess w ' illtlll the space provided for it. Pl ebe sec example as given below
3 Cross ()L) only one of the appropriate boxes in iteul nos.-I,5,0, 7, to, I I cud 214. Please write code number in new nos. 12, 13, 14, 15 and 16 as given ovcllcaf
tire t 5p l/11slbl lily of the candidate and the Pr incipal of (Ile sdiool to deposit the tilled in forth Willi the Slate conccl lied Officer betUrc the last date No re quest
5. It
for
is
c ond oning delay in submission will he entertained whether it is thtc to the fault of the Candidateor the Ileadntaster/PriIICipal of his/her institution.
f
6. IncotllplelC of defectiv e applications afC liable to be rejected
I:xantplc fm- writing Name and Address
Iather's Name. 0 P
r1l
U
Postal Addicss Du IIUt try IU write colltpleic address in one title. B reak it appropriat ely as Sh own below.
Medium of Ixautinatiun
IReler to item 12)
Mediuul of Ex:uuination
Code
Assanwse
Bangla
English
Gujarati
Ilinrli
Kannada -
Maralhi
t.'Ialayalatn
Oriya
f Piotessioitat
I M
A
It
12
13
I'
PIN (I
It U
Education of lather or Mother
(Refer to item Nos. 13 & 15)
Education
No formal liducatiun
Up to Primary
Upper Primary
14
I5
Ib
Secondary
Senior Secondary,
Graduation17 Post graduation
Ih Doctoral19 Professional degree (Engineering,
Law, Medicine, MCA, MBA,
etc.)
2(121
22
23
Father's/Mother ' s Occupation
IReler to item Nos. 1.1 & I(,)
Occur atiofl
Executive and Managerial
Clerical
Business
Agriculture, Fishery
Piodoction and Transport
Operators and Labourers
Not employed
4
6
7
h_
( utlc
7
89
D
'•I VI'E OF S('IIOOIJINSTTI•U•TION (Refer to item No. 111)
A Government School is that which is run by the State Government or
ti((VLRNMENT Ccutial (iovenuneut or Public Sector Undertaking or an Autonomous
Organization cuuyllctcly Financed by the I iuvcuunrnt.
A Local Ludy School is that which is run by l':otchay:tti Raj and local
LO('AL BODY body irutitutioru such as /.ila l':trish;td, Muutcip;ll Culpuration, Municipal
Cumnlittce, Notilird Area Colnnlillcc and Cautunutcut Board.
A Private Aided School is that which is run by all individual or it private
PRIVATE AIDED organization and receives grant bunt govcnuncnt or local body.
Private Unaided School is that which is managed by an individual or it
PRIVATE UNAIDED private organization and does not receive any giant either from
govcnuuent or local body.
Region
North-
f.ast
State/U ICode
ArunachalPradesh
Assam 12
Matlipur I 13
Meghalaya I•I
Mizoram Is
SiUstiii
Tripura
A and NIslands
Bihar
Jh;trkluutcl
Orissa
Vest ficncal
Nurlll I Chaudig:uI
Delhi
\\ cst
Haryana
iiiitachal
Pradesh
Punjab
Januou and
Kashmir
Rajasthan
Uttar Pradesh
Utt:rrakhand
Chhattisgarh
Daman and
Diu
1) artdN
l laveli
2223
24
25
20
27
28
29
1(1
31
32
is
35
Goa 3G
Gujarat 37
Madhya 3S
Ptadc^ll
M a ltaraslura 39
Andhra 40Pradesh
h:an:a!aks 41
Kclala
l_akshadwccp
I'uducherry
Tanul Nadu
Telangaua
12
-13
44
•15
47
INSTRUCTIONS TO THE CANDIDATE( For the Students Studying in Class X )
I. Make sure that the Admit Card is not detached from the application form. Admit cards will be sent to the CentreSuperintendent of the examination centre after allotting the Roll Numbers. Candidate can collect the AdmitCard from the Centre Superintendent of the examination centre at least one week before the examination.
2. Reach the Examination Centre atleast half an hour before the commencement of the examination; and occupythe seat that bears your Roll Number.
3. DO NOT take mobile phones, calculator , mathematical & physical table or any other kind of ready reckoner tothe examination hall.
4. The examination will be conducted in three sessions on the same day.
5. You will have to take the examination as per details given below:-Mental Ability Test (MAT)- Scholastic Aptitude Test (SAT), which includes tests in Language comprehensive and Aptitude separately.
Test Type Marks No of Items Duration
Mental Abilit 50 50(in minutes)
45Scholastic Language 40 40 45
jesi Com prehensive TestAptitude Test 90 90 90
fhe applicants are requested to refer/consult State Liaison Officer for the composition of the test.
6. Each question carries I (one) mark.
7. Write your Roll Number, as given in the Admit Card, on the Answer Sheet and on the cover page of theQuestion Booklet in the space provided.
8. All questions in the booklets are objective type. For each question, FOUR possible answers are given, but onlyone is correct. Your task is to find out the correct answer and mark your choice in the Answer Sheet.
9. Record your answer -using Ball Point Pen only. You have to indicate your answer on the answer sheet asadvised by the State/UT.
10. During the Examination follow the instructions of the Invigilator strictly.
11. Hand over your Question booklet and Answer sheets to the invigilator before you leave the Examination Hall.12. I-Iand over the admission card to the Invigilator before leaving the examination hall.
Full Postal Address of the candidate for despatch of admission letter:
PIN Code
Common Database Structure for Candidate's Information Card forNational Talent Search Examination - 2014-15 Class X
Instructions:1. First digit of Roll No..Code for Class X - 22. Give exactly the same Field Name , Field Type and Field Size to the variables as suggested below.2. Give File Name to the Data file as suggested below: See State Code on back side of Candidate's Information Card
For Class X Examination: ST2_12 for State of Assam, ST2_39 for State of Maharashtra.3. Send the data on CD. It can be sent through e-mail: [email protected]. Data should only be recorded in one type of data base: Fox PRO -'.dbf, SPSS, MS Excel -'.xis
No,SI Variable Description Field.
Name Typ e Size
1. State Level Roll No. SROLL Numeric 12
2 National Level Roll No. NROLL Numeric 8.
3 Class CLASS Numeric 2.
4 Date of Birth: Date DATE Numeric 2.
Month MONTH Numeric 2
Year YEAR Numeric 4
5 Name of the Candidate CNAME Character 35.
6 Father's Name FNAME Character 35.
7. Mother's Name MNAME Character 35
8. Sex SEX Numeric 1
9. Candidate's Area of Residence CAREA Numeric 1
10 Caste Cate or of Candidate CATEGORY Numeric 1.
11 Disabilit Status of Candidate DISABLE Numeric 1.
12 Postal Address for Correspondence : First Line CADD1 Character 35.
Second Line CADD2 Character 35
Third Line CADD3 Character 35_Pin Code CPIN Numeric 6
13 Name and Address of School : First Line IADD1 Character 35.
Second Line IADD2 Character 35
Third Line IADD3 Character 35
Pin Code IPIN Numeric 6
44 School District Code DIST Numeric 2.
15 __Type of Institutions/School ITYPE Numeric 1. nnrn r` liimcrr 1
Area in which school is located, _Medium of Examination at NCERT Level
Medium in which the language portion will be
attempted English or Hindi
Father's Education
Father's Occupation
Mother's Education
Mother's OccupationNo. of-Family Members
No. of Brothers
No. of SistersAl at number is the candidate among
siblingsCode for Parental Annual Income
Phone Number\1arks in State level Examination
MAT Marks obtainedMAT Maximum marks )
SAT (Marks obtained )
SA Maximum marks
31. Grand Total Total Marks obtainedGrand Total (Total Maximum marks )
32. Language (MarkSO btained)Lan uaaee (Maximum marks )
33. Rank
1
MEDIUM NumericMEDIUMLANG Numeric
FEDU NumericFOCCU NumericMEDU Numeric
MOCCU Numeric
NFM Numeric 2
NOB Numeric 2
NOS Numeric 2RANKSIB Numeric
INCOME Numeric
PSTD Numeric 5PNUM Numeric 10
MATOBT NumericMATMAX Numeric_SATOBT Numeric
SATMAX Numeric 2GTOBT Numeric 2GTMAX Numeric 2LCTOBT Numeric 2L' I MAX Numeric 2
RANK Numeric
STATE LI?VEL NATIONAL TALENT SEARCH EXAMINATION - 2014-151 or the Students St((I\ i9 in (_lass X
Name of the Slate l I\\`hich \lill c,ndiic ih; I \:n'rn;;Ir 'i
AI)`1ISS10N CAIN)
I o be filled by the a > )licant
\Iasterr'MISS.
S'o - D /o Sri.
of, ,, pool)
of (I)istricti(oitrc)
is pern ) itted to appear for the above said examination.
I Lill Postal Address:
\fli\ Passport size
photoj"raph attested b.\ the
I Icad of (tle School/( a'i (((.41 ( )fficer
PIN ('ode
She'Iie is allotted 12 digit Roll Number:
^:..-',' 'I: - eqe Slate CAC fear ( rc;r, C,v \:, ( l o he filled by the officel
2
Dale of I xsuninalion:
Venue of Examination centre
GOVT. HIGH SCHOOL(E/M),
OPP. CUSTOM HOUSE,NANI DAMAN,DAMAN-396210
Scrutinized hN(()I'tice Staff)
Suz'nature of the Invigilatorat the examination Centre
Ofticc Scal
Signature ol*the
Candidate in the presenceof Invigilator
Signature of the Head of the SchoolWith office seal
Signature of Liaison Officer/DistrictLevel Ofliccr .'Authorized for StateLevel V*I S I:..\alnination
N IAT:------------------------
SAT: --------------------------
Language:---------------------
N.AIION \I MEANS Ct nl NI.R1T "('I IOI .\RSIIIV FXA\IINATION. 2014-IT
(FOR TIIE STlID[•:.N I'S OF (;O\ T. - (;O\ 1. \ II)FI) ' I OC \ I. BODY/ ('Oltl'ORATION SCHOOLS S Ft'D) I'N(,' IN ('FASS VIII )
Read the instruction carefully given oil file nest page before filling the application form.
1 nu m;ls lake the help front your teacheriparent for filling up the application form.
Date of F:xamimation 02/11/2014
\ ante & address of the Agency for Director of Govt. Foams.conducting N \ I\1S I' santinatinn \ ani Daman - 396210.',ante of the Statcft' I Banta ti & Dill
\;Intc of rile Fsanninali o ll ('cut re
I.y;tuunalitn^ Ice to he nail in l reasursrsuh Trear,urv Dols.
',mount (Uhallan \umhcr Dale of Challan Name of'I reasurs 4
State I.esel 12 digit Roll Number (To he tilled in by Of'fice)
( I... \ Ill Cods State l'nde Veal fearer Code Semi No ( I.u r N\t\IS
'-lass X Code titatc ('odc ear
.t
Serial No if )Wise b, fill) Class I), tlc of birth
rLI H
Name of the ( andidatc (Do not write Miss! Master)
I athcr's Name (Do not write \1r / Dr / Prof i
Smiler s Name I Do not virile Psis / Dr / Prof i
s Area in which c;mdidalc resides
\I dc I cmalc Rural I ;rOan tit
\1or,th
7 Disabilit' Status
Orthopedic Itearing
Impaired
Space ti,i I)cPhotograph
IPassp,a t ave andBlack and i
The Photograph should
be endorsed by the
I lead of file Inslituhon%
Visually
Impaired
F'Ieasr enclose a cop)' of the relevant reservation certificate in support of information at Sr. No.6 & 7)-I. ' .i;Idre,, for orrc:por lcnce 11 t ,, ,l sots father's „r voter namcI
I
Name and add ress <t I the sc h oo0mclittltiott in olu,cll sltldy,ng at Cla ss X l e vel
L
It) I cps of the institution in which studs mg at Class X level ( see definition overleaf)
FT1 Govt Local 3 Private I Private13od) Aided Unaided
2
6 Category of candidate
'. cite, at
I \lednnn ofcrnnmauon till at the State Iesel
I \i dhcr'.cdurrtUOn
19 Nnmher of brothers
1 P:ucntal n eu ral income
171
(h) It the N( ER I Fcscl
16 Mother's occupation
19 Nunnccrofistcts
Hi
Pill Codc
Pin code
I I Atea it which the school is located
'I Rural 'a
; Father' s education
17 No. of (amit) members Its tog in theMouse
20. At what number is file candidateamong his/her hi other and sisters
o io.000 50,111)1 to 1110.000 I11(1001 to 2 (10.00(1 2, 00.001 to i1)0.000 More Ilmo S.00.000
telephone
Ccrtitied that:
I'hpne
To he fillet( in hV the Ilea(( of the Institution
Li
111 Father's occupation
21 F-mail address
( I) \laster'Miss ........................................................ is a regular student of Ibis School and heishe has secured ...............", marks inthe class VIII annual csantination i.e. when he/she was promoted from ('lass VII to Class VIII. Its/She has secured ...... marks outof ................
(2) l he particulars given h\ hint%hei in the application firm have been serilied and fiamcf in order.
13) RJastcr'MiSS ..............................................belongs (ien S('YS I /O13(i%Ot3( M )/1st11 category as per the recordsmaintained in file School.(Strike out which are not applicable)
51 I) Code
('rote, ('odc
Sicnature of the Candidate with date Sienaturu of file I leadrnasterfl Icadmictress with seal
46
Coding flan
Read Instr uctions carefully before tilling up the :\pplicatiun forml! se writ little of Wiwi, 13a11 Point Pen WRI I F. IN (AI'I I M. I I- :-I I I(\ Un : of 11,Jk or wntr olamac the bow,
Leave tine bus hlud, between too words Lintil your, name :ltd/or address trilhiu the space prusitied for it Please see e\antple as goer below
Curs' (s) unls tme u! the apprupnaic boxes in Item nos 4.5.6. 7 Ill. 11 and ' 1
t Please svnte code number tit rem nos 12. 13. 14, 15 and Ib as ewer to ci (witS. It is the responsibility of the candidate and the Principal of the school to Lie it ,u the tilled Ili burn Mill the State concerned Officer before the last date No i cyuest
for euuduning delay ill submission is ill be euterlainetl whether it is due Ito the fault of the Candidate or the II coil ii r/ 1'rilike ipaI of his /her inslilutioo.
I) Ireful iele of delcclice applications arc liable to be rejected
I sample for writing Name and A ddress
I1
II
I'uaal •\ddress I)o not tit to wnle aunplete address in one line Break it appruprruclt a s shusvt belost
U
Medium of I•.\amination
(Rt!:r to ileul 12)
C \Icditun ul Examination
C tide
\,s.mtese
B;ntgla 12
I uglish 13
( mjuruti
I hildl
Kannada
Morathi
N•lalayalam
( )riya
I'rulesiinlet
Occapaliun
I scentise and Managerial
t Icr lctl
13usinc>s
Agriculture. Fisher
Ptuductiun : aid 1 ransport
r)pcralors and Lahotuel S
Not employed
Code
3
5
6
7
6
I \ Ill. Of S C H O O L A N SII l t I ION (Refer to item No. IU)
A (inscinmeut School is that which IS run by the State Guvernnteut or
A)V'LI(NMI,NI (ertral (iovcnunent or Public Sector Undertaking Lit an Autonomous
Organinuitin completely financed by the (io\etitmenl
A Local Budt School is that which is run by I'auchayati Raj and local
C;11 131 )I)\' body institutions such as Lila Parish:td. Municipal (tirporatiun, Municipal
ommitlee, Notified Area Committee and I ankmnreut Board
A Private Aided School is that which is 0111 by tit nxlisidual or it private
I'RIVAll AIDLD organization and receives grout from governnumt tic local body
I'iit.ttc Unaided School is That which is tuauaged b) an individual or a
I'RIV \l l IINAIDI'D private organization and dues not receite any grant either from
guverumcut or local body.
16
17
is
1')
'Il
21
) 3
U I'T FA
"1
Lducation of Lather or .((tither
IRefer to dent No^ 13 K 151
Education Curie
No tbrnrrl F dtrcatiun
Lip to Primaryl Ipper Primary.
Secondary
Senior Secondary
(iraduatiun
Post praduation
Doctoral
Pruli ssional degree ( Iinginecring.
lass, Medicine. MCA, MBA.
etc.)
I,ather'el \luthcr 's Occupation
(Refer to item No, I I tN Ib)
Region Sin tell I Code
Not III-I ast
ArunachalPradesh
II
Ass;un 12
Manipur 13
Nleehalava 1-1
\I Ian and I
Nagal:utJ I (i
S lkk lrll 17
-1ripura is
I t)
Itila '(I
Jlrtrklnatd 21
(irissa ra
West Bengal 23
North Chandigarh 24
i )clln 'S
Jammu andK:isi nml
'n
Ilaryana 27
IIintachalPradesh
21(
Punjab
I(al:uthan ;1)
Uttar Prulesh 31
l lit:nakh;utd
(' I r h:u t i,g:n It
Daman andL)itl
±I
I)andN
I Iavcli
Goa 36
Gujaratt
Madhya
Pradesh
NiiItarashtru I t`I
Andhrawullr
Pt mdeshIn
Karmrtak:, II
Kel.tl.1 1
I.akslmdsveep I
I'uduclicn} I.I
I until Nadu IS
Nbroad Irt
INSTRUC'T'IONS TO THE CANDIDATE(For the Students Studying in Class VI I I
I . Make sure that the Admit Card is not detached from the application form. Admit cards will he sent to the CentreSuperintendent of the examination centre after allotting the Roll Numbers. Candidate can collect the AdmitCard from the Centre Superintendent of the examination centre at least one week before the examination.
Reach the Examination Centre atleast half an hour before the commencement of the examination; and occupythe seat that bears your Roll Number.
3. DO NOT take mobile phones, calculator, mathematical & physical table or any other kind of ready reckoner tothe examination hall. '
4. The examination will be conducted in three sessions on the same day.
5. You will have to take the examination as per details given below:-Mental Ability Test (MAT)- Scholastic Aptitude Test (SAT), which includes tests in Language comprehensive and Aptitude separately.
Test Type Marks No of Items Duration
Mental Abilit(in minutes)
y 50 50 45Scholastic Language 40 40 45Test Comprehensive TestA tit d Tp u e est 90 90 90
The applicants are requested to refer/consult State Liaison Officer for the composition of the test.
6. Each question carries I (one) mark.
7. Write your Roll Number, as given in the Admit Card. on the Answer Sheet and on the cover page of theQuestion Booklet in the space provided.
8. All questions in the booklets are ohjective type. For each question, FOUR possible answers are given, but onlyone is correct. Your task is to find out the correct answer and mark your choice in the Answer Sheet.
9. Record your answer-using Ball Point Pen only. You have to indicate your answer on the answer sheet asadvised by the State/UT.
10. During the Examination follow the instructions of the invigilator strictly.
11. Hand over your Question booklet and Answer sheets to the invigilator before you leave the Examination ilall.
12. Hand over the admission card to the Invigilator before leaving the examination hall.
Full Postal Address of the candidate for despatch of admission letter:
PIN Code
NATIONAL MEANS CUM MERIT SCIiOL: RSHIP EXAMINATION, 2014-15
(FOR THE STUDENTS OF GOVT. ! GOVT . AIDED ! LOCAL BODY !
CORPORAT ION SCIIOOLS Sit DYING IN CLASS VIII)
Name of the State:
ADMISSION CARD
To be tilled in by the applicant
Master/Miss.
S'o / Do. Sri.
of (school)
of (District)
Full Postal Address:
PIN Code.
Date of Birth- --F=
Caste Category
Affil PISIP1111 5 - 1dphotograph acsied bs the
lead of the school
Signature of the (lead of the school
with office seal
She He is allotted 12 digit Roll Number :
Class VIII Code State Code Yeart^MMS ^.
3 4 1
Center Code Serial No. (to be tilled by office
4
Date of Examination : 02.11 .2014
Time: MAT SAT:
Venue of Examination centrc:-
GOVT. HIGH SCHOOL(E/M),
OPP. CUSTOM HOUSE, NANI DAMAN,
DAMAN-396210
Signature of Liasion Officer /District Level Officer /
Authorized for NMMS
Signature of the Invigilator
at the examination Centre Signature of the
Candidate in the MAT: ......................
Presence of InvigilatorSAT :.................... ...
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