OFFICE OF ZILA PARISHAD - ALWAR IIIrd Grade Teacher Direct Recruitment Competitive Examination 2012

Online Application Form Application Number Token Number 1. Exam Details 1.1 Examination 1.2 Post 1.3 District Name For Exam 1.4 Subject Details 2. Applicant's Details 2.1 Applicant's Full Name 2.2 Applicant's Father Full Name 2.3 Applicant's Mother Full 2.4 Date Of Birth (dd/mm/yyyy) 2.5 Gender 2.6 Marital Status 2.7 Applicant's Husband Full 2.8 Category 2.9 Home State (Bonafide 2.10 Home District : 11010260424 : 1206019210006244 : IIIrd Grade Teacher I Level : Ist level (Class I-V) IIIrd Grade Teacher : ALWAR :
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Application Filled Reference Application

: 29/03/2012 2.15 PM :

: : : : : : : : : :

ASSUDEEN KHAN LEELA KHAN RAHAMANI 07/05/1975 MALE Married

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BC RAJASTHAN ALWAR

3. Other Special Categories 3.1 Category for Disabled 3.2 Specific Category for 3.3 Other Category 4. Correspondence Details 4.1 Address

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: : : : VILL-BHAJEET POST-BHAJEET, BHAJEET,Tehsil : ALWAR,City/Village : ALWAR - 301030 Dist : ALWAR, State : RAJASTHAN

4.2 Email : 4.3 Phone : 5. Educational Qualifications Secondary And Above Examination Name 5.1 XTH 5.2 XIITH 5.3 B.SC 5.4 5.5 6. Professional Qualification 6.1 B.ED 6.2 6.3 6.4 Year 1991 1994 1997

4.4 Mobile Board/University Name RAJASTHAN BOARD RAJASTHAN BOARD UNIVERSITY OF RAJASTHAN

: 9269005573 Division/Grade 1ST 2ND 2ND Percentage of Marks Obtained 63.45 54.61 50.44

2006

UNIVERSITY OF JAMMU

1ST

61.7

7. Details Of Qualifying Rajasthan Teachers Eligibility Test Examination Name 7.1 Ist Level Class I-V Rollno 5217939 Year Qualifying subject as per 2011 NA Maximum Marks 150 Obtained Marks 81 Percentage of Marks Obtained 54.00

8. Details of Special Training Program in Elementary Education : 8.1 Name of NCTE recognized Institute and 8.2 Details of Special Training Programme : 8.3 Period of Special Training Programme : 9. Identification 9.1 Body Mark : CUT ON LEFT LEG 10. Disclaimer
I declare that all information made in this application are true, complete and correct to the best of my knowledge and belief. In the event of my information being found false or incorrect or ineligibility being detected before or after the Third Grade Teacher Direct Recruitment Competitive Examination, action can be taken against me by the Zila Parishad. I have read the provisions of the relevant rules and the Advertisement carefully and I hereby undertake to abide by them.I further declare that I fulfill all the conditions of eligibility regarding age limit, educational qualifications, Rajasthan Teacher's Eligibility Test qualifications and required training etc. prescribed for admission to the Third Grade Teacher Direct Recruitment Competitive Examination.

Applicant's Signature

Chief Executive Office , Office of Zila Parishad, ALWAR

CEO Zila Parishad,ALWAR(0144-2700003)