application form print,rajasthan teacher eligibility test 2015.pdf

12/16/2015 Application Form Print,Rajasthan Teacher Eligibility Test 2013 http://education.rajasthan.gov.in/reet2015/Recruitment/Application_Form_print.aspx?values=3GUAwcPCL/F8wboocwGUa1l1QtwPsVgt3CPp8fGQiMATV… 1/2 BOARD OF SECONDARY EDUCATION RAJASTHAN , AJMER REET 2015 Application Form Preference of District for Examination Center Form No./ Reference ID 630033102 I. Jaipur Form No/ Reference Date 16Dec2015 II. Ajmer Date of Fee Deposit Application ID Yet to be Generated Application Status Pending Token Number Examination Details / परы¿ा Ừववरण : Have you passed RTET Exam(s) earlier / Áया आप पहल RTET परы¿ा उ˜तीणxकя ह No RTET 2011 Roll No / RTET 2011 का रोल न बर RTET 2012 Roll No / RTET 2012 का रोल न बर Have you applied for RTET 2013 / Áया आप RTET 2013 क ủलए आव दन ứकया था No If Yes, give details of RTET 2013 application / यυदहातो RTET 2013 कआव दन का Ừववरण RTET 2013 Token Number Options for REET 2015 / REET 2015 क ủलए Ừवकšप Level / ðतर Both (Level 1 & Level2)) Choose language for medium of instruction 1 / ủश¿ा मा˙यम क ủलए ůथम भाषा चयन English Choose language for medium of instruction 2 / ủश¿ा मा˙यम क ủलए υằतीय का चयन Hindi Area of Specialisation (For Level 2) ðतर υằतीय क ủलए Ừवश ष¡ता Maths and Science Applicant's Detail / आव दक का Ừववरण Applicant's Full Name /आव दक का प रा नाम नाम STUTI MATHUR Father's Name / Ừपता का नाम VIPEN BIHARI MATHUR Mother's Name / माता का नाम ANJU MATHUR Sex / ủल ग FEMALE Marital Status / व वाυहक िðथψत Married Husband's Name / पψत का नाम PRATEEK MATHUR Date of Birth(as per Secondary Certificate) ज˚म ψतỬथ (स क डरы सυटx ứफक टकअन सार) 22Jun1987 (ddMonyyyy) Nationality / राÐŕыयता Indian Caste Category / जाψत α णी General Religion / धमx Hindu Are you Bonafide resident of Rajasthan / Áया आप राजðथान कम ल ψनवासी हơ Yes Home District / ग ह िजला Jaipur Are you from Scheduled Area / Áया आप अन स Ửचत ¿ Ţ स हơ No Village Name / गा व का नाम Other Specal Categories / अ˚य Ừवश ष α Ứणया Category for disabled candidates / Ừवकला ग अˇयथ― (Ừवश ष योÈयजन) क ủलए α णी Address for Correspondance / पŢ žयवहार क ủलए पता House No. / Street / मकान नŁबर / ðŕыट 50/412,RAJAT PATH Colony / Locality / Village कालोनी / ¿ Ţ / गा व MANSAROVAR,JAIPUR Tehsil/Post/तहसील/ पोðट District / िजला Jaipur State / राÓय Rajasthan Pin Code / Ừपन कोड 302020 Phone No with STD code /फोननएसटыडीकोडकसाथ Mobile No / मोबाइल न बर 9166344857 EMail ID / ईम ल आईडी [email protected] AADHAr No. Educational Qualifications / श ¿Ứणक योÈयताऐ : Exam Name/ परы¿ा का नाम Board/University/Examination Body / बोडx /Ừव¦वỪवằयालय/स ðथा Faculty / स काय Year/ वषx Div/Grade / ừडवीज़न / ŀ ड Per. / ůψतशत Secondary or Equivalent C.B.S.E 2003 1 68.5 Sr. Secondary or Equivalent C.B.S.E science 2005 1 65.8 Graduation or Equivalent B.Sc science 2010 2 59.7 Professional Qualifications / ůश ¿Ứणक योÈयताऐ : Exam Name परы¿ा का नाम Course Name कोसxकानाम Board/Institution Name बोडx / स ðथा का नाम Year वषx Result पςरणाम Division/Grade α णी/ŀ ड Per./ ůψतशत

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12/16/2015 ApplicationFormPrint,RajasthanTeacherEligibilityTest2013

http://education.rajasthan.gov.in/reet2015/Recruitment/Application_Form_print.aspx?values=3GUAwcPCL/F8wboocwGUa1l1QtwPsVgt3CPp8fGQiMATV 1/2

BOARDOFSECONDARYEDUCATIONRAJASTHAN,AJMER

REET2015ApplicationFormPreferenceofDistrictforExaminationCenter FormNo./ReferenceID 630033102

I.Jaipur FormNo/ReferenceDate 16Dec2015

II.Ajmer DateofFeeDeposit

ApplicationID YettobeGenerated ApplicationStatus Pending

TokenNumber

ExaminationDetails/:

HaveyoupassedRTETExam(s)earlier/RTETx

No

RTET2011RollNo/RTET2011

RTET2012RollNo/RTET2012

HaveyouappliedforRTET2013/RTET2013

No

IfYes,givedetailsofRTET2013application/RTET2013

RTET2013TokenNumber

OptionsforREET2015/REET2015

Level/ Both(Level1&Level2))

Chooselanguageformediumofinstruction1/

English

Chooselanguageformediumofinstruction2/

Hindi

AreaofSpecialisation(ForLevel2)

MathsandScience

Applicant'sDetail/

Applicant'sFullName/ STUTIMATHUR

Father'sName/ VIPENBIHARIMATHUR

Mother'sName/ ANJUMATHUR

Sex/ FEMALE

MaritalStatus/ Married

Husband'sName/ PRATEEKMATHUR

DateofBirth(asperSecondaryCertificate)(x)

22Jun1987(ddMonyyyy) Nationality/ Indian

CasteCategory/ General Religion/x Hindu

AreyouBonafideresidentofRajasthan/

Yes HomeDistrict/ Jaipur

AreyoufromScheduledArea/

No

VillageName/

OtherSpecalCategories/

Categoryfordisabledcandidates/()

AddressforCorrespondance/

HouseNo./Street//50/412,RAJATPATH Colony/Locality/Village

//MANSAROVAR,JAIPUR

Tehsil/Post// District/ Jaipur

State/ Rajasthan PinCode/ 302020

PhoneNowithSTDcode/ MobileNo/ 9166344857

EMailID/ [email protected] AADHArNo.

EducationalQualifications/:

ExamName/Board/University/ExaminationBody/

x//Faculty/ Year/x

Div/Grade//

Per./

SecondaryorEquivalent C.B.S.E 2003 1 68.5

Sr.SecondaryorEquivalent C.B.S.E science 2005 1 65.8

GraduationorEquivalent B.Sc science 2010 2 59.7

ProfessionalQualifications/:

ExamName

CourseNamex

Board/InstitutionNamex/

Yearx

Result

Division/Grade/

Per./
12/16/2015 ApplicationFormPrint,RajasthanTeacherEligibilityTest2013

http://education.rajasthan.gov.in/reet2015/Recruitment/Application_Form_print.aspx?values=3GUAwcPCL/F8wboocwGUa1l1QtwPsVgt3CPp8fGQiMATV 2/2

B.Ed/Equivalent B.Ed.(1Year) GeetaBajajMahilaTTCollege(Jaipur) 2014 Pass 1 77.2

Iherebydeclarethatall informationsubmitted inthisapplicationaretrue,completeandcorrect tothebestofmyknowledgeandbelief. In theeventofmy informationbeingfoundfalseorincorrectorineligibilitybeingdetectedbeforeoraftertheREETExamination,actioncanbetakenagainstmeasperlaw.Ihavereadtheprovisionsofthe relvant Rules and advertisement carefully and I hereby undertake to abide by them. I further declare that I fulfill all the conditions of elligibilty with regard toeducatonalqualificationsandrequiredcourseetc.prescribedforappearingintheRAJASTHANELIGIBILITYEXAMFORTEACHERS2015.Iamfullyawarethatcorrectionsarenotallowedaftersubmissionofapplicationonlineandsuchapplicationshallnotbeenterained./ ,x /x x,,x x,///xxx

SignatureofApplicant/