GOVERNMENT OF ANDHRA PRADESH

DEPARTMENT OF SCHOOL EDUCATION ON-LINE APPLICATION FORM - APTET - 2013 Reference Id : 2013200016721 EXAMINATION CENTRE DETAILS Exam Centre : 1. APPLICATION DETAILS Name of Applicant : 2. Mother's name : 3. Father's name : 4. Date of birth : 5. Gender : 6. Community : 7. If Differently Abled(PH) : 8. APPLYING FOR Paper : 9. Language I Offered : 9a. 9b.
HYDERABAD J JYOTHI J GEETHA J SESHANNA 31-December-1982 Female GENERAL No PAPER - I & PAPER - II (BOTH)

PAPER-I : TELUGU PAPER-II : TELUGU Your Question Paper Medium is : PAPER-I: ENGLISH/TELUGU PAPER-II: ENGLISH/TELUGU

Note: Your question paper medium is the same as language-I offered by you at S.No. 9a. 10. QUALIFICATIONS 10a. Minimum Educational Qualifications for PAPER-I : Intermediate / Senior Secondary (or its equivalent)

10b.

11.

with 45% marks AND pass in or pursuing final year of 2 year Diploma in Education (In accordance with NCTE (Recognition norms and procedures) Regulations issued from time to time) Minimum Educational Qualifications for PAPER-II : B.A / B.Sc / B.Com and or Masters Degree with at least 45% marks AND pass in or pursuing 1 year Bachelor in Education (B.Ed) (In accordance with NCTE (Recognition norms and procedures) Regulations issued from time to time). Subject offered for paper - II if applying for Mathematics and Science classes 6 to 8 : Identification Marks as given in SSC Certificate : 1) A MOLE ON THE CHIN 2) A MOLE ON THE RIGHT FORE FINGURE Do You Belong to Andhra Pradesh State : Yes Residential Address in Andhra Pradesh : H NO C3 MANJIRA RESIDENCY GENERALIST COLONY JUBILEE HILLS

12. 13. 14.

14a. 14b. 14c. 15. 16.

District : HYDERABAD Mandal : Secunderabad Pincode : 500033 Mobile : 8187857613 SSC HallTicket No : 00000000 Professional Course for Paper-I: D.Ed Studied at : Other College Name of the college: GOWTHAMI COLLEGE Professional Course for Paper-II : B.Ed Studied at : PRAGATHI COLLEGE OF EDUCATION HYDERABAD EAST REVENUE DIVN 1-53, PEERZADIGUDA VILLAGE, GHATKESAR MANDAL RANGA REDDY - 29 Andhra Pradesh Aadhaar No. : -Have you Appeared APTET Exam : No You admit that you did not appear for first three TETs. Hence, at the time of application for DSC only fourth TET Marks will be considered

17. Professional Course Details

18. 19.

Fee Amount
200

Payment Details Journal Number

A14A8C65CBDD

Payment Date
16/07/2013

I hereby declare that all information furnished by me in this application is true and correct I undertake to produce the original documents at any moment, failing which my candidature may be cancelled. I am fully aware that furnishing false information will lead to a criminal case against me, apart from cancelling my candidature as it amounts to cheating. I am alone responsible if any wrong entries are made by me in the application form.

Sd/J JYOTHI ( 18-07-2013 01:48:35 PM )