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&

tiltitrb

of Scicncc Education (SCERT) Pb.


SCO 66{7, Scctor 17-A, Chandigaft. Ph. No 27E0l4l

Strtc

Stare Institut of Science Educatioa Pb. Chandigarh shall be conducting the State level
Talent Search Examinarion for the yea 2015-2016 on 08.11.2014 (Sunday). Ncional Level
Examinarion will be coducted by N.C.E.RT., New Delhi on 08 May 2015. Studnts studying
in l0th Class in State Govt., Kendriya Vidyalyas, Navodaya Vidyalyas or any other type of
recognized/ alflided schools, situded in Punjab and securing minimum 70% rra*s for ganeral
9th class annual
catgory utd 55o/o mark for SC/ST/ physically challenged studala
examination are eligible.

in

Duration of o<aminuion will be of throe hours. There will be one question paper
consisting of two pars (D Mental Ability Test (MATF 50 nurks ad (II) Scholastic Aptinde
Test (SA1't150 Marls, conprising of Aptitude TesFl00 marks + Ianguage Comprdrcmive
Test (EnglishF50 marks. So the test will consist of 200 multiplechoice questiors of one mark
each. Uder SAT there will be rine subiects:4. Mdrs
2. Chemisry 3. Biology
8. Economics !. Fnglis[
6. Geograptry 7. Civics
Ihc medium of ereminetion shrll bc Punjebi/Faglirh.

Physics

5. History

Aoollcrdon formci Appliccion fonns can be down loaded from lhe h.{ab Covemment
website www.ssaounlebon. The Admission forms duly filld in all respecG must reach the
Principal of the respective school, i.e. erraminsion centre at the concrned District (as given in
dre admission form) latest by 15.9.2015. It shdl be the responsibility of the cedidate to collect
the Roll No. from tre Prhcipal of the Cente School before drc date of the Exam No
forns/request will be entertained u the O/o lleputy Dircctor, Stete Institute of Science
Educadon, Punjab, Chand[rrh or O/o Steb Councll of Educadonal Rcgcrrch rnd
Treining, Punjeb, Mohell
As per Ncional Resentlion Norns there will be l57o rcervation for SC, 7.5%
ST md 37o reservation for Plrysically challenged Group of Cadid*es i.e. l% for each group
namely hearing physically urd visually cMlenged group of studons inespective of caste
category (Ceneral, SC, ST). It is necessary for the candidate belonging to Scheduled
CastdScheduled tribe Category to attach the attested oopy of the certificare regarding reserved
caste issued by SDlvf/Tetsildar with the application fonn Candidates belonging to physically
clullenged group of childreo must attach the attested copy of ccrtificde issued by the competent
1995 disability
auftority steting that the child sufier from 40% or more as per the P.W.D.
permeant/temporary
TIle
will
be
considered in
is
nature.
candidate
and thar the disability
of
ganeral category if the above mentioned certificale does not reach till 15-09-2015 attached wilh
tre ryplication form. No edmirrion fcc is cherged for thir cramination

Bgg4tlog!

-s-l&'# l"
Deputy Director
State klstitute of Science Education, Pb.

Chmdigarh

s.

nsil-dB,tn,{fl{,f d
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C#otg

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Irst

datc of submielion of

Det of Exrmin tion

fotm

llqlqlg

2qllg:rolgfizgE

APPLICATION FORM FON N.T.S&

LEI'IL

NATIONAL TALENT SEANC|I EXAMINATION' 2OI5


(fo. tha iMcnt! in Cl.!t X)
STATE INSTITUTA OT SCIINCE EI'UCATION, PTJNJAB' CBANDIGAruI
STATE

SCO No.

CJnit of SCERT' Punjtb)


(3rd Floot), Sotor l7-A Chandigst. Phq|c : 0t72-27t0141

6tr?

Sp.oe for

ric

Photo-

gltph

(Th. Photogr.ph should

Resd tho instructions csrcfully Sivqn on thc ncxt pagc More filling tlc applic{tion lotm.
Yor may takc thc hclp f.om your tlschcr/prFntr for filling up thc 8pplicttion form.
st&te Levcl I

I digit Roll Numbcr

srlt Code \!!r

Ccdc

f'T'l

f,Til

Dlre of Birrh

Chis

Modh

t rits Mity'Mrd.t)

t_:l

wtit! Mt ./Dr/Proi:)

{tidt c..didrt

r$lt .

trtr

cto..d

rtat

nol

rdd.c$ for

frttttltl

ClCc c|t!86y

6.

tr tr

Ru.rl

Mrl
Posral

Offico)

Nrme (Do not wriic Mt'['r./Ptot:)

Sex

Rotl No. (to b. fiIGd bv dl6

Ddc

Morhcr's Nrme (Do Nor

Lil

Cod

l--l-Tl

Nam of the Crndidste (Do rtot

2. F.thci'r

bc lttestd by th

Hcrd of tte Inditutiott)

u lc

Sc

7.

c.rdiddr

tr

tr

dhoF.dic

ST

tr

H.rrinB

Dkbility $rrus

tr

imFiftd visu:lly iqrired

tr

frtha.'s ot

Pin Co&

Nam .nd lddrols

oflh ioititutio! h \rhic,h studyi!8

tl Cl||! y l.vol (Wril6

T.lcPhonc No nlso)

School Tcl, No.

10.

Tvp. of thr isrtitstion io whioh irudyinB

FT
t, I co.,r.

tr

15.

uorhcrr earcarion

(.) ri

21.

Prr.ntal $nurl incoma

22.

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living

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Ccrtificd thlt

d rh. NcERT lrvct

i-u.a,or. o*,pai- n
re. xo.r.'or"in'"

STD

(b)

which thc school is locrld

tr Ru'!r lil

Paivatc

Udrid.d

Aidd

ffi

lt.

X lcvll {too dofinition ov.rlarjt)

Privrl.

strt ro*r

f!

rumrrroruou,ctr

up

lhe

t8

-n ---

tr

tnij

12. Mcdiun of cxmindion

.l Ch!3

Ib.e
bc illcd h ty tl.ll.d

E-miil

ddlrs

ot th. htllllllon

in ,r'. cLss Ix rlmusl


M8.rA,li!................-.............,..,.....ir ..cgpls dud.dr oa drit Sqrooltldih:rirn :d l*'rh. hs rocusd
- nirts out of.--.-...-.....
t'cut!dx
H'/Slto
h||
tX
to
c1..,
from
Cl|t.
examination i.c. wficn hc/.h! i/vu P.etotod
(Cindid.le oust fultill rhc c.itcir moou!6d by Srd.n)T)
Thc padictl.ts givcn by him/bGr in rtc .t9lio.lid fo.d htrc b.Gt tc.ifiod- a{t foond h ord"r'
per the rcor,18
Msrcrlui8......-.........,...,,,,....,..,..,..,... 6cbgr ro s"ttoortc c||t /sch.dul. Trab. c.rcgory/Dis.bilaty sr.rus of cnndidrtcs !c
rnlintrin d in tbo lrutit|,lion (ro b. fll.d f6 sc/sT/DLrbl. c.odidaL. ooly

ffi..*"

SiSrrtur of thc

Sigrltutr of $6 cadi&L

Hcld$rtterlllcdsisrcst/

Principll (With se.l)


(Sce lntLuctions overlcto

Codlng Plan
R...1 tNtmclloD!

..r! ity b.for. ttllbt rD ii' AEPllc'tlor Fortr

w'itt

ouBidc thc boxes

|. Ur only Blu6 or Bh.k Brtl Poifi PGIL WRITE IN CATITAL LETTERS Do nol mrt* or
for it. Plot! eee exa:nPle |6 Sived bblovr'
2. kwe one to,( bl.nk btwaon tu,o lro,rds. Limh yoor d|!E aod/or rddra$ lritbin ih. .prc. Fovidd
2l3. Cro!! (r) only or|c of th. |Ppro?fidc box.' in irto na 4' 5' 5, t' l0' I I .'d
4. Pl68c w'il. cod. trueb.r io i16m loi 12'20 'r Sivclt ov'rtotf'
5'Irihrr.spon'ibilityofthcce,didd!rldTb.P]iFiFlofth.lchoolrofuPo.it.|h.fiIbdinfo.m*ithth.surccscccncdo6ccrbcforcthe
h't&lc.Norqucrlfor-"au"go.r.yi"*t.i-i-willbc.nr!'trio.dwhcthlriti|duclorhcf.uhofthGcmdi&rco'ilt.Hold|n|ltcr/
Principrl of hir/bcr institqtion

6 Incomptdte or dcfootive rpplic.tisls |r. lhblc to b' rcjcotctl


7.APP||c|tlo.For''chod.Lc'!tr|tt..|olhccorcchcdD|t.t.ccnt]tor|y.NoForD/Eq..'.'||l}.G|t.rtrlrc..t!t.t..vcl
ofn.. 1... S.l.s.E. PTDJ.L' Cl.&'lt..l
Er.mpl. for ttltlnt N.D. .ra Addta.r
F.th.fr Nffi|G
Port.l Add.e[: Do rot t

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ti"?:

strtt l,.v.l -----Efrciiior of Fr0cr or

15)

Cod.

Bducdion
No F6t'tll Edus.lion

lnSlish

l5

20

hrnjahi

Moah.r

R.fot to ii.m No. t3 &


coda

M.dium of Exrrnitrtiot

lhowD bclo\r'

6lol0l0lrlt

clsl ElNlNl Al I
Modlo|n of Et.nln.tlo! .l
(R.f6r to itm 12)

qllijlf:fgllrs

Up to Pridrry
Upp.t PrinrlrY
Sccondfy

Scnior Socond.ry

Cnrfurtioo

Port Grr.lu.tion

Doctorrl
Profcrlion.l &9.a (Eigin.ering
M.dicioc, MCA, MBA etc.)

P.th.rrrlMoth.rrt Occ!grllor
(Rcfer ro itcm Nos 14 & 15)

(]od.

0catptlloh
Profc!!ionrl

Exccutiv. and Mana86ri.l workcr

Clericrl

Innner. Fishcrmrn lnd R6lrtcd Worl'or

lrodudian ind Rohlcd Worket, Transpon

6ffir"

r-.rt""t* wotker nol cl$lificd

""a

by lh6 rbov'

Nol employ6d

'

TYPE

of

scHoollNsTITUTIoN (RcLt

.]0VERNMF,NT

I.(X]AI, BODY
I'RIVATE AIDED

'o

lt'm No' l0)

Govcrtrned ot Public s51or


filt which is run by thc std' Cto\,.ttuncd ot ccllrll
Govemmnl
the
bv
ftnsncod
oomglttcly
orspizrrion
ii*.i*f"g ...t lt*omoui
tnd locrl body irlstiu'liom such as Zilt P"ishr4
A l,ocd Body Scd tu tbi lriich L il|! by P&lchryati Rtj
cotnmirte! snd conlonm'nt Boatd
lrcc
Noiifiod
comroitto''
ii'iltJp.r i1"0.."t'' Muiicip.l

A oovcrno'd sch@t is

A privltc Aidod s6ool ir

Govt'Mcnt

oa

gr'ir llom
tlni u/hidr it tu by u ittdividlll o. ! ptivlre catnization !n'l eeives

locrl body

PRIVATEuNATDEDP'iwteUuid.dschoo|i!tbrt*hichi!'r.!.8!dby.nindividullo.Ilt'ivateorgrnizationonddoesnd
o' l@rl body'
tcccivc rny gtlnt Githci

ftot! Gov'dtn'nt

,a

STATE LEVEL NATIONAL TELENT SEARCH EXAMINATION. 2OI5


(Iorth Stodetrts Studytng in Clr$ D
Namc of th State: PLJNJAB
(Etich will conduct thc Examirution)

ADMITCARD

Pa$port siz Phorograph


.tlstcd by the
Hctd of th Schooi
to bc affixed

FORN.T.S.E. STUDENTS
To be

filled in

by the applicant

Master/Miss.
S/o / D/o Sri.
Casle
D.O.B.

cenfi

scp

sr

mm

F]

Disabbd

EI

School

District
is

permitted to appear for the abqo said e)omination.

Full Postal Addrcss

PIN CODE
She/He is alloned I I digir Roll Number

mm

Stata

Coda ycar

Date of Ereminetion

cta|r coda

08 Novcmber. 2015

Roll. No. (lo b6 filld by O|c Oflice)

Time

10.fl1A.M. to 1.00 P.M.

\bnue of Examination Centre

Signature ofthe Head ofthe School


With ofnce seal

Signatue of Distdct

ficrutinized by
(Office Staff)

Level Ofrcr /

Disaid

Science SuperviEor

with offce seal

Si

gnature of the Invigilator

al the examination

Cerfi

Signaturc ofrhe
Cardidrte in ttre
prsence of Irwigilator

ITSIRUCTIONS FOR

TIIf, CANDIDATI

( Por |lc Sudctrar ShrdtrS to Chs| X )


|

Mlkc sutc thrt thc Admil c $d it not doirhod trlo lbc .pplicilion f6tn. Admit C!rd. will b. s.rrt io thc chicf ruFin!.ndcrrllcld
ofconcand lchool (cxmiretbn ocnhr) afur albtiiog tho Roll Numb..!. c''diddr cr!| collcot theAdmit Clrd frorn dlc aupcrintqdcnt
of thc qxamination can0! at lcrat ona ueok Hoar thc erominotion.

Ros4h thc Exlrnination

Cont'! ltlcrrt htlfan hour b.fol' thc commcnc,cncnl of lhc sxsmination; end ocoupy thc sclt tiat bc{r$ your

Roll Number

3. Do NOT trkc c.lc:ol.tor, |nath6ruak l phytlc.l arblc, mobtL or any oth.r ldDd ot nrdy rtckoncr to thc oxsmirulion hall.
4. Tt. crdrdn.tloD rll b. cold[clrd b or...dou oDly ftun l0.0O A.M. ao t,0O p,Df.
5. Er&lDrtlo[ wlll hrvc TWO PA'nTS.
(l) Prrl l: Pa l h cotrfitrod ao MeDt.l Abllty T.rt (MAT) coDrLtbg of 50 M$Lr quGtlonr.
(ll) Ptrrt II : Prn ll L conthd io Scbol.rtlc Apdaud! T.rt (sAT) oonttltin8 of 100 cornpubory qu.ltloDr, 40 ftorn Sci..rc.,
40 fiun SocLl Shldbt .nd 20 f|u|r M.tt6btic' .!d 50 qucrtbn ft!|r EDglbl LtDgu.g. (Cornp|lh.trdv.lyp.r.
6. Ti|tt. for crrmlnrtlon *lll bc 3 honn oolv
j
i]8ch quBtion crrdcs I (onc) ms.k.
8 writc your Roll Numbcr, as 8iv"n in tha Admil Csrd, on tirc Answcr Shct and on thc covcr page of tho Qucstion Booklct in thc upacD
provided.

9.

DO NOT wrilc your nsmc in eny psrt oftha Quastion Boollct oi thc Anrwcr Shcct.

All qucriions iD 0tc booklgts irc objactivc typa. Fot c.ch quortion FOUR possibb uswcrs ar! givcn, bul only o'lc is conlct. Your task
is to lind oul thc c{,nwt rn!\rcr and n!* your choic. in thc Answcr Shcet.

II,

Rccord your sncwPFtBing Ball Poinl (Bluc or Bl.ok)PEN only. You havc to indicate )our.osw. on the anrwc. rhcet

!!

advired by the

StatD.

12.
13
14.
l5

Dudn8 the Eurninrtion follow $e insbuctions of thc InviBiLtor sttictly.

Hrnd o!'cr your Qucalion bootlct rnd Answd rhcet to ttl mvigilitor bafore you leve thc c)o$instion hall.
Hand ovcr thc

Appllc.tbn
ra

16

it tr lcv.l

rdmi..id c{d

Form

to thc hvigilaor bcforc you lcavc 0rc cxamination hall.

tt coDcqDed Itbtt C.rh. (irttt r


hrj.b, ChudgrrL

ould b. sohtnlat d lo

otllcc 1.. S,t,s'f,,

SC/ST/Discblc Candidrtc mud alhch

tlc

bclor). No Fonn/nque.t

cltogory ccrtili:rrr ilsucd from com[EL"nt autho]E along

wit]

thc rpplicitioo form.

LIST OF EXAINATION CENTRES


Sr.

No,

N.pc ot C.nlr.

(S.

rggll

I (iovl. Sr Sc. Sohool. Town HalL Amriltar.


2 (io!i. (Boys) High Scbml Brmsle
3 (iort. (Grls) Sr. Soc. School. Bslfiilda.
1 (;ou (Grls) Sr Sc. School. F.ridkor.
-1. Mata cujri cov!. Sr Soc. Schoo! Fet6hgsrh Srtib
6 Crolr. (ciis) Sr S0. SchooL Fciwopur,
7. Govt. (Boys) Sr. Soc. Schol, Gurdaspur.
8. C'orl. (cirl!) Sr S.c. Scbool, Rsil*ry l,{mdi, Hchisour
9. C,ovt. (Girls) Sr S@. Schol Ndru cardlr\ ,.l!ndh'''
10. C'ol't. (Bc'ys) Sr, Scc. SchooL Krpunhd..
IL
Go!t. (Girli) Sr S.c. School, Bhrr.l Nsg.. Chowk, Ldhirn.
| 2. Go!t. (Girb) Sr Scc. School, Msffis.
l:1 c'ovt. (Boys) Sr. Soc. School, Godh*tla Mogr.
|4.
co,r,t. Sr SGc. School, Pb.!. 3-BL SAS N.g.r, Moidi.
I .
Cro'vt. Sr. S.o. Sohool, Shii Muktsrr S.hih
16. Covt. Sr' Scc. Sohool, SBS Neger (NrulCtcbsr).
17. Govt. Modol Sr. S.o, Sohool, Civil Lio6, Pdi.l..
18. Govt. (Boy!) Sr. S.o. Sohool, Rot&.
19. C,oit (cirb) Sr. S60. School s$bur.
20. Govl (Girls) Sr Se. &boo[ Trrr Trru
21. Covt. (Gils) Sr. S.o, Sohool, NGrr Poat 06o. P.tt otot
22. C,ovt. (BoF) S'. Soc, Sobml Fazilla
5

C.ntrc Cod.
001

002
003
004
005
006
00?
008
009

0t0
.

rlll bc.da.rt.t!.d

0t

0t2
0t3

ol4
015
016

0t7
018
019

o20

02l
o22

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