Government of Andhra Pradesh: Reference Id: 2013200013202 Examination Centre Details

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GOVERNMENT OF ANDHRA PRADESH

DEPARTMENT OF SCHOOL EDUCATION ON-LINE APPLICATION FORM - APTET - 2013 Reference Id : 2013200013202 EXAMINATION CENTRE DETAILS Exam Centre : KURNOOL 1. APPLICATION DETAILS Name of Applicant : S RAJA BHARATH 2. Mother's name : T JAYA KUMARI 3. Father's name : JAYA RAJU S M 4. Date of birth : 29-March-1986 5. Gender : Male 6. Community : SC 7. If Differently Abled(PH) : No 8. APPLYING FOR Paper : PAPER - I (CLASSES 1 to 5) 9. Language I Offered : PAPER-I : TELUGU 9a. Your Question Paper Medium is : PAPER-I: ENGLISH/TELUGU 9b. 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)

with 40% 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)

11. 12. 13.

Identification Marks as given in SSC Certificate : 1) A SMALL MOLE ON RIGHT MIDDLE FINGER 2) A MOLE BELOW THE LOWER LIP Do You Belong to Andhra Pradesh State : Yes Residential Address in Andhra Pradesh : HNO 49/50A-87F-19A LAKSHMI NAGAR B CAMP POST KURNOOL District : KURNOOL Mandal : Kallur Pincode : 518002 Mobile : 9866393271 SSC HallTicket No : 0468585 Professional Course for Paper-I: D.Ed Studied at : Sri Vidyanikethan D.Ed College, Veldurthy, Kurnool District-518216. Aadhaar No. : 657944994199 Have you Appeared APTET Exam : Yes

13a. 13b. 13c. 14. 15.

16. Professional Course Details

17. 18.

APTET Exam appeared JANUARY 2012

Hallticket Number 11310100559

Fee Amount
200

PREVIOUS APTET DETAILS Candidate Name SOGARAJU RAJA BHARATH Payment Details Journal Number
EKNAN0001025

Paper-I Marks 64

Paper-II Marks --

Payment Date
18/07/2013

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/S RAJA BHARATH ( 18-07-2013 12:03:41 PM )

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