2014 Ntse Application
APPLICATION FORM STATE LEVEL NATIONAL TALENT SEARCH EXAMINATION – 2014 (For the students studying in Class – X)
Read the instructions carefully given on the next page before filling the application form. You may take the help from your teacher/parent for filling up application form. Date of Examination :17-11-2013(10.00AM to 01.00 PM) Application fee in the form of DD in favour of the “SECRETARY TO CGE, AP, HYD” Amount DD Number Date of DD Name of Bank Application No, if any Rs.100/SBH / SBI
Space for the Photograph (Passport size) The Photograph should be endorsed by the Head of the Institution
State Level 12 digit Roll Number (To be filled by the DEO Office) X th Class Code State Code Year Dist Code Centre Code 2 4 0 1 4
Sl.No.
Class 10
Date of Birth of Candidate
1. Name of the candidate (Do not write Miss/Master) 2. Father’s Name (Do not write Mr./Dr./Prof.)
Date
Month
Year
3.Mother’s Name (Do not write Mrs./Dr./Prof.)
4.
Gender 1 Male 2 Female
5.Area of candidate resides 1 Rural 2 Urban
6.Caste category of candidate 1 General 2 SC 3 ST
1 Ortho
7. Disability Status of Candidate 2 3 4 Hearing Blind None
(Please enclose a copy of the relevant reservation certificate in support of information at Sr. No.6 & 7) 8. Postal address for correspondence (Do not write father’s or your name)
Pin Code 9. Name and address of the institution in which studying at Class X
Pin Code 10. Type of the institution in which studying Class X (see definition overleaf*) Local Private Private 1 Govt 2 3 4 Body Aided Unaided 12. Medium of examination (a) at the State Level 15. Mother’s education 18. Number of brothers (b) at the NCERT Level 16.Mother’s occupation 19. Number of sisters 13.Father’s education 11.Area in which the school is located 1 Rural 2 Urban
14.Father’s occupation
17.No.of family members living in the house 20. At what number is the candidate among his/her brother and sister
21. Language for Language
Read the instructions carefully given on the next page before filling the application form. You may take the help from your teacher/parent for filling up application form. Date of Examination :17-11-2013(10.00AM to 01.00 PM) Application fee in the form of DD in favour of the “SECRETARY TO CGE, AP, HYD” Amount DD Number Date of DD Name of Bank Application No, if any Rs.100/SBH / SBI
Space for the Photograph (Passport size) The Photograph should be endorsed by the Head of the Institution
State Level 12 digit Roll Number (To be filled by the DEO Office) X th Class Code State Code Year Dist Code Centre Code 2 4 0 1 4
Sl.No.
Class 10
Date of Birth of Candidate
1. Name of the candidate (Do not write Miss/Master) 2. Father’s Name (Do not write Mr./Dr./Prof.)
Date
Month
Year
3.Mother’s Name (Do not write Mrs./Dr./Prof.)
4.
Gender 1 Male 2 Female
5.Area of candidate resides 1 Rural 2 Urban
6.Caste category of candidate 1 General 2 SC 3 ST
1 Ortho
7. Disability Status of Candidate 2 3 4 Hearing Blind None
(Please enclose a copy of the relevant reservation certificate in support of information at Sr. No.6 & 7) 8. Postal address for correspondence (Do not write father’s or your name)
Pin Code 9. Name and address of the institution in which studying at Class X
Pin Code 10. Type of the institution in which studying Class X (see definition overleaf*) Local Private Private 1 Govt 2 3 4 Body Aided Unaided 12. Medium of examination (a) at the State Level 15. Mother’s education 18. Number of brothers (b) at the NCERT Level 16.Mother’s occupation 19. Number of sisters 13.Father’s education 11.Area in which the school is located 1 Rural 2 Urban
14.Father’s occupation
17.No.of family members living in the house 20. At what number is the candidate among his/her brother and sister
21. Language for Language