CIRCULAR - Daman

No.GHS/ND/NTSE-NMMSS/2014-15/

U.T. Administration of Daman & Diu

O/o the Head Master,

Government High School, (E/M)Nani Daman.

Dated : 25 / 07 / 2014

To: All Principals / Head Master of Govt. / Aided Schools,Daman & Diu.

CIRCULAR

The first phase of NTSE/NMMSS Exam for the A/Y 2014-15 are to be held on 2ndNovember 2014 at Government High School (E/M), Nani Daman.

For NTS Exam students studying in class X, during the A/Y 2014- 15 from Govt/GovtAided /Private /JNV are eligible . No income criteria.

For NMMS Exam students studying in class VIII during the A/Y 2014-15 in Govt.School and at least 55% marks obtained in class VII are eligible ( relaxable by 5% forSC/ST). The income limit for parents should not exceed Rs. 1,50 , 000 /-.

The Exam fee for NTS/NMMS EXAM is Rs. 75/- for General /Physically challengedand Rs . 55/- for SC/ST students . The application forms can be downloaded directly fromthe NCERT website http ://www.ncert.nic.in and also http ://www.daman . nic.in .

The completed application forms in all respect should through concern schoolalong with the prescribed fee to this office on or before 31s' August 2014 . The formsreceived after the last date shall not be accepted /entertained at any cost . Studentsbelongs to SC/ST, OBC are requested to submit their caste certificate ( Attested Copy)along with application form.

Also the school should send the entries of students of NTSE /NMMSS separately insoft and hard copy in the given Excel sheet proforma.

(Rajesh J . PT 1pati)Liaison officer,

NTSE/NMMSS Exam.Encl: As above.

Copy to:-

1) Dr. S. D.Bhardwaj , DY Director Nodal Officer(DBTS)

2) The A. D.E., Collectorate , Diu with kind request to vide publicity and distribute the forms

to all schools stationed at Diu , and consolidate the forms and submit to the Liaison

Officer in the stipulated time.

3) The A .D.E., D.P ., Diu with kind request to vide publicity and distribute the forms to all

schools stationed at Diu , and consolidate the forms and submit to the Liaison Officer in

the stipulated time.

4) State information Officer, NIC Daman with kind request to upload the application forms

in the public website.

5) The A. D.E., D.P., Daman with kind request to vide publicity and distribute the forms to all

schools stationed at Daman , and consolidate the forms and submit to the Liaison Officer

in the stipulated time.

APPLICATION FORM

NATIONAL TALENT SEARCII EX"ANI IINATION, 2015

(For the Students Studying in Class X)

i+r^d lhr instror!ian carefully given on the nest pave before filling the application fnnn. You may take tile help

from your teacher/ parent for filling up the application form.

I sa ri SauunDale of

Nanrc & address of the State Agencyfor conducting First Level NTS Examination

Name of the Statc/UT(where the candidate is studying in Class X as a regular student)

Nanrc of the Examination CenterIns here the candidate is studying in Class X or likely to appear in Exam)

A r lication fee, if any (write NIL if there is no fee)

Amount DD Number Date of DD Name of Bank

',talc Level 12 digit Roll Number

Class X Code State Code Year

C c

('enter Code

Name of the Candidate (Do not write Miss/ Master)

2 I atlrcr's Name (Do not write Mil Dr / Prof )

Mother's Nanrc (Do not v.rilc Ms / Dr./ Prof.)

I Sex 5. Area in which candidate resides

L_J2

Neale Female

L_lRural

I I6. Category of candidate

General SC

rr H

3

Date

1FMonth

7. Disability Status

2S'f

Year

3

Visually

Impaired

(Please enclose a copy of the relevant reservation certificate in support of information at Sr. No.6 & 7)

S Postal address of the candidate for correspondence (Do not write father's or your name)

IPin Code

n Name and address of the school/ institution in which studying at Class X level

None

I( 0. Type of the institution in which studying at Class X level ( see definition overleaf`)

I Govt 0 Local 3 Private 4 Private

Body Aided Unaided

12 Medium of examination ( a) at the State level

I s Mother' s cducalion

I S Number of brothers [

21. Parental annual income

(b) at the NCF.RI ' Level

16. Mother's occupation

19. Number of sisters

Space for the

Photograph

(Passport size

The Photograph shouldhe endorsed by the

Ilead of the Institution/Gazelled Officer

/\ rlication N_2.,_i f alt

Serial No . (Office to fill) ClaSs Date of birth

4

11 Area in which the school is located

LU

0ithopedic Hearing

Impaired

Rural 2 110,311

013, Father' s cducalion

'1(, 4 funily members living in the

20. Al what number is the candidateamong his/her hrslicer and sisters

Lii111) to 50,000 50,001 to 100.000 100.001 to 2.00,000 2,00,001 to 5,00,000 More than 5,00,000

ED

22 'fclcphonc

i 1

STD Code Phone

To he filled in by tile ( lead of (lie Institution / Gazetted Officer

14. Father's occupation El

LIIII

23. . E-mail address

(1) Macrer /Miss ................ ......................... is a regular student of Ili is School / lnstilution and heishc has secured m,0 marks in the ('lass IX annual............ .

rnaoonaton i.e when hclshc war promoted from Class IX to Class X I Id She has secured .....,.., ...

(Candidate nntsl fulfill tike criteria announced by Slatem flI21 1 he articular, given by himflrer in the appliealinn fnnn have teen vetified and found in order.

p

marks out of ...................

(1) AlasterRv1iss _.... _ ......... .... . _........, ....... belongs In Scheduled Caste/Scheduled Tribe categoryas per me records maintained in (lie Institution . ( to be filled far Sc/ST

randidalec only)

Signahne. of the I)eachnatrcr/l IcalnuslresJ Gazetted Officer

Wilt Seal

Signature of like eandidatc7

(See Instructions overleaf)

Collin; flan

Head Instructions carefully before tilling up (h; Application FurfE;fit lJ.,i it.e unl, 11ac ur Black iscll Iloilo 1'en Y..: I; ('r°.^, I ..l_ •_.'l l.^I •^.;^:. ,^^ write outsule the boxes

2. leave one bux blank betw een Iwo Words. Lllllll your Baltic void/or liddl ess w ' illtlll the space provided for it. Pl ebe sec example as given below

3 Cross ()L) only one of the appropriate boxes in iteul nos.-I,5,0, 7, to, I I cud 214. Please write code number in new nos. 12, 13, 14, 15 and 16 as given ovcllcaf

tire t 5p l/11slbl lily of the candidate and the Pr incipal of (Ile sdiool to deposit the tilled in forth Willi the Slate conccl lied Officer betUrc the last date No re quest

5. It

for

is

c ond oning delay in submission will he entertained whether it is thtc to the fault of the Candidateor the Ileadntaster/PriIICipal of his/her institution.

f

6. IncotllplelC of defectiv e applications afC liable to be rejected

I:xantplc fm- writing Name and Address

Iather's Name. 0 P

r1l

U

Postal Addicss Du IIUt try IU write colltpleic address in one title. B reak it appropriat ely as Sh own below.

Medium of Ixautinatiun

IReler to item 12)

Mediuul of Ex:uuination

Code

Assanwse

Bangla

English

Gujarati

Ilinrli

Kannada -

Maralhi

t.'Ialayalatn

Oriya

f Piotessioitat

I M

A

It

12

13

I'

PIN (I

It U

Education of lather or Mother

(Refer to item Nos. 13 & 15)

Education

No formal liducatiun

Up to Primary

Upper Primary

14

I5

Ib

Secondary

Senior Secondary,

Graduation17 Post graduation

Ih Doctoral19 Professional degree (Engineering,

Law, Medicine, MCA, MBA,

etc.)

2(121

22

23

Father's/Mother ' s Occupation

IReler to item Nos. 1.1 & I(,)

Occur atiofl

Executive and Managerial

Clerical

Business

Agriculture, Fishery

Piodoction and Transport

Operators and Labourers

Not employed

4

6

7

h_

( utlc

7

89

D

'•I VI'E OF S('IIOOIJINSTTI•U•TION (Refer to item No. 111)

A Government School is that which is run by the State Government or

ti((VLRNMENT Ccutial (iovenuneut or Public Sector Undertaking or an Autonomous

Organization cuuyllctcly Financed by the I iuvcuunrnt.

A Local Ludy School is that which is run by l':otchay:tti Raj and local

LO('AL BODY body irutitutioru such as /.ila l':trish;td, Muutcip;ll Culpuration, Municipal

Cumnlittce, Notilird Area Colnnlillcc and Cautunutcut Board.

A Private Aided School is that which is run by all individual or it private

PRIVATE AIDED organization and receives grant bunt govcnuncnt or local body.

Private Unaided School is that which is managed by an individual or it

PRIVATE UNAIDED private organization and does not receive any giant either from

govcnuuent or local body.

Region

North-

f.ast

State/U ICode

ArunachalPradesh

Assam 12

Matlipur I 13

Meghalaya I•I

Mizoram Is

SiUstiii

Tripura

A and NIslands

Bihar

Jh;trkluutcl

Orissa

Vest ficncal

Nurlll I Chaudig:uI

Delhi

\\ cst

Haryana

iiiitachal

Pradesh

Punjab

Januou and

Kashmir

Rajasthan

Uttar Pradesh

Utt:rrakhand

Chhattisgarh

Daman and

Diu

1) artdN

l laveli

2223

24

25

20

27

28

29

1(1

31

32

is

35

Goa 3G

Gujarat 37

Madhya 3S

Ptadc^ll

M a ltaraslura 39

Andhra 40Pradesh

h:an:a!aks 41

Kclala

l_akshadwccp

I'uducherry

Tanul Nadu

Telangaua

12

-13

44

•15

47

INSTRUCTIONS TO THE CANDIDATE( For the Students Studying in Class X )

I. Make sure that the Admit Card is not detached from the application form. Admit cards will be sent to the CentreSuperintendent of the examination centre after allotting the Roll Numbers. Candidate can collect the AdmitCard from the Centre Superintendent of the examination centre at least one week before the examination.

2. Reach the Examination Centre atleast half an hour before the commencement of the examination; and occupythe seat that bears your Roll Number.

3. DO NOT take mobile phones, calculator , mathematical & physical table or any other kind of ready reckoner tothe examination hall.

4. The examination will be conducted in three sessions on the same day.

5. You will have to take the examination as per details given below:-Mental Ability Test (MAT)- Scholastic Aptitude Test (SAT), which includes tests in Language comprehensive and Aptitude separately.

Test Type Marks No of Items Duration

Mental Abilit 50 50(in minutes)

45Scholastic Language 40 40 45

jesi Com prehensive TestAptitude Test 90 90 90

fhe applicants are requested to refer/consult State Liaison Officer for the composition of the test.

6. Each question carries I (one) mark.

7. Write your Roll Number, as given in the Admit Card, on the Answer Sheet and on the cover page of theQuestion Booklet in the space provided.

8. All questions in the booklets are objective type. For each question, FOUR possible answers are given, but onlyone is correct. Your task is to find out the correct answer and mark your choice in the Answer Sheet.

9. Record your answer -using Ball Point Pen only. You have to indicate your answer on the answer sheet asadvised by the State/UT.

10. During the Examination follow the instructions of the Invigilator strictly.

11. Hand over your Question booklet and Answer sheets to the invigilator before you leave the Examination Hall.12. I-Iand over the admission card to the Invigilator before leaving the examination hall.

Full Postal Address of the candidate for despatch of admission letter:

PIN Code

Common Database Structure for Candidate's Information Card forNational Talent Search Examination - 2014-15 Class X

Instructions:1. First digit of Roll No..Code for Class X - 22. Give exactly the same Field Name , Field Type and Field Size to the variables as suggested below.2. Give File Name to the Data file as suggested below: See State Code on back side of Candidate's Information Card

For Class X Examination: ST2_12 for State of Assam, ST2_39 for State of Maharashtra.3. Send the data on CD. It can be sent through e-mail: [email protected]. Data should only be recorded in one type of data base: Fox PRO -'.dbf, SPSS, MS Excel -'.xis

No,SI Variable Description Field.

Name Typ e Size

1. State Level Roll No. SROLL Numeric 12

2 National Level Roll No. NROLL Numeric 8.

3 Class CLASS Numeric 2.

4 Date of Birth: Date DATE Numeric 2.

Month MONTH Numeric 2

Year YEAR Numeric 4

5 Name of the Candidate CNAME Character 35.

6 Father's Name FNAME Character 35.

7. Mother's Name MNAME Character 35

8. Sex SEX Numeric 1

9. Candidate's Area of Residence CAREA Numeric 1

10 Caste Cate or of Candidate CATEGORY Numeric 1.

11 Disabilit Status of Candidate DISABLE Numeric 1.

12 Postal Address for Correspondence : First Line CADD1 Character 35.

Second Line CADD2 Character 35

Third Line CADD3 Character 35_Pin Code CPIN Numeric 6

13 Name and Address of School : First Line IADD1 Character 35.

Second Line IADD2 Character 35

Third Line IADD3 Character 35

Pin Code IPIN Numeric 6

44 School District Code DIST Numeric 2.

15 __Type of Institutions/School ITYPE Numeric 1. nnrn r` liimcrr 1

Area in which school is located, _Medium of Examination at NCERT Level

Medium in which the language portion will be

attempted English or Hindi

Father's Education

Father's Occupation

Mother's Education

Mother's OccupationNo. of-Family Members

No. of Brothers

No. of SistersAl at number is the candidate among

siblingsCode for Parental Annual Income

Phone Number\1arks in State level Examination

MAT Marks obtainedMAT Maximum marks )

SAT (Marks obtained )

SA Maximum marks

31. Grand Total Total Marks obtainedGrand Total (Total Maximum marks )

32. Language (MarkSO btained)Lan uaaee (Maximum marks )

33. Rank

1

MEDIUM NumericMEDIUMLANG Numeric

FEDU NumericFOCCU NumericMEDU Numeric

MOCCU Numeric

NFM Numeric 2

NOB Numeric 2

NOS Numeric 2RANKSIB Numeric

INCOME Numeric

PSTD Numeric 5PNUM Numeric 10

MATOBT NumericMATMAX Numeric_SATOBT Numeric

SATMAX Numeric 2GTOBT Numeric 2GTMAX Numeric 2LCTOBT Numeric 2L' I MAX Numeric 2

RANK Numeric

0Z70-Ti

0

STATE LI?VEL NATIONAL TALENT SEARCH EXAMINATION - 2014-151 or the Students St((I\ i9 in (_lass X

Name of the Slate l I\\`hich \lill c,ndiic ih; I \:n'rn;;Ir 'i

AI)`1ISS10N CAIN)

I o be filled by the a > )licant

\Iasterr'MISS.

S'o - D /o Sri.

of, ,, pool)

of (I)istricti(oitrc)

is pern ) itted to appear for the above said examination.

I Lill Postal Address:

\fli\ Passport size

photoj"raph attested b.\ the

I Icad of (tle School/( a'i (((.41 ( )fficer

PIN ('ode

She'Iie is allotted 12 digit Roll Number:

^:..-',' 'I: - eqe Slate CAC fear ( rc;r, C,v \:, ( l o he filled by the officel

2

Dale of I xsuninalion:

Venue of Examination centre

GOVT. HIGH SCHOOL(E/M),

OPP. CUSTOM HOUSE,NANI DAMAN,DAMAN-396210

Scrutinized hN(()I'tice Staff)

Suz'nature of the Invigilatorat the examination Centre

Ofticc Scal

Signature ol*the

Candidate in the presenceof Invigilator

Signature of the Head of the SchoolWith office seal

Signature of Liaison Officer/DistrictLevel Ofliccr .'Authorized for StateLevel V*I S I:..\alnination

N IAT:------------------------

SAT: --------------------------

Language:---------------------

N.AIION \I MEANS Ct nl NI.R1T "('I IOI .\RSIIIV FXA\IINATION. 2014-IT

(FOR TIIE STlID[•:.N I'S OF (;O\ T. - (;O\ 1. \ II)FI) ' I OC \ I. BODY/ ('Oltl'ORATION SCHOOLS S Ft'D) I'N(,' IN ('FASS VIII )

Read the instruction carefully given oil file nest page before filling the application form.

1 nu m;ls lake the help front your teacheriparent for filling up the application form.

Date of F:xamimation 02/11/2014

\ ante & address of the Agency for Director of Govt. Foams.conducting N \ I\1S I' santinatinn \ ani Daman - 396210.',ante of the Statcft' I Banta ti & Dill

\;Intc of rile Fsanninali o ll ('cut re

I.y;tuunalitn^ Ice to he nail in l reasursrsuh Trear,urv Dols.

',mount (Uhallan \umhcr Dale of Challan Name of'I reasurs 4

State I.esel 12 digit Roll Number (To he tilled in by Of'fice)

( I... \ Ill Cods State l'nde Veal fearer Code Semi No ( I.u r N\t\IS

'-lass X Code titatc ('odc ear

.t

Serial No if )Wise b, fill) Class I), tlc of birth

rLI H

Name of the ( andidatc (Do not write Miss! Master)

I athcr's Name (Do not write \1r / Dr / Prof i

Smiler s Name I Do not virile Psis / Dr / Prof i

s Area in which c;mdidalc resides

\I dc I cmalc Rural I ;rOan tit

\1or,th

7 Disabilit' Status

Orthopedic Itearing

Impaired

Space ti,i I)cPhotograph

IPassp,a t ave andBlack and i

The Photograph should

be endorsed by the

I lead of file Inslituhon%

Visually

Impaired

F'Ieasr enclose a cop)' of the relevant reservation certificate in support of information at Sr. No.6 & 7)-I. ' .i;Idre,, for orrc:por lcnce 11 t ,, ,l sots father's „r voter namcI

I

Name and add ress <t I the sc h oo0mclittltiott in olu,cll sltldy,ng at Cla ss X l e vel

L

It) I cps of the institution in which studs mg at Class X level ( see definition overleaf)

FT1 Govt Local 3 Private I Private13od) Aided Unaided

2

6 Category of candidate

'. cite, at

I \lednnn ofcrnnmauon till at the State Iesel

I \i dhcr'.cdurrtUOn

19 Nnmher of brothers

1 P:ucntal n eu ral income

171

(h) It the N( ER I Fcscl

16 Mother's occupation

19 Nunnccrofistcts

Hi

Pill Codc

Pin code

I I Atea it which the school is located

'I Rural 'a

; Father' s education

17 No. of (amit) members Its tog in theMouse

20. At what number is file candidateamong his/her hi other and sisters

o io.000 50,111)1 to 1110.000 I11(1001 to 2 (10.00(1 2, 00.001 to i1)0.000 More Ilmo S.00.000

telephone

Ccrtitied that:

I'hpne

To he fillet( in hV the Ilea(( of the Institution

Li

111 Father's occupation

21 F-mail address

( I) \laster'Miss ........................................................ is a regular student of Ibis School and heishe has secured ...............", marks inthe class VIII annual csantination i.e. when he/she was promoted from ('lass VII to Class VIII. Its/She has secured ...... marks outof ................

(2) l he particulars given h\ hint%hei in the application firm have been serilied and fiamcf in order.

13) RJastcr'MiSS ..............................................belongs (ien S('YS I /O13(i%Ot3( M )/1st11 category as per the recordsmaintained in file School.(Strike out which are not applicable)

51 I) Code

('rote, ('odc

Sicnature of the Candidate with date Sienaturu of file I leadrnasterfl Icadmictress with seal

46

Coding flan

Read Instr uctions carefully before tilling up the :\pplicatiun forml! se writ little of Wiwi, 13a11 Point Pen WRI I F. IN (AI'I I M. I I- :-I I I(\ Un : of 11,Jk or wntr olamac the bow,

Leave tine bus hlud, between too words Lintil your, name :ltd/or address trilhiu the space prusitied for it Please see e\antple as goer below

Curs' (s) unls tme u! the apprupnaic boxes in Item nos 4.5.6. 7 Ill. 11 and ' 1

t Please svnte code number tit rem nos 12. 13. 14, 15 and Ib as ewer to ci (witS. It is the responsibility of the candidate and the Principal of the school to Lie it ,u the tilled Ili burn Mill the State concerned Officer before the last date No i cyuest

for euuduning delay ill submission is ill be euterlainetl whether it is due Ito the fault of the Candidate or the II coil ii r/ 1'rilike ipaI of his /her inslilutioo.

I) Ireful iele of delcclice applications arc liable to be rejected

I sample for writing Name and A ddress

I1

II

I'uaal •\ddress I)o not tit to wnle aunplete address in one line Break it appruprruclt a s shusvt belost

U

Medium of I•.\amination

(Rt!:r to ileul 12)

C \Icditun ul Examination

C tide

\,s.mtese

B;ntgla 12

I uglish 13

( mjuruti

I hildl

Kannada

Morathi

N•lalayalam

( )riya

I'rulesiinlet

Occapaliun

I scentise and Managerial

t Icr lctl

13usinc>s

Agriculture. Fisher

Ptuductiun : aid 1 ransport

r)pcralors and Lahotuel S

Not employed

Code

3

5

6

7

6

I \ Ill. Of S C H O O L A N SII l t I ION (Refer to item No. IU)

A (inscinmeut School is that which IS run by the State Guvernnteut or

A)V'LI(NMI,NI (ertral (iovcnunent or Public Sector Undertaking Lit an Autonomous

Organinuitin completely financed by the (io\etitmenl

A Local Budt School is that which is run by I'auchayati Raj and local

C;11 131 )I)\' body institutions such as Lila Parish:td. Municipal (tirporatiun, Municipal

ommitlee, Notified Area Committee and I ankmnreut Board

A Private Aided School is that which is 0111 by tit nxlisidual or it private

I'RIVAll AIDLD organization and receives grout from governnumt tic local body

I'iit.ttc Unaided School is That which is tuauaged b) an individual or a

I'RIV \l l IINAIDI'D private organization and dues not receite any grant either from

guverumcut or local body.

16

17

is

1')

'Il

21

) 3

U I'T FA

"1

Lducation of Lather or .((tither

IRefer to dent No^ 13 K 151

Education Curie

No tbrnrrl F dtrcatiun

Lip to Primaryl Ipper Primary.

Secondary

Senior Secondary

(iraduatiun

Post praduation

Doctoral

Pruli ssional degree ( Iinginecring.

lass, Medicine. MCA, MBA.

etc.)

I,ather'el \luthcr 's Occupation

(Refer to item No, I I tN Ib)

Region Sin tell I Code

Not III-I ast

ArunachalPradesh

II

Ass;un 12

Manipur 13

Nleehalava 1-1

\I Ian and I

Nagal:utJ I (i

S lkk lrll 17

-1ripura is

I t)

Itila '(I

Jlrtrklnatd 21

(irissa ra

West Bengal 23

North Chandigarh 24

i )clln 'S

Jammu andK:isi nml

'n

Ilaryana 27

IIintachalPradesh

21(

Punjab

I(al:uthan ;1)

Uttar Prulesh 31

l lit:nakh;utd

(' I r h:u t i,g:n It

Daman andL)itl

±I

I)andN

I Iavcli

Goa 36

Gujaratt

Madhya

Pradesh

NiiItarashtru I t`I

Andhrawullr

Pt mdeshIn

Karmrtak:, II

Kel.tl.1 1

I.akslmdsveep I

I'uduclicn} I.I

I until Nadu IS

Nbroad Irt

INSTRUC'T'IONS TO THE CANDIDATE(For the Students Studying in Class VI I I

I . Make sure that the Admit Card is not detached from the application form. Admit cards will he sent to the CentreSuperintendent of the examination centre after allotting the Roll Numbers. Candidate can collect the AdmitCard from the Centre Superintendent of the examination centre at least one week before the examination.

Reach the Examination Centre atleast half an hour before the commencement of the examination; and occupythe seat that bears your Roll Number.

3. DO NOT take mobile phones, calculator, mathematical & physical table or any other kind of ready reckoner tothe examination hall. '

4. The examination will be conducted in three sessions on the same day.

5. You will have to take the examination as per details given below:-Mental Ability Test (MAT)- Scholastic Aptitude Test (SAT), which includes tests in Language comprehensive and Aptitude separately.

Test Type Marks No of Items Duration

Mental Abilit(in minutes)

y 50 50 45Scholastic Language 40 40 45Test Comprehensive TestA tit d Tp u e est 90 90 90

The applicants are requested to refer/consult State Liaison Officer for the composition of the test.

6. Each question carries I (one) mark.

7. Write your Roll Number, as given in the Admit Card. on the Answer Sheet and on the cover page of theQuestion Booklet in the space provided.

8. All questions in the booklets are ohjective type. For each question, FOUR possible answers are given, but onlyone is correct. Your task is to find out the correct answer and mark your choice in the Answer Sheet.

9. Record your answer-using Ball Point Pen only. You have to indicate your answer on the answer sheet asadvised by the State/UT.

10. During the Examination follow the instructions of the invigilator strictly.

11. Hand over your Question booklet and Answer sheets to the invigilator before you leave the Examination ilall.

12. Hand over the admission card to the Invigilator before leaving the examination hall.

Full Postal Address of the candidate for despatch of admission letter:

PIN Code

NATIONAL MEANS CUM MERIT SCIiOL: RSHIP EXAMINATION, 2014-15

(FOR THE STUDENTS OF GOVT. ! GOVT . AIDED ! LOCAL BODY !

CORPORAT ION SCIIOOLS Sit DYING IN CLASS VIII)

Name of the State:

ADMISSION CARD

To be tilled in by the applicant

Master/Miss.

S'o / Do. Sri.

of (school)

of (District)

Full Postal Address:

PIN Code.

Date of Birth- --F=

Caste Category

Affil PISIP1111 5 - 1dphotograph acsied bs the

lead of the school

Signature of the (lead of the school

with office seal

She He is allotted 12 digit Roll Number :

Class VIII Code State Code Yeart^MMS ^.

3 4 1

Center Code Serial No. (to be tilled by office

4

Date of Examination : 02.11 .2014

Time: MAT SAT:

Venue of Examination centrc:-

GOVT. HIGH SCHOOL(E/M),

OPP. CUSTOM HOUSE, NANI DAMAN,

DAMAN-396210

Signature of Liasion Officer /District Level Officer /

Authorized for NMMS

Signature of the Invigilator

at the examination Centre Signature of the

Candidate in the MAT: ......................

Presence of InvigilatorSAT :.................... ...

.Z7 T1

!D