JHARKHAND ACADEMIC COUNCIL, RANCHI Primary Teachers’ Training Examinaon (Regular/Ex-regular/In Service) Registraon Form for Student 1. Name of the College/Instuon................................................................................................................................. 2. Name of the Examinaon : PRIMARY TEACHERS’ TRAINING EXAMINATION, 2019 3. Name of the Candidate : (In English Capital Leers) 4. Name of the Mother : (In English Capital Leers) 5. Name of the Father : (In English Capital Leers) 6. Permanent address : Village..........................................Post Office.............................................. Block............................................ District................................................... State............................................. PIN Code................................................ 13. Qualificaon Name of Instute Board / University Name Roll No. Roll Code Year of Total Marks % of Divn. Passing obtained Marks Matric/Secondary Intermediate/ Higher Secondary 14. Subjects (see reference overleaf) : 1. ETS 2. PSY 3. SOG 4. ETE 5. HND 6. ENG 7...................................................................................... Code 8. MAT 9. SST 10. GST 15. Medium of Examinaon : 16. Mobile No. : 17. Email ID : ............................................................................................................ Cerfied that the above menoned record has been duly checked and found correct by me. The examinee has been allowed to be registered. Signature of the Head of the College / Instuon with Seal Important Instrucons / EFæFW¼ÎF ÑF·F ÚFÞÎFW = F PÎF¼WaèF 1. Gender, Caste, Category =W PáFJ P¼J ;FJ ÙFFgƒõF ÑFÞ ùU P©= (3) = ÞWk— 2. EÚÜFF»FUa = F ÎFFÛF, PÑF¶FF = F ÎFFÛF =W ÑFùáFW Mr. / Sri / Late / Dr. EFP¼ ÎF ÚFÞWk— 3. õFÚFU ÒPæFPñÜFFc Ek;FeW¡FU =W ÙF°Ws E‡FÞFWk ÛFWk ùU ÚFÞWk— = FWò õFW ÙFFùÞ ÎFùUk ÚFÞWk— ¡FYõFW P= : 4. Subjects =W &FFÎFF ÛFWk PæFðFÜF = F Abbreviated Code (¡FYõFF P= × FÛFa = U ÑFFÞ ÑF_ò ÑFÞ EkP= ¶F ùY) ùU PáF&FWk, ¡FYõFW Sanskrit =W PáFJ SNK. 5. õFÚFU ÒPæFPòÜFFc =W æFáF ÛF[áF EPÚFáFW&F =W EFÍFFÞ ÑFÞ ùU = U ¡FFJk— 6. P= õFU ÚFU ;FáF¶F ÒPæFPñ =W PáFJ ÛFùFPæFÃFáFÜF ÒÍFFÎF P¡FÛÛFWæFFÞ ùFWk;FW— 7. GõF EFæFW¼ÎF ÑF·F =W õFF»F PÎFÛÎFPáFP&F¶F ÒÛFFµF ÑF·F ¼FP&FáF = ÞÎFF EPÎFæFFÜFa ùY : ¡FÎÛF-P¶FP»F, ¡FFP¶F, Ex-regular / In-service, P¼æÜFFk;F, Matric H¸FUµFa ÒÛFFµF ÑF·F, Intermediate H¸FUµFa ÒÛFFµF ÑF·F— 8. ÎFFÛFFk= ÎF =W õFÛFÜF šF·F / šF·FF = U ÎÜF[ÎF¶FÛF EFÜF] 18 ÙFðFa ùFWÎFF EPÎFæFFÜFa ùY— HÛFe = U ;FµFÎFF ÎFFÛFFk= ÎF ÙFðFa =W 1áFU July = FW = U ¡FFJ;FU— 9. õFFÛFFÎÜF êFWµFU =W šF·F / šF·FFEkFW =W PáFJ Intermediate ÛFWk ÎÜF[ÎF¶FÛF Ek= 50% ¶F»FF SC, ST, MBC, BC = FWP© =W PáFJ 45% Ek= EFæFèÜF= ùY— M A R I A M Candidate’s Signature Candidate’s Photo Aested by the Head of the College / Instuon Date Month Year 7. Date of Birth 8. GENDER : 9. CASTE : 10. CATEGORY : 12. Details of Admission in the College : (In Figure) : Male GEN Regular (R) Admission No.................................. Female SC Ex-Regular (Ex-R) Session : – Transgender ST 11. DIVYANG : Admission Date............................... (In words) :...................................... MBC VH ......................................................... BC HH OH