This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
jkT; Lrjh; jk"Vªh; izfrHkk [kkst ijh{kk (NTSE)¼d{kk 10oha esa v/;;ujr~½ jk"Vªh; lk/ku lg izkoh.; Nk=o`fŸk ijh{kk (NMMSE) ¼d{kk 8oha esa v/;;ujr~½
l= 2015& 2016 ijh{kk lacaf/kr fu;e o 'krasZ ¼foKfIrfoKfIrfoKfIrfoKfIr½½½½
vkosnu i= v/;;ujr~ fo|ky; esa tek djus dh vafre frfFk % vkosnu i= v/;;ujr~ fo|ky; esa tek djus dh vafre frfFk % vkosnu i= v/;;ujr~ fo|ky; esa tek djus dh vafre frfFk % vkosnu i= v/;;ujr~ fo|ky; esa tek djus dh vafre frfFk % 25252525 vxLr 201vxLr 201vxLr 201vxLr 2015555
24 ijh{kkFkhZ dks vkcafVrOMR mRrj i=d [kjkc gksus dh fLFkfr esas nwljk OMRmRrji=ddsUnzk/;{k dh vuqefr ij gh fn;k tkosA dsUnzk/;{k ds izfrosnu esa ijh{kkFkhZ dk jksy ua- ,oa nksuksa OMR mRrj i=d dk uaEcj o [kjkc gksus dk dkj.k fy[ksA [kjkcOMRmRrj i=d ij [kjkc gksus dk Vhi vafdr dj vyx fyQkQk esa tek djsaA
25 ijh{kksijkUr ijh{kkfFkZ;ksa ls iz’u i= okil u fy, tkosaA
26 ijh{kk lapkyu gsrq vkcafVr jkf’k esa ls O;; dh x;h jkf’k;kWa] leLr OgkmplZ rFkk ikfjJfed ns;d vkfn Lohd`r njksa ds vuqlkj iw.kZ dj vkWfMV ds fy;s vius fjdkMZ esa j[ksaA
27 ijh{kk dsUnz esa 'ks"k cps iz’u i=ksa dks vius ,oa fudV ds fo|ky;ksa esa forfjr dj
State Council of Educational Research and Training ,Chhattisgarh,Raipur APPLICATION FORM
State Level – NATIONAL TALENT SEARCH EXAMINATION (N TSE) 2015-2016 (For the Students Studying in Class X)
Last date -25 August 2015 (Submit in your School) Exam Date -08Nov.2015 dsUnz }kjk vkcaafVr
Class X
(Write In Capital Latter)
1- Name of the Candidate(Do not Write Miss/Mister) 2- Father’s Name (Do not Write Dr/Pro/Mr.) 3- Mother’s Name (Do not Write Dr./Prof/Mrs.)
WriteCrass [X] only one of the appropriate box 4, 5,6,7,10, 11 and 21
4- Sex 5- Residential Area 6- Cast category 7- Disability Statues/fodykaxrk dk izdkj Male 1 Rural 1 GN/OBC 1 Orthopedic/vfLFk ckf/kr 1 Female 2 Urban 2 SC 2 Hearing Impaired/Jo.k ckf/kr 2 ST 3 Visually Impaired/nf"Vckf/kr 3 Blind/n`f"Vghu 4 *Attach certificates if you belong to SC/ST and Sr. No. 7
8- Postal address for correspondence : (Do not Father’s and your Name)9- Name & address of School in which studying at VIII level
10- Type of School in which studying at class X 11- School located : Government@’kkldh; 1 Private aided @v’kk- vuqnku izkIr 3 [email protected] 1 Local Body@ uxjh; fudk; 2 privateUnaided@v’kk- xSj vuqnku izkIr 4 Urban@’kgjh 2 *For filling in boxes in Sr. No. 12 to 16 see Code No. Mentioned below – 12- Medium of examination - (A) State Level (B) NCERT Level 13- Father’s education 14- Father’s occupation 15-Mother’s education: 16- Mother’s occupation 17-No. of family members living in the home 18- No. of Brothers 19- No. of Sister 20-At what number is the candidate among his/her brother and sister ¼HkkbZ] cguksa esa ijh{kkFkhZ dk Øe la[;k½ &
21- Parental annual Income: Up to 50,000 (1) 1,00,001 to 2,00,000 (3) More than 5,00,000 (5) 50,001 to 1,00,000 (2) 2,00,001 to 5,00,000 (4) 22- Mobile No. E-mail address
To be filled in by the Head of the Institution Certified that1.Mister/Miss …………………………………….. Son/Daughter of Sri/Smt. ………………………. is regular student of Class X in this School/Institution and he/she has secured % mark in the class IX annual examination, i.e. when he/she was promoted from class IX to class X. he/she has secured ………… marks out of …………. 2. The particulars given by him/her in the application from have been verified and found in order. 3. Mister/Miss ………………………………….. Belongs to scheduled cast/scheduled tribe category as per the records maintained in Institution (To be filed for SC/St candidates only) . Date …………….. ----------------------------- Signature of the Head Master/Head Mistress/ Gazette Officer with Seal ………………… Signature of Candidate
Roll No. State Code Year Centre Code Serial number 3 3 1 6
Date of Birth Date Month Year
Space for the Photograph
passport size Black & White
photographs should be
endorsed by Head
Pin Code
Pin Code
Coding Plan Read instruction carefully before filling up the Application Form-
1- Use only Blue or Black Ball point pen, WRITE IN CAPITAL LETTERS .Do not marks or write outside the boxes.
2- Crass[x] only one of the appropriate boxes in items4, 5,6,7,10,11 and21.
3- Please write code number in items nos.12, 13, 14, 15and16 as given overleaf.
4- It is the responsibility of the candidate and principal/Head of the school to deposit the filled in form with the State
concerned officer before the last date no request for condoning delay in submission will be entertained whether it is due to
the fault on the candidate or Headmaster/Principal of his/her institution .
5- Incomplete or defective applications are liable to be rejected.
Code No. to be fills in boxes Sr. No. 12 to 16
MEDIUM OF EXAMINATIONCODE :- English- Code 13,Hindi- Code 15 EDUCATIN OF FATHER OR MOTHER Code FATHER’s OR MOTHER’s OCCUPATION[ Refer to items code 14&16] No formal Education 1 Up to Primary 2 OCCUPATION Code Upper Primary 3 Professional, 1 Secondary 4 Executive and Managerial 2 Senior Secondary 5 Clerical 3 Graduation 6 Business 4 Post-Graduation 7 Agriculture/ Fishery 5 Doctoral 8 Production, transport 6 Professional Degree Operators and laborers 7 (Engineering, Medicine, Law, MCA, MBA, etc) 9 Not employed 8 [Refer to item no.10] Government A government school is completely financed by the government. Local Body A local body school is that which is run local body institutions such as panchyat, municipal corporation municipal committee notified area committee cantonment Board ate. Private Aided A private aided school is that which is run by an individual or private organization and receives grant from government or local body. Private Unaided A private unaided school is that which is managed by an individual or a private organization and does not Receive any grant from government or local body.
State Council of Educational Research and Training ,Chhattisgarh,Raipur jkT; Lrjh; jkT; Lrjh; jkT; Lrjh; jkT; Lrjh; jk"Vªh; izfrHkk [kkstjk"Vªh; izfrHkk [kkstjk"Vªh; izfrHkk [kkstjk"Vªh; izfrHkk [kkst ijh{kkijh{kkijh{kkijh{kk (NTSE) 2015-2016 (State Level – NATIONAL TALENT SEARCH EXAMINATION 2015-16)
(For the Students Studying in Class X) ADMISSIOM CARD
¼ ¼ ¼ ¼ TO be field in by the applicant½½½½ dsUnz }kjk vkcafVr 11 digite Roll Number
Roll No. :
Miss/Mister …………………………………………………………………….. S/o /D/o Sri ……………………………………………………………………………. Of (School) ……………………………………………………………………. Of District Center …………………………………………………………………………….
Is permitted to appear for the above said examination Full Postal Address ……………………………………………………………………..
…………………………………………………………………….
………………………………Pin………………………………..
Date of Examination 08.11.2015 ¼ ¼ ¼ ¼ TO be field at the Authorized for State Level Examination ½½½½ Venue of Examination Center- ………………………………………………………………… …………………………………………………………………
Signature of the Head of the School
(With Office Seal)
Scrutinized By Office seal Signature of Liaison Officer/District Level (Office Staff) Officer/Authorized for State Level Examination MAT ……………….……………… Signature of the Invigilator Signature of the candidate in the At the examination Centre presence of the Invigilator Language Test ……...……….……. funsZ’k %&funsZ’k %&funsZ’k %&funsZ’k %&SAT …………….….………….….. 1111---- OMR mŸkj i=d dks eksM+su ghaA 2222---- _.kkRed vadu (Negative Marking) ugha gSA 3333---- ijh{kk d{k esa izos’k&izFke iz’u&i= izkr% 09%30 ,oa f}rh; iz’u&i= nksigj 12%00 ctsA 4444---- izFkeizFkeizFkeizFke iz’u&i=iz’u&i=iz’u&i=iz’u&i= %& izkr% 10%00 ls 11%30 cts rdA
State Council of Educational Research and Training, Chhattisgarh, Raipur jk"Vªh; lk/kulg&izkfo.; Nk=o`fŸkjk"Vªh; lk/kulg&izkfo.; Nk=o`fŸkjk"Vªh; lk/kulg&izkfo.; Nk=o`fŸkjk"Vªh; lk/kulg&izkfo.; Nk=o`fŸk ijh{kkijh{kkijh{kkijh{kk (NMMSE) 2015-2016
(d{kkd{kkd{kkd{kk 8888oha esa v/;;ujroha esa v/;;ujroha esa v/;;ujroha esa v/;;ujr fo|kfFkZ;ksa ds fy,fo|kfFkZ;ksa ds fy,fo|kfFkZ;ksa ds fy,fo|kfFkZ;ksa ds fy,)