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NewStudentRegistration PDF

This document is an application form for the State Level National Talent Search Examination to be held on November 5th, 2017. The form provides instructions for students in Class X to fill out their personal details like name, address, school and academic performance. It requests information on gender, caste, disability and family to determine eligibility for reserved categories. Applicants must submit required documents to avail these reservations and pay the examination fee to the specified bank account. The form also contains a section to be filled by the head of the applicant's institution, certifying their student status and academic performance.

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Vaasu Bisht
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131 views1 page

NewStudentRegistration PDF

This document is an application form for the State Level National Talent Search Examination to be held on November 5th, 2017. The form provides instructions for students in Class X to fill out their personal details like name, address, school and academic performance. It requests information on gender, caste, disability and family to determine eligibility for reserved categories. Applicants must submit required documents to avail these reservations and pay the examination fee to the specified bank account. The form also contains a section to be filled by the head of the applicant's institution, certifying their student status and academic performance.

Uploaded by

Vaasu Bisht
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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APPLICATION FORM

STATE LEVEL NATIONAL TALENT SEARCH EXAMINATION - 2017-18


(For the Student Studying in Class X)
Read the instructions carefully given on the page No. before filling the application
You may take the help from your teacher/parent for filling up the application form.
Date of Examination 05 November 2017 Time-8:00AM to 11:00AM
For eligible physically challenged group-8:00AM to 12:00 Noon Space for the
Name & Address of the Agency:- Secretary, Examination Regulatory Authority, U.P., Allahabad Photgraph
(for conducting First level NTS Examination)
Name of the State: Liason/Nodal Officer Director Bureau of Psychology U.P.
( Passport Size )
2,Lowther Road,Allahabad,Uttar Pradesh
Name of the Examination Center: *See at page No. 5 of Application Form The Photograph
*Application fees - Payable Secretary Examination Regulatory Authority in A/C No. 519701010028014 IFSC Code- should be endorsd by
UBIN0551970 Union Bank Of India, LIC Colony, Alahabad. the head of the
If the canditates of SC/ST/Physically challanged group will not attach the Attested Photocopy of caste/disability Institution/Gazzetted
certificate with the application form, they will be treated as General candidate. In this condition candidate will be Officer
responsible.
Amount Date of Deposition Name Of Bank

11 digit Roll Number for state level Class Date of Birth


X 1/ 02/ 2002
1. Name of the candidate (Do not write Miss/Master) VAASU BISHT
2. Father's Name (Do not write Mr./Dr/Prof. etc.) HARISH BIST
3. Mother's Name (Do not write Ms./Dr/Prof. etc.) POONAM BIST
4. Sex 5. Area to Which canditate resides 6. Caste category of canditate 7. Disability status
1 2 1 NONE

Please enclose a copy of the relevent reservation certificate in support of information at sr. 6 and 7. Otherwise they
will be treated as General Canditate.

8. Postal address for correspondence (Do not write father's or your name)
D-1301, PEARL COURT, RAMPRASTHA GREENS, VAISHALI, GHAZIABAD
Pin code 201010
9. Name of the institution in which studying at Class X level DPS INDIRAPURAM
Address 526/1, OPPOSITE RAILVIHAR, AHINSA KHAND-II, INDIRAPURAM

Pin code 201010


10. Type of the institution in which studying at class X level (see definition overleaf*) 3
11. Language English 12. Area in which the school is located 1
13. Medium of examination 13 14. Father's education 6
15. Father's occupation 1 16. Mothers's education 6 17. Mother's occupation 1
18. No. of family members
19. Number of brothers 20. Number of sisters 21. At What number is the candidate
living in the house
among his/her brother and sister
3 0 0
22. Parental annual income 4 0

23.Telephone 01204916373 24.E-Mail address [email protected] 25.Mobile 9910370781

To be filled in by the Head of the Institution


Certified that:
(a) Master/Miss............................is a regular student of this school/Institution and he/she secured........... % marks in the class IX
annual examination i.e. when he/she was promoted from IX to X. He/She Secured.............................marks out
of......................................................(Candidate must fullfill the criteria announced by the state/UT)
(2) The particulars given by him/her in the application form have been verified and found in order.
(3) Master/Miss.....................................belongs to Scheduled Caste/Scheduled Tribe Category as per records maintained in the
institution.(To be filled for SC/ST Condidates Only.)

Date .................................... ........................................................


Signature of the Headmaster/Headmistress
with Seal
......................................... (See Instructions Overleaf)
Signature of the Candidate Phone:

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