GOVERNMENT OF ANDHRA PRADESH

DEPARTMENT OF SCHOOL EDUCATION ON-LINE APPLICATION FORM - APTET - 2013 Reference Id : 2013200010233 EXAMINATION CENTRE DETAILS Exam Centre : 1. APPLICATION DETAILS Name of Applicant : 2. Mother's name : 3. Father's name : 4. Date of birth : 5. Gender : 6. Community : 7. If Differently Abled(PH) : 8. APPLYING FOR Paper : 9. Language I Offered : 9a. 9b.
Your Question Paper Medium is : PAPER-II: ENGLISH/TELUGU HYDERABAD K NALINI KULKARNI K MANJU SREE K PRABHAKAR RAO 13-December-1979 Female GENERAL No PAPER - II (CLASSES 6 to 8) PAPER-II : TELUGU

Note: Your question paper medium is the same as language-I offered by you at S.No. 9a. 10. QUALIFICATIONS 10b. Minimum Educational Qualifications for PAPER-II : B.A / B.Sc / B.Com and or Masters Degree with at

11.

least 45% marks AND pass in or pursuing 1 year Bachelor in Education (B.Ed) (In accordance with NCTE (Recognition norms and procedures) Regulations issued from time to time). Subject offered for paper - II if applying for Mathematics and Science classes 6 to 8 :

12. 13. 14.

Identification Marks as given in SSC Certificate : 1) A Mole on the Nose 2) A mole on the neck Do You Belong to Andhra Pradesh State : Yes Residential Address in Andhra Pradesh : H NO 15-7 PRASHANTH NAGAR BEHIND GOVT DEGREE COLLEGE SIDDIPET

14a. 14b. 14c. 15. 16.

District : MEDAK Mandal : Siddipet (Urban) Pincode : 502103 Mobile : 9912797700 SSC HallTicket No : 0464091 Professional Course for Paper-II : B.Ed Studied at : SRI VENKATESHWARA COLLEGE OF EDUCATION SRI VENKATESHWARA EDUNL SOCIET H.NO.1-56/A, NEAR BUS DEPOT, V&M: DUBBAK, MEDAK - 502108 Andhra Pradesh Aadhaar No. : -Have you Appeared APTET Exam : Yes

17. Professional Course Details

18. 19.

APTET Exam appeared MAY 2012 Fee Amount

200

Hallticket Number 12121611000543

PREVIOUS APTET DETAILS Candidate Name K NALINI KULKARNI Payment Details Journal Number
EHBG00001184

Paper-I Marks --

Paper-II Marks 63 Payment Date

17/07/2013

I hereby declare that all information furnished by me in this application is true and correct I undertake to produce the original documents at any moment, failing which my candidature may be cancelled. I am fully aware that furnishing false information will lead to a criminal case against me, apart from cancelling my candidature as it amounts to cheating. I am alone responsible if any wrong entries are made by me in the application form.

Sd/K NALINI KULKARNI ( 17-07-2013 11:31:04 PM )