NTSE Chhattisgarh

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Application form for NTSE Chhattisgarh.

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  • jkT; Lrjh; jk"Vh; izfrHkk [kkst ijh{kk (NTSE)d{kk 10oha esa v/;;ujr~ jk"Vh; lk/ku lg izkoh.; Nk=o`fk ijh{kk (NMMSE) d{kk 8oha esa v/;;ujr~

    l= 2015& 2016 ijh{kk lacaf/kr fu;e o 'krasZ foKfIrfoKfIrfoKfIrfoKfIr

    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

    ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- -------- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ---- ----

    NRrhlx

  • E ukfeuy jksy] vkosnu i= ,oa izosk i= ijh{kk dsUnukfeuy jksy] vkosnu i= ,oa izosk i= ijh{kk dsUnukfeuy jksy] vkosnu i= ,oa izosk i= ijh{kk dsUnukfeuy jksy] vkosnu i= ,oa izosk i= ijh{kk dsUnz esa tek djus dh vafre frfFk 05flrEcjz esa tek djus dh vafre frfFk 05flrEcjz esa tek djus dh vafre frfFk 05flrEcjz esa tek djus dh vafre frfFk 05flrEcj 2015 %2015 %2015 %2015 % fo|ky; ds laLFkk izeq[k izkIr vkosnu i= ,oa izek.k&i= dks izekf.kr djsaA NTSE ,oa NMMSE ds fy, i`Fkd&i`FkdlayXu&ukfeuy jksy izk#i esa pkgh xbZ tkudkfj;k Hkj dj vkosnu i= lg izek.k i= ,oa izosk i= ds lkFk lacaf/kr ijh{kk dsUnz ds dsUnzk/;{k ds ikl 05 flrEcj 2015 rd tek djsaA foyEc dh fLFkfr esa izfrHkkxh ;fn mDr ijh{kk ls oafpr gksrk gS rks lacaf/kr laLFkk izeq[k ftEesnkj gksaxsA

    F dsUnzk/;{k }kjk ,dhd`r dsUnzk/;{k }kjk ,dhd`r dsUnzk/;{k }kjk ,dhd`r dsUnzk/;{k }kjk ,dhd`r ukfeuy jksy ukfeuy jksy ukfeuy jksy ukfeuy jksy SCERT,Raipurdks tek djus dh vafre frfFk 15flrEcjdks tek djus dh vafre frfFk 15flrEcjdks tek djus dh vafre frfFk 15flrEcjdks tek djus dh vafre frfFk 15flrEcj 2015201520152015 Gizu i= &izu i= &izu i= &izu i= &NTSErFkk NMMSE nksuksa ijh{kkvksa ds fy, nks&nks izu i= gksaxsA

    izu&i= %izu&i= %izu&i= %izu&i= %izFkeizFkeizFkeizFke dqy izu vad le;

    NTSE Hkkx I -ckSf)d ;ksX;rk ijh{k.k (MAT)Hkkx II -Hkk"kk cks/k ijh{k.k LCT) %Hkk"kk fgUnh ;k ;k ;k ;k Hkk"kk vaxszth

    50

    50

    50

    50

    izkr% 10-00

    ls

    11-30 rd NMMSE ckSf)d ;ksX;rk ijh{k.k (MAT) 100 100

    izu&i=izu&i=izu&i=izu&i= % f}rh;% f}rh;% f}rh;% f}rh; dqy izu vad le;

    NTSE,oa NMMSE

    'kSf{kd ;ksX;rk ijh{k.k (SAT) & xf.kr & foKku HkkSfrd] jlk;u] tho foKku

    & lkekftd foKku bfrgkl] Hkwxksy] ukxfjd kkL=] vFkZ 'kkL=

    20

    40

    40

    20

    40

    40

    nksigj 12-30

    ls

    2-00 rd

    H ijh{kk kqYd &ijh{kk kqYd &ijh{kk kqYd &ijh{kk kqYd & bu ijh{kkvksa ds fy, fdlh Hkh izdkj dk kqYd ugha gSA I ijh{kk dk ek/;e &ijh{kk dk ek/;e &ijh{kk dk ek/;e &ijh{kk dk ek/;e &fgUnh vFkok vaxzsthA J ijh{kk dsUnz dk uke o dsUnz dk dksM uEcj NTSE-NMMSE ds fy, ftysokj dqy 72 dsUnz

    dsUnz dk uke dksM dsUnz dk uke dksM izks- ts-,u-ik.Ms 'kk-cgq-m-ek-fo-] jk;iqj 0101 'kk- mPp-ek/;-fo|ky;] nUrsokM+k 0901

    ts- vkj-nkuh 'kk-dU;k m-ek-fo-] jk;iqj 0102 'kk-cgq-mPp-ek/;-fo|ky;] txnyiqj 1001 I;kjsyky ;kno 'kk- fgUnq m-ek-fo-] jk;iqj 0103 'kk-cgq- mPp-ek/;-fo|ky;] fcykliqj 1101 ek-lq-'kk-dU;k-m-ek-fo-]pkScs dkyksuh] jk;iqj 0104 ,e-,y-ch 'kk-cgq-dU;k m-ek-fo-] fcykliqj 1102 ih-th-mekBs 'kk-dU;k-m-ek-fo-]'kkafruxj] jk;iqj 0105 'kk-cgq mPp-ek/;-fo|ky;] is.Mk] fcykliqj 1103 ts-vkj-uk;Mw 'kk-m-ek-fo-] jfoxzke] jk;iqj 0106 'kk-cgq-mPp-ek/;-fo|k-] ekad&2] tkWtxhj 1201 'kk-mPp-ek?;-fo|ky;-] egkleqUn 0201 'kk- mPp-ek/;-fo|ky;] dksjck 1301 MkW-'kksHkkjke nsokaxu 'kk-ckyd m-ek-fo-] /kerjh 0301 'kk- dU;k mPp-ek/;-fo|ky; lkMk]dksjck 1302 fko flag oekZ 'kk-dU;k m-ek-fo-] /kerjh 0302 kk-ekWMy m-ek-fo-] ckydks uxj] dksjck 1303 esgr#jke /khoj 'kk-uohu dU;k m-ek-fo- /kerjh 0303 kk-m-ek-fo-] teuhikyh,u-Vh-ih-lh-]dksjck 1304 uwru mPp-ek/;-fo|ky;] /kerjh 0304 'kk-cgq- mPp-ek/;-fo|ky;] vfEcdkiqj 1401 esuksukbZV bafXy'k mPp-ek/;-fo|ky;] /kerjh 0305 'kk- vkn'kZ ckyd m-ek-fo-] lwjtiqj 1501 ekWMy bafXy'k mPp-ek/;-fo|ky;] /kerjh 0306 'kk-vkn'kZ jkekuqt m-ek-fo-]cSdq.Biqj]dksfj;k 1601 loksZn; mPp-ek/;-fo|ky;-] /kerjh 0307 'kk- mPp-ek/;-fo|ky;] cyjkeiqj 1701

  • jkT; Lrjh; jk"Vh; izfrHkk [kkst ijh{kk jkT; Lrjh; jk"Vh; izfrHkk [kkst ijh{kk jkT; Lrjh; jk"Vh; izfrHkk [kkst ijh{kk jkT; Lrjh; jk"Vh; izfrHkk [kkst ijh{kk (NTSE) d{kk 10oha esa v/;;ujr~ ~ ~ ~ jk"Vh; lk/ku lg izkoh.; Nk=o`fk ijh{kkjk"Vh; lk/ku lg izkoh.; Nk=o`fk ijh{kkjk"Vh; lk/ku lg izkoh.; Nk=o`fk ijh{kkjk"Vh; lk/ku lg izkoh.; Nk=o`fk ijh{kk (NMMSE) d{kk 8oha esa v/;;ujr

    l= 2015 & 2016l= 2015 & 2016l= 2015 & 2016l= 2015 & 2016

    ijh{kkijh{kkijh{kkijh{kk lapkyulapkyulapkyulapkyu funsZkfunsZkfunsZkfunsZk

    ijh{kk frfFk & 08uoEcj 2015ijh{kk frfFk & 08uoEcj 2015ijh{kk frfFk & 08uoEcj 2015ijh{kk frfFk & 08uoEcj 2015 jfookjjfookjjfookjjfookj

    A. ijh{kk lapkyu funsZk %ijh{kk lapkyu funsZk %ijh{kk lapkyu funsZk %ijh{kk lapkyu funsZk %

    1 fo|ky; izeq[k }kjk lR;kfir fd;k x;k vkosnu i= gh Lohdkj djsaA vko;d izek.k i= ;Fkk&d{kk 7 ohsa@d{kk 9 oha mRrh.kZ vad lwph] tkfr] fodykaxrk] vk; izek.k i= ds fcuk vkosnu i= Lohdkj u djsaA

    2 dsUnzk?;{k fcuk izek.k i=ksa ds vkosnu i= Lohdkj u djsaA dsUnzk/;{k ,dhd`r ukfeuy jksy layXu izk#i esaaNTSE,oaa NMMSEds fy, vyx&vyxrS;kj djsaA jksy ua- esa ljy dz- Serial No- 001 ls dzek% 999 rd gh vkcafVr fd;k tkuk gSA lacaf/kr fo|kFkhZ ds

    izosk i= esa Hkh Roll No.vafdr dj lacaf/krfo|ky;ksa dks iznku djsaA

    3 ,dhd`r ukWfeuy jksy NTSE,oaNMMSEds fy, i`Fkd&i`Fkd jkT; 'kSf{kd vuqla/kku vkSj izfk{k.k ifj"kn (SCERT)jk;iqj] Nkhlx

  • 12 ijh{kkfFkZ;ksa }kjk OMRmRrj i=d esa xksysxksysxksysxksys dks dkyk vFkok uhyk MkV isudks dkyk vFkok uhyk MkV isudks dkyk vFkok uhyk MkV isudks dkyk vFkok uhyk MkV isu ds}kjk iw.kZ #ils ()Hkjk tk,A d{k i;Zos{kdOMR mRrj i=d esa bldh tkp vo; djsaA

    13 d{k i;Zos{kdd{k i;Zos{kdd{k i;Zos{kdd{k i;Zos{kd ijh{kk d{k esa izFke izu i= ds fy,& izkr% 9%30 cts ,oa f}rh; izu i= ds fy,&nksigj 12%00 cts igqp tk,A

    14 ijh{kkfFkZ;ksa dk izosk i= ij yxs QksVks ls feyku dj ijh{kk d{k esaizosk nsaA 15 ijh{kk izkjaHk izFke isij&10%00 cts ,oa f}rh; isij&12%30cts ds15 feuV ckn vkusokys ijh{kkfFkZ;ksa dks ijh{kk gsrq vuqefr u nh tk,A ijh{kk izkjaHk gksus ls ijh{kk lekfIr rd ijh{kkFkhZ dks ijh{kk d{k ls ckgj tkus dh vuqefr u nh tk,aA

    16 OMR mRrj i=d ,oa izu&i= dk forj.k % ijh{kkFkhZ gsrqijh{kkFkhZ gsrqijh{kkFkhZ gsrqijh{kkFkhZ gsrq izFke izu&i= izFke izu&i= izFke izu&i= izFke izu&i= f}rh;f}rh;f}rh;f}rh; izu&i= izu&i= izu&i= izu&i=

    ijh{kk d{k esa izosk izkr% 9%30 cts nksigj 12%00 cts OMR mRrj i=d dk forj.k izkr% 9%45 cts nksigj 12%15 cts izu&i= dk forj.k izkr%10%00 cts nksigj 12%30 cts

    17 dsUnzokj ijh{kkfFkZ;ksa dks dsUnzk/;{k }kjk vkcafVr jksy uaEcj OMRmRrj i=d esa Nik PRINT jgsxkA vr% ijh{kk d{k dks vkcafVr jksy uaEcj ds vuqlkj gh OMR mRrj&i=d lacaf/kr ijh{kkFkhZ dks fn;k tk,A bl ckr dk foks"k /;ku j[ksaA nwljs

    jksy uaEcj vkcafVr ijh{kkFkhZ dks feyus ij d{k i;Zos{kd ,oa dsUnzk/;{k tokcnkj gksaxsA

    18 ijh{kkFkhZ }kjk OMR mRrj i=d esa mlls lEcfU/kr lHkhizfof"V;klEcfU/kr xksys dks iw.kZ#i ls ( ),oa lgh Hkjk x;k gksAd{k i;Zos{kd bldh tkp dj fu/kkZfjr LFkku ij gLrk{kj djsaA ijh{kkFkhZ ls lacaf/kr viw.kZ ,oa xyr izfof"V ds dkj.k@xyr OMR mkj i=d fn, tkus ds dkj.k ;fn izfrHkkxh p;u lwph ls oafpr gksrk gS rks d{k i;Zos{kd ftEesnkj gksaxsA

    19 iz;qDrOMR mRrj i=d ds fufpr LFkku ij dsUnz ekad dhlhy vfuok;Z :i ls yxkbZ tkosA

    20 SIGNATURE ROLLesavuqifLFkr ijh{kkfFkZ;ksa ds gLrk{kj LFkku ij dkyk@uhyk dkyk@uhyk dkyk@uhyk dkyk@uhyk L;kgh lsABST fy[kk tkosaA

    21 ijh{kk d{k esa dSydqysVj] eksckbZy] gsM Qksu ,oa fdlh Hkh izdkj dh udyLkkefxz;ksa dkmi;ksx oftZr gSAjQ dk;Z ds fy;s s s s izu i= ds var esa yxs gq, dksjs dkxt dk ijh{kkfFkZ;ksa }kjk mi;ksx fd;k tk ldrk gSA

    22 ;fn izu i= esa fdlh Hkh izdkj dh =qfV gks rks lakks/ku u djok;k tk,A bldh lwpuk ifj"kn~ dks nh tk,A

    23 ijh{kk gsrqOMR mRrj i=d mRrj i=d mRrj i=d mRrj i=d dhdhdhdh Nk;kizfr PHOTO COPY ekU; ekU; ekU; ekU; ugha gksxkAugha gksxkAugha gksxkAugha gksxkA

    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 izu i= okil u fy, tkosaA

    26 ijh{kk lapkyu gsrq vkcafVr jkfk esa ls O;; dh x;h jkfk;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 izu 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 (NTSE) 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- Fathers Name (Do not Write Dr/Pro/Mr.) 3- Mothers 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/n`f"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 Fathers 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 @vkk- vuqnku izkIr 3 [email protected] 1 Local Body@ uxjh; fudk; 2 privateUnaided@vkk- 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- Fathers education 14- Fathers occupation 15-Mothers education: 16- Mothers 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 HkkbZ] cguksa esa ijh{kkFkhZ dk e la[;k &

    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 FATHERs OR MOTHERs 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"Vh; izfrHkk [kkstjk"Vh; izfrHkk [kkstjk"Vh; izfrHkk [kkstjk"Vh; 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

    TO be field in by the applicant 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 TO be field at the Authorized for State Level Examination 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 .....

    funsZk %&funsZk %&funsZk %&funsZk %&SAT ..... 1111---- OMR mkj i=d dks eksM+su ghaA 2222---- _.kkRed vadu (Negative Marking) ugha gSA 3333---- ijh{kk d{k esa izosk&izFke izu&i= izkr% 09%30 ,oa f}rh; izu&i= nksigj 12%00 ctsA 4444---- izFkeizFkeizFkeizFke izu&i=izu&i=izu&i=izu&i= %& izkr% 10%00 ls 11%30 cts rdA

    Hkkx ,d ckSf)d ;ksX;rk ijh{k.k (MAT) Hkkx nks Hkk"kkcks/k ijh{k.k (LCT) % fgUnh vFkok vaxzsth f}rh; izu&i=f}rh; izu&i=f}rh; izu&i=f}rh; izu&i= %& 'kSf{kd ;ksX;rk ijh{k.k (SAT) ] le; nksigj 12%30 ls 02%00 cts rdA

    5555---- OMR mkj i=d esa lHkh izfof"V;k dkyk@uhyk MkWVisu ds }kjk Hkjk tk,A 6666---- OMR mkj i=d izFke izu&i= esa Hkk"kkcks/k ijh{k.k (LCT) % fgUnh vFkok vaxzsth esa ls fdlh ,d dks gh pqus ,oa

    mls iw.kZrk ls xksys esa Hkjk tk,A 7777---- OMR mkj i=d esa ijh{kkFkhZ ls lacaf/kr izfof"V;k tSls&tkfr@fodykaxrk dk izdkj@fo|ky; dk izdkj@{ks= tgk

    fo|ky; fLFkr gS@ckyd@ckfydk vkfn vfr lko/kkuhiwoZd ijh{kkFkhZ }kjk Hkjk tkosaA 8888---- izR;sd izu&i= ds pkj laHkkfor mkj A, B, C, D xksys esa gksaxsA lgh mkj dks iw.kZ #i ls xksys esa HkjsaA 9999---- izR;sd izu&i= esa dqy 100 izu gksaxsA izR;sd izu 01 vad dk gksxkA

    State Code Year Centre Code Serial number 3 3 1 6

    Space for the Photograph passport size Black & White photographs should

    be endorsed by Head

  • State Council of Educational Research and Training ,Chhattisgarh, Raipur APPLICATION FORM

    jk"Vh; lk/kulg&izkfo.; Nk=o`fkjk"Vh; lk/kulg&izkfo.; Nk=o`fkjk"Vh; lk/kulg&izkfo.; Nk=o`fkjk"Vh; lk/kulg&izkfo.; Nk=o`fk ijh{kkijh{kkijh{kkijh{kk (NMMSE) 2015-2016 (d{kk 8oha esa v/;;ujr fo|kfFkZ;ksa ds fy,)

    vkosnu&i= ds lkFk tkfr] fodykaxrk] vadlwph] firk@ikyd dh okf"kZd vk; izek.k&i= layXu djuk vfuok;Z gSA

    vafrevafrevafrevafre frfFkfrfFkfrfFkfrfFk 25-08-2015 vkosnu&i= ,oa izosk&i= v/;;ujr laLFkk esa gh tek djsa ijh{kkijh{kkijh{kkijh{kk frfFkfrfFkfrfFkfrfFk 08-11-2015 dsUnzk/;{k }kjk vkcafVr

    o"kZ dsUnz dksM ljyekad

    jksyuEcj&jksyuEcj&jksyuEcj&jksyuEcj& 1111 6666

    frfFk ekg o"kZ v/;;ujr d{kk

    tUe frfFk&

    1111---- fo|kFkhZ dk uke vaxzsth esa 2222---- firk dk uke vaxzsth esa 3333---- ekrk dk uke vaxzsth esa

    lacaf/kr [kkuslacaf/kr [kkuslacaf/kr [kkuslacaf/kr [kkus esaesaesaesa lgh lgh lgh lgh x dk dk dk dk fpUgfpUgfpUgfpUg yxkosayxkosayxkosayxkosa

    4444---- fyax& ckyd ckfydk 5555---- tkfr@oxZlayXu izek.k&i= ds vuqlkjlkekU;@v-fi-o- v-tk- v-t-tk- 6666---- fodykaxrk fu%kDrrk dk izdkj& vfLFk ckf/kr Jo.k ckf/kr n`f"Vghu 7777---- fo|ky; dk izdkj& 'kkldh; uxjh; fudk; }kjk lapkfyr vkkldh; vuqnku izkIr 8888---- {ks= tgk fo|ky; fLFkr gS& 'kgjh xzkeh.k 9999---- fo|ky; dk uke o irk & 10101010---- i= O;ogkj dk irk &

    11111111----firk@ikyd dk O;olk; & d`f"k 'kkldh; ukSdjh vkkldh; ukSdjh etnwjh v)Z 'kkldh; ukSdjh vU;O;olk; vk; izek.k&i= l{kevk; izek.k&i= l{kevk; izek.k&i= l{kevk; izek.k&i= l{ke vf/kdkjh ukSdjh dhvf/kdkjh ukSdjh dhvf/kdkjh ukSdjh dhvf/kdkjh ukSdjh dh fLFkfrfLFkfrfLFkfrfLFkfr esaesaesaesa laLFkklaLFkklaLFkklaLFkk izeq[k }kjkizeq[k }kjkizeq[k }kjkizeq[k }kjk tkjhtkjhtkjhtkjh lHkhlHkhlHkhlHkh vkosndksavkosndksavkosndksavkosndksa dksdksdksdks layXulayXulayXulayXu djukdjukdjukdjuk vfuok;Zvfuok;Zvfuok;Zvfuok;Z gSAgSAgSAgSA 12121212---- firk@ikyd dk okf"kZd vk; layXu vk; izek.k&i= ds vuqlkj &vadksa esa 'kCnksa esa 13131313- lEidZ gsrq VsyhQksu@eksckby uEcj firk@ikyd dk fnukad-----------------------gLrk{kj ;k vaxwBk dk fukku ----------------------------------- ijh{kkFkhZ dk gLrk{kj

    fo|ky; ds izkpk;Z@iz/kkuk/;kid dkfo|ky; ds izkpk;Z@iz/kkuk/;kid dkfo|ky; ds izkpk;Z@iz/kkuk/;kid dkfo|ky; ds izkpk;Z@iz/kkuk/;kid dk iiiizzzzek.k&i=ek.k&i=ek.k&i=ek.k&i= izekf.kr fd;k tkrk gS fd fo|kFkhZ --------------------------------------------------- iq=@iq=h@iky;k Jh@Jherh --------------------------------l= 2015&16 esa bl fo|ky; dk d{kk 8oha dk fu;fer fo|kFkhZ gSA 'kkys; vfHkys[k ds vuqlkj fo|kFkhZ dh tkfr------------------------------------------------------------------------------- lkekU;-@fi-o-@v-tk-@v-t-tk gSA vkosnu&i= esa nh xbZ leLr tkudkfj;k dk;kZy;hu vfHkys[k ,oa layXu izek.k&i=ksa ds vuqlkj lR;kfir fd;k x;kA

    izkpk;Z@iz/kkuk/;kid dk uke gLrk{kj ,oa ineqnzk leidZ gsrq VsyhQksu@eksckbZy ua- izkpk;Z@iz/kuk/;kid

    ijh{kkFkhZ dk ikliksVZ vkdkj

    dk QksVks] dsUnzk/;{k }kjk vfHkizekf.kr

    fiudksM&

    fiudksM&

  • State Council of Educational Research and Training, Chhattisgarh, Raipur jk"Vh; lk/kulg&izkfo.; Nk=o`fkjk"Vh; lk/kulg&izkfo.; Nk=o`fkjk"Vh; lk/kulg&izkfo.; Nk=o`fkjk"Vh; lk/kulg&izkfo.; Nk=o`fk 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,)

    izosk&i=izosk&i=izosk&i=izosk&i= ijh{kkijh{kkijh{kkijh{kk frfFk&frfFk&frfFk&frfFk&08080808----11111111----2015201520152015

    dsUnzk/;{k }kjkvkcafVr jksyuEcjjksyuEcjjksyuEcjjksyuEcj :

    ijh{kkijh{kkijh{kkijh{kk dsUnzdkdsUnzdkdsUnzdkdsUnzdk ukeukeukeuke :

    ijh{kkFkhZijh{kkFkhZijh{kkFkhZijh{kkFkhZ dkdkdkdk ukeukeukeuke :

    ffffirkirkirkirk dkdkdkdk ukeukeukeuke :

    ekrkekrkekrkekrk dkdkdkdk ukeukeukeuke :

    fo|ky; fo|ky; fo|ky; fo|ky; dkdkdkdk ukeukeukeuke :

    gLrk{kj ,oagLrk{kj ,oagLrk{kj ,oagLrk{kj ,oa ineqnzkineqnzkineqnzkineqnzk dsUnzk/;{kdsUnzk/;{kdsUnzk/;{kdsUnzk/;{k

    funsZk %&funsZk %&funsZk %&funsZk %& 1111---- OMR mkj i=d dks eksM +sughaA 2222---- _.kkRed vadu (Negative Marking)ugha gSA 3333---- ijh{kk d{k esa izosk&izFke izu&i= izkr% 09%30 ,oa f}rh; izu&i= nksigj 12%00 ctsA 4444---- izFkeizFkeizFkeizFke izu&i=izu&i=izu&i=izu&i= %& ckSf)d ;ksX;rk ijh{k.k (MAT) izkr% 10%00 ls 11%30 ctsrdA

    f}rh; izu&i=f}rh; izu&i=f}rh; izu&i=f}rh; izu&i= %& 'kSf{kd ;ksX;rk ijh{k.k (SAT) ] le; nksigj 12%30 ls 02%00 ctsrdA 5555---- OMR mkj i=d esa lHkh izfof"V;k dkyk@uhyk MkWVisu ds }kjk Hkjk tk,A 6666---- OMR mkj i=d izFke izu&i= esa Hkk"kkcks/k ijh{k.k (LCT) % fgUnh vFkok vaxzsth esa ls fdlh ,d dks gh

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    o"kZ dsUnzdksM Lkjyekad 1 6

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