APPLICATION FORM PROFESSIONAL ADVANCEMENT TEST FOR TEACHERS WHO HAVE COMPLETED 10 YEARS SERVICE, MAY/JUNE/NOV./DEC.200. Note: 1. Before filling the Form the candidates should carefully read the instructions printed Overleaf and act accordingly. 2. Application should reach the concerned District Educational Officers on or before the last date prescribed for the payment of fees through proper channel. Register No. (to be filled in the office) 1. (a) Name of the candidate (in full) (in block letters) (b) Father's Name (c) Sex 2. Nationality Religion (Scheduled Caste/Scheduled Tribe) 3. Date of Birth 4. Centre at which candidate desires to be examined 5. Period of Service as Teacher S.G.B.T's, Higher Grade. (a) Period of Service as Gr.II with date of appointment (b) Period of service as Gr.I with date of appointment (c) If worked as Spl. Teacher specify name of the grade (d) Name of school where employed (e) Whether permanent or tempory (f) Highest General Educational and Professional Qualifications passed. 6. Examination fees, paid Challan No. ...............Date..........200.. Name of the Treasury (Challan to be enclosed) 7. Language Methods which the candidate desires to answer 7A. Medium of answering non-language subjects 7B. Previous Roll No., Month and Year 8. Postal address (in full) (in block letters.) (Two self addressed envelops of size "9"x4" should be enclosed). 9. Photograph and Identification Marks: 1. ....................... 2. ....................... PHOTO The particulars furnished in this application are correct to Passport size The best of my knowledge. (Bust) Photo should be Station........... Affixed here Date..........19 Signature of the Candidate. Station........... Signature of the Officer who has affixed and Date..........19 attested the Photograph. CERTIFICATE TO BE FURNISHED BY THE CONTROLLING AUTHORITY I hereby certify that I have verified the above entries, with reference to the records of this office and I am satisfied that they are correct. The candidate is eligible to appear for the examination. An attested photograph of the candidate is affixed on the application form and on the Hall Ticket-cum-Identification certificate form. Counter Signature of the D.E.O. Municipal Commisioner, District Educational Officer Zilla Panchayat Z.P./ District.......... District Educational Officer HALL TICKET PROFESSIONAL ADVANCEMENT TEST FOR TEACHERS WHO HAVE COMPLETED 10 YEARS OF SERVICE, APRIL / OCTOBER 200 , ANDHRA PRADESH. This is to certify that ........................ is a candidate for the above test to be held at ........................... (Centre) in April/October, 19 . His/Her Register Number is ..................... He/She should enter this number only and not name in the answer books. (By Order) office of the Commissioner for Government Examinations, Andhra Pradesh, Hyderabad. SECRETARY. Note: All entries excepting the register number should be filled up by the forwarding authority. INSTRUCTIONS TO CANDIDATES Signature of the Candidate .............. Certified that ..................is a Candidate for the above examination and his/her signature was PHOTO Passport size Taken in my presence. His/her date of birth is ...... (Bust) ......................... Photo should be ......................... Affixed here He/She is ................. Ft........... ....inches in height and bear the following clear marks of identification. 1. ....................... 2. ....................... Station......... Dated........... Signature of the Attesting(Executive) Authority with designation Counter Signature of the District Educational Officer................ District........................ Note: 1. The Photographs should be affixed and attested by the Executive Authority of the Local Bodies. 2. The attesting Officer's signature should be right across the photograph extending over the blank space also. INSTRUCTIONS TO CANDIDATES 1. Candidates should have their Hall Ticket-cum-Identification certificate ready with them for inspection by the Superintendent of the Examination Centre at any time during the Examination. 2. The Hall Ticket-cum-Identification certificate should be preserved by the candidates even after the examination until the results are announced and produce if demanded during this time. 3. A copy of the time-table and instructions issued therein should be scrupulously observed. 4. Candidates should carefully scrutinize the nominal rolls put up on the Board a day or two before the commencement of the examination and inform the Chief Superintendent immediately. If there is any mistake relating to name, register number as given in the hall ticket subjects offering, medium, etc. if they fail to report promptly to the Chief Superintendent any omissions or mistakes in the nominal roll, the entire responsibility rests with the candidates.
