Form E SESE (Math)
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REGISTRATION FORM Reg. No. Government of the Punjab To be Filled by NTS NTS School Education Department Picture 1 Paste your Recruitment Test for Senior Elementary School Educator recent (Mathematics) (BPS-14) E passport size color photograph (Academic Qualification: At least 2nd Division) B.Sc with at least two subjects out of Math-A, Math-B, Math, Physics, Computer and Chemistry with gum OR B.Sc in Engineering OR M.Sc in Math or Physics Professional Qualification: B.Ed / M.Ed / M.A (Edu) (At least 2nd Division) OR MSED / BSED with Math and Physics Age Limit: 20-30 Years Eligibility Criteria: All fields in the form should be filled properly otherwise your form will be rejected. A. Have you deposited NTS registration Fee of Rs. 475? Yes No B. Is your Age according to the desired Post at the date of 26-01-2015? Yes No C. Is your Qualification according to the required post? Yes No D. Are you Domiciled in Punjab? Yes No If your reply is “Yes” to A, B, C & D above, only then please proceed further. Otherwise you are not eligible to apply. 1. District of Domicile: Fill Only One Desired Box for Domicile District (Mandatory) For test candidate will appear only in their Domicile District. Division Domicile District 1. Bahawalpur Division 1. Bahawalnagar 2. Rahim Yar Khan 3. Bahawalpur 2. Dera Ghazi Khan Division 1. Dera Ghazi Khan 2. Layyah 3. Muzaffargarh 4. Rajanpur 3. Faisalabad Division 1. Chiniot 2. Faisalabad 3. Jhang 4. Toba Tek Singh 1. Gujranwala 2. Sialkot 3. Hafizabad 4. Mandi Bahauddin 4. Gujranwala Division 5. Narowal 6. Gujrat 5. Lahore Division 1. Kasur 2. Lahore 3. Nankana Sahib 4. Sheikhupura 6. Multan Division 1. Khanewal 2. Lodhran 3. Multan 4. Vehari 7. Rawalpindi Division 1. Attock 2. Chakwal 3. Jhelum 4. Rawalpindi 8. Sahiwal Division 1. Okara 2. Pakpattan 3. Sahiwal 9. Sargodha Division 1. Bhakkar 2. Khushab 3. Mianwali 4. Sargodha Personal Information: Use CAPITAL letters and leave spaces between words. 2. Name in Full: 3. Father’s Name: 4. Candidate CNIC# : 5. Gender: Male Female Write your own CNIC No. Or B Form No. D D M M Y Y Y Y 6. Date of Birth: Write your Correct Date of Birth mentioned on your CNIC 1 9 otherwise you will be rejected 7. Postal Address: (All correspondence will be made on this address though courier service or ordinary postal service) Postal City City: District: 8. Phone No: (OFF) (RES.) (Mobile) (City Code - Phone No) Mandatory Page 01 E 9. Email: 10. Marital Status: Married Unmarried 11. Husband’s Name: 12. Husband Employment District: 13. Husband Domicile District: Only for Married Female candidate. (Only Punjab District) Only for Married Female candidate. (Only Punjab District) Please write from List for District of Domicile (Punjab) available at page 03 Please write from List for District of Domicile (Punjab) available at page 03 14. Are you a Government Servant? Yes No 15. Do you belong to Minorities? Yes No In case of Government Servant attach NOC 16. Are you a disabled person? Yes No If yes, nature of disability: 17. Academic Information: Note: 1. NTS will not issue Roll No Slips to those who have not filled in their academic record properly. 2. Candidate Having 3rd Division in Bachelor 14 years or Master 16 years are not eligible 3. Must mark your division other wise you will be rejected. 4. NTS will not issue Roll No Slips to those who have not given their academic record accordingly . 5. Result awaiting candidates are not eligible. Certificate / Year Degree Title Major Subject Board / University Degree Name Passing Division 1st Divsion Matric 2nd Divsion (10 Years) 3rd Divsion 1st Divsion Intermediate 2nd Divsion (12 Years) 3rd Divsion B.Sc Mark at least 2 subjects 1st Divsion Bachelor Math-A Math-B Math 2nd Divsion (14 Years) BSED Physics Computer Chemistry 3rd Divsion B.Sc / BS (Hons) 1st Divsion Bachelor / Mark Only One 2nd Divsion Master M.Sc Maths Physics Engineering (16 Years) MSED 3rd Divsion 1st Divsion Others 2nd Divsion 3rd Divsion 18. Professional Qualification: Year Certificate / Degree Name Board / University Passing Division 1st Divsion B.Ed 2nd Divsion 3rd Divsion 1st Divsion M.Ed 2nd Divsion 3rd Divsion 1st Divsion M.A Education 2nd Divsion 3rd Divsion 19. Bank Online Deposit of Rs: 475/- from Designated Bank Branches. Bank Code Deposit Date *Note: Application Form will not be entertained without Original Deposit Slip (NTS Copy) Page 02 E Undertaking By The Applicant: I_____________________________ d/s/w of _________________________do Picture 2 hereby solemnly affirm that I have read and understood the conditions for appearing in the NTS Test and that I have filled the form as per instructions given above and in the event any Affix your information contained herein is found to be untrue at any level, I shall be liable to recent disciplinary action which may result in cancellation of my candidature. passport size color photograph with Stapler Date: ________________ Signature of the Candidate__________________ Check List Provide the following documents other wise Application Form will not be entertained Attested Copy of CNIC 2 Passport size color photograph to be attached in the picture box area on page (1 & 3) Original Bank Deposit Slip (NTS Copy) Ø By Hand submission of Application Form is not allowed. Ø Mobile Phones are not allowed in Test Center premises. Ø Last date for application submission is Monday, 17th November 2014. Ø Application should reach NTS office latest by last date of submission of Application Form. Ø NTS will not be responsible for late receiving of application through courier / Pakistan Post etc. Ø Applications received on Tuesday, 18th November 2014 will not be entertained by NTS. Please Send Application Forms to: Help line: Manager Operations UAN. +92-51-844-444-1 National Testing Service Website: www.nts.org.pk 1-E, Street No. 46, I-8/2, Islamabad. List for District of Domicile (Punjab): District District District District Attock Gujrat Lodhran Rahim Yar Khan Bahawalnagar Hafizabad Mandi Bahauddin Rajanpur Bahawalpur Jhang Mianwali Rawalpindi Bhakkar Jhelum Multan Sahiwal Chakwal Kasur Muzaffargarh Sargodha Chiniot Khanewal Nankana Sahib Sheikhupura Dera Ghazi Khan Khushab Narowal Sialkot Faisalabad Lahore Okara Toba Tek Singh Gujranwala Layyah Pakpattan Vehari Page 03 E National Testing Service-Pakistan National Testing Service-Pakistan Building Standards in Educational and Professional Testing Building Standards in Educational and Professional Testing Branch Code: Date: Branch Code: Date: Branch Name: Branch Name: O N L I N E D E P O S I T S L I P (* Please deposit fee in only one bank & tick the relevant bank) Allied Bank Limited Muslim Commercial Bank Allied Bank Limited Muslim Commercial Bank (Formely: Allied Bank of Pakistan Limited) (Formely: Allied Bank of Pakistan Limited) Remote Remote Remote Remote Branch: I-8 Markaz Branch Islamabad (0140947) Branch: I-8 Markaz Branch, Islamabad (1501) Branch: I-8 Markaz Branch Islamabad (0140947) Branch: I-8 Markaz Branch, Islamabad (1501) A/C NTS-Pakistan-Collection A/C 0010008325640018 A/C A/C A/C NTS-Pakistan-Collection A/C 0010008325640018 A/C A/C Title: No. Title: NTS-Collection No. 0041749181000999 Title: No. Title: NTS-Collection No. 0041749181000999 Note: Bank Service Charges Free of Cost Note: Bank Service Charges Free of Cost Note: Bank Service Charges Free of Cost Note: Bank Service Charges Free of Cost LTD LTD THE POWER TO LEAD THE POWER TO LEAD Remote Cantt Br Kashmir Road Rawalpindi (0041) Remote H9 Shalimar Recording Co ISB (1742) Remote Cantt Br Kashmir Road Rawalpindi (0041) Remote H9 Shalimar Recording Co ISB (1742) Branch: Branch: Branch: Branch: A/C A/C A/C A/C A/C A/C A/C A/C Title: NTS- Pakistan No. 217767828 Title: NTS-Collection No. 1742-79002786-03 Title: NTS- Pakistan No. 217767828 Title: NTS-Collection No. 1742-79002786-03 Note: Bank Service Charges Free of Cost Note: Bank Service Charges Free of Cost Note: Bank Service Charges Free of Cost Note: Bank Service Charges Free of Cost *Note: Desired Bank Stamp is required on the Deposit Slip & Send Original *Note: Deposit Slip (NTS Copy) along Application Form to NTS Office 1. Please Stamp both copies of deposit Slip. a 2. The Bank Must Return “NTS Copy” to the Candidate. Application Form will not be entertained without Original Deposit Slip (NTS Copy) 3. Deposit Slip will not accepted without Candidate CNIC/ B Form No. Applicant’s Applicant’s Name: Name: Father Father Name: Name: CNIC No/ CNIC No/ B Form No: B Form No: Amount in Four Hundred & Seventy Five Rupees Only Amount in Amount 475/- Amount 475/- Four Hundred & Seventy Five Rupees Only Rs: word: Rs. Non Refundable/ Non Transferable Rs: word: Rs. Non Refundable/ Non Transferable Applicant Signature Cashier Officer Applicant Signature Cashier Officer (School Education Department 17-11-2014) E (School Education Department 17-11-2014) E.