1. Candidates Particulars Application No 1.a 1415832 : : MANOHAR PATTAR 1.b Candidate Name : Mothers Name 1.c AMBAVVA : SANKAPPA Fathers Name/ Husbands Name 1.d 1.f Gender : 01 Jun 1983 1.e Date of Birth : MALE 2A Unique Aadhar No : 1.g Category : N/A 1.h 2. If Differently Abled : No 2.a1 Blindness/Low Vision : No 2.a If differently abled : No 2.a3 Loco Motor disability : No 2.a2 Hearing Impairment : No 2.b Is Assitance Required ( Scribe ) 3. Educational Details : 2001 3.b1Year of Passing : YES 3.b II PUC/Equivalent : 62.16 3.b3Percentage of Marks : 348682 3.b2Registration No YES : : 3.c Graduation 2007 Year of Passing 3.c1 163963 : : 3.c2 Registration No 52.09 Percentage of Marks 3.c3 3.c Qualifying Exam Pincode College / Institution / University Qualifying Exam Passed or Appearing For the Final Exam Year of Pass / Year of Admission Status % Merit Reg.No 1 Year Bachelor in Education(B.Ed) INDIRA GANDHI NATIONAL OPEN UNIVERSITY NEW DELHI 110068 2011 100991119 72.00 Passed 4. Eligibility test Details Applying For 4.b Paper II : Exam District 4.a Bagalkot : 4.d1 English Language II Kannada Language I : : Option for Paper II : 4.d3 4.d2 4.d PaperII ( Class VI VIII) SS - Social Science Question Paper Medium : 4.d4 Kannada 5. Employment Status : Employed As Teacher 5.a Employee Status 6. Candidates Mailing Address : MANOHAR.PATTAR , MANOHAR S PATTAR AT/POST ;CHIKK-SHELLIKERI TQ/DIST; BAGALKOT 587204 6.a Name and Postal Address : 6.c City / Town / Village CHIKKSHELLIKERI CHIKKSHELLIKERI 6.b Locality / Mohalla : State 6.e Karnataka : District 6.d BAGALKOT : : 6.g Mobile No 7259676828 587204 6.f Pincode : : santosha.goudar@gmail.com Email ID 6.i 7. Applied for Primary School Teachers Recruitment During the Year 2013-14 : N/A 7.a1 No Of Applications N/A N/A Reg.No : 7.a2 : 7.a3 Applied Dist 7.c Bank Name N/A Savings Bank A/C Details : N/A : 7.b 7.e Branch Name N/A IFSC Code : N/A : 7.d DECLARATION: I here by declare that all the contents entered in this application are true, complete and correct to the best of my knowledge and belief. 07-May-2014 07:36:16 PM Date : 117.221.37.60 : IP Candidate's Signature