~ ~~1 .. .~.!;1' :'aI"I;~} •..Z!- o •~.~- . 'J. ~~ Z ~ m~~ ..' ... 11 m·NOTIFICATION FOR APPLICATION FORMS FOR TET·2014In continuation of our Notification No. 673/BPE/201S, Date: 25-05-2015, read with the Corrigendum and AddendumNotification No. 686/BPEl201S dt 26-05-2015 all concerned are hereby notified that Application Forms for TET-2014to be held on 30-08-2015 from 02 p.m. to 03:30 p.m. throughout West Bengal, will be available on and from 29-06-2015 to 04-07-2015 from the following distribution centres on payment of Rs. 1001- (one hundred rupees) only andRs.25/- only for SC/ST/PH candidates in cash on production of valid original SC/ST/PH certificates. The filled-informs should be submitted to the same bank/distribution centre on and from 29-06-2015 to 04-07-2015.

ELIGIBILITY:A person who has passed the H.S. or its equivalent examination with 50% marks (45% for Reserved Categories) orhas been a graduate irrespective of the percentage of marks in such graduation examination from a recognizedUniversity in 2014 or before 25-05-2015 is only eligible as perthe aforesaid notification to get the form.A person wanting to receive forms shall have to show valid original Mark-sheet and Certificate in support ofhis/her requisite minimum Academic qualifications (H.S. and/or Graduation).

IMPORTANT NOTES:

· The TET-2012-candidates who have already confirmed their candidatures online in terms of our notification on26-02-2014 and hold the down loaded Acknowledgement Receipts along with the Original TET-2012 AdmitCard, must not apply again.

· The candidates who have deposited fees in 2014 in terms of our notification on 06-03-2014 and havedown loaded their Admit Cards in terms of our notification dated 12-06-2015, must not apply again.

· The TET-2012-candidates, holding Admit Cards and downloaded Acknowledgement Receipts will be able toupdate their respective categories, D.EI.Ed. Training-qualification etc. in the OMR-sheet in the examinationhalls. They need not apply now/anew.

· A candidate who will appear at the rET-2014 from any district, if qualified, will get a TET-pass certificate andshall be able to apply for appointment in any district of the state.The candidates who had applied in 2012 or 2014, their upper age will be reckoned as on 01-01-201212014 forappointment.

· The TET-2012-candidates who have lost their original Admit Cards/downloaded Acknowledgement Receiptsbut have photocopies of the same, are requested not to apply again. Regarding such candidates necessaryinstructions will be issued in due course.

· Admit Card page must be retained by the applicant after seal and signature of the Receiving Authority.

· Incomplete and duplicate applications shall be rejected.

District-wise List of UBI Bank Branches/DPSC Counters for Distribution of TET·2014Application-FormsDISTRICT WITH CODE DISTRIBUTION CENTRESDARJEELlNG (01) : UBI SILlGURI, UBI PRADHANNAGARJALPAIGURI (02) : UBI JALPAIGURI, UBI MAL BAZAR, UBI ALlPURDUAR + JALPAIGURI DISTRICT

PRIMARY SCHOOL COUNCIL (Noor Manjil, D.B.C.Road, P.O. & Dist. Jalpaiguri, Pin-735101)

COOCHBEHAR (03) : DISTRICT INSTITUTE OF EDUCATION & TRAINING (DIET) -- Railghumti,Coochbehar, Pin - 736101

UTTAR DINAJPUR (04) : UBI RAIGANJ, UBI ITAHAR,UBI ISLAMPUR, UBI DALKHOLADAKSHIN DINAJPUR (05) : UBI BALURGHAT, UBI GANGARAMPUR + DAKSHIN DINAJPUR DISTRICT

PRIMARY SCHOOL COUNCIL (Beltala Park, P.O. Balurghat, Dist. Dakshin Dinajpur,Pin -733103)

MALDA(06) : UBI CHANCHAL BRANCH + MALDA DISTRICT PRIMARY SCHOOL COUNCIL (AtulChandra Market, Mahesh Mati Road, P.O. & Dist. Malda, Pin - 732101 )

MURSHIDABAD (07) : UBI BERHAMPORE, UBI BELDANGA, UBI LALBAGH, UBI KANDI, UBIRAGHUNATHGANJ, UBI BARTANBAD + MURSHIDABAD DISTRICT PRIMARYSCHOOL COUNCIL (Panchanantala, P.O. Berhampore, Dist. Murshidabad, Pin -742101)

NADIA(08) : UBI KRISHNANAGAR, UBI RANAGHAT, UBI KARIMPUR, UBI KALYANINORTH 24 PARGANAS(09): UBI BONGAON, UBI BASHIRHAT, UBI BARRACKPORE, UBI HABRA, UBI RAHARA

(KHARDAH), UBI NAIHATI, UBI GORABAZAR, UBI NAZAT, UBI NIMTA, UBIKARUNAMOYEE (BIDHANNAGAR), UBI AMDANGA, UBI MADHYAM GRAM, UBITENTULlA, UBI GAIGHATA + NORTH 24 PARGANAS DISTRICT PRIMARYSCHOOL COUNCIL (97/97 A, K.N.C. Road, Barasat, Dist. North 24 Parganas, Pin -700124 )

KOLKATA(10) : KOLKATA PRIMARY SCHOOL COUNCIL (Siksha Bhavan, 27A, Bosepukur Road, 5"Floor, Kolkata - 700042)

SOUTH 24 PARGANAS (11) : UBI BARUIPUR RAIL GATE, UBI NAMKHANA, UBI KAKDWIP, UBI BUDGE BUDGE,UBI DIAMOND HARBOUR, UBI CANNING, UBI BEHALA

HOWRAH(12) : UBI ULUBERIA, UBI HOWRAHHOOGHLY (13) : UBI ARAMBAGH, UBI SINGUR, UBI SERAMPORE, UBI CHINSURAH, UBI

CHANDANNAGARPURBAMIDNAPUR (14) : UBI EGRA, UBI CHAITANYAPUR, UBI MARISHDAH, UBI SALGACHHIAPASCHIMMIDNAPUR (15): UBI GHATAL TOWN, UBI MEDINIPUR SCHOOL BAZAR, UBI KHARAGPUR

PURATAN BAZAR, UBI JHARGRAM TOWNBANKURA (16) : BANKURA DISTRICT PRIMARY SCHOOL COUNCIL (Bidya Bhavan, Court

Compound, P.O. & Dist. Bankura, Pin - 7221 01)

PURULlA(17) : PURULlA DISTRICT PRIMARY SCHOOL COUNCIL (Hill View Ground, Amdiha, P.O.Dulmi Nadiha. Dist. Purulia, Pin- 723102)

BURDWAN(18) : BURDWAN DISTRICT PRIMARY SCHOOL COUNCIL (Netaji Bhaban, KachhariRoad, Burdwan)

BIRBHUM (19) : UBI SURI, UBI BHUBAN DANGA, UBI NISCHINTAPUR

Sdl-Date: 26,06,2015 (Dr. R. C. Bagchi)

Secretary

• West Bengal Board of Primary EducationAcha,)'. PrafuU. Cbandra Bh.van, OK ·7/1, Sector-If. SaH L.b City. KoIluta -700 09J

DARJEELlNG

I 01 X X X X )( X XApplication Form NoJ

Roll No.L- _

Application Form for Teacher Eligibility Test ( TET), 2014 (for classes I to V)

• Please rt!lld the instructions ('Qrefully before filling up Ihi,\'Applicar;on Form and Ih~ Admit Cards.• UG~Black BaIl Point pen only. • For ct)d~., referto the Ccuk USIl' In fhi, Form.• Do not fold this Form. M uti/ated and daMaged FOrM will be treated as calted/ed.• All columns should be filled lip wiJ" only BLOCK LETTERS excluding Ihesign4lures andSL No. 16.• To ~filled up by Ihe cDmlidale wuf must be submitted Onl)'IO 'he respective bllnk branch from where this Application Form

was purchased.

ToThe SecretaryWest Bengal Board of Primary Education

I. District Code CodeLiSlA

2. Medium of Instruction opted Code List B

3. Gender Code Code List C

4.

5. Name(as per school leaving certificate, leave one box vacant in between two words)

•6. Date of birth (as per school

leaving certificate) o D M M Y Y Y Y[ .. ~i~~re of the candidate _

7. Category 1 . Code List D 8. Category 2 Code List E

9. Name of Father/Mother (as per school leaving certificate, leave one box vacant in between two words)

10.

(10

_ •• ,·lmHaBlock

Post Office

Police Station ~.III la 111111,.1111111:.District

State

Pin Code

•

•West Bengal Board of Primary Education

Acharya Prafulla Chaodra Bbavan, OK· :/1. Scctce -Il, Seh Lake City, Kolkata - 700 091

TEACHER ELIGIBILITY TE~J (TET). 2014 (for classes I to V)

DARJEELINGADMIT CARD

ORIGINALTo b. retained by the candidate

(To be filled in BLOCK LETTERS by the candidate)

Name of the Candidate : ..AY.~J.I..1 €>A.Nt.K .rather",! Husband's Name: ..H.t.!.,AN.JI'I.N.... ~.~N ..s;:~..Address :l~;>,.A~I:H~K~~.~wJt~, ~.~S;f~ ~1:1,.. ~ .!-f.1I ~.~K)...~,t:~T-:-.P.A~f!.El,';r:t:4~.)..r~.4~.~~

1. District Code 0 1. ~.Medium of Insrruction opted 2. .1J. Gender Code.2 1. 7. Category I 4! 8. Category 2

Examination dare, Examination time and {heExamination venue will be notified in Newspaperadvertisement in d~le course.

/Q.. /3+SecretaryL- ~ _

West Bengal Board of Primary EducationAcharya Prafulla Chandra Bbavan. DK· 7fL. Sector-H. S,,11Laic" Ctty, Kolkata ···700091

TEACHER ELJGIBILlTY TEST (TET), 2014 (for classes I to V)

ADMIT CARDDUPLICATE

To be submitted at rh: ExaminationHall

DARJEEUNG

01 x x X X X X X

(To be filled in BLOCK LETTERS by the candidate),---------------~------------. Av.tJr. T.(?)A"'~Kfothcr\ j Husband's Name : . ..H!LANJ,AN 0."'.K+l( ..

. 1.'1s..ANH~'5.I ~~J. P.O·~S~.~,~PK~PIi~t4.loC~.G~R,!J)~$T:-. t:>~.r{O.E:E:~!.. :c.3~~~

I. District Code C.i 2. Medium of Instruction opted 2 i3. Gender C"tl<'.1> 3.. 7. Category I 1t1. R. Category 2

·Ex-~·mitl~~·i~~~·dale·~·E~~·minntion time and the IExamination venue will be notified in Newspaperadvertise men I in due course.

I

vame ofthe Candidate

Address

/Q.. /3+Secretary ----------~----~

•

•

INSTRUCTIONS TO THE CANDIDATES

1. Appearing at the TET or passing out the TET does not establish any nghtwith the candidate for appo+ntment.

2. :p~~~t~e W~~i.SAdmit Card with hislher photograph along with the full s.gnature in the specified space IS eligible to

3. A candidate she' be allowed to take the seal in the examination hall fifteen minutes before the commencement or theexaminatton.

4. A candidate sha. 511at the centre assigned to him/her and shall abtde by the order 01 the orrcer-m-cnerce regarding the seatingarrangements.

5. The eQmination ot a candidate is liable to be cancelled, if he/she sits at a centre other than the one assigned to him/her orrefuses to abide by the instructions of the Officer-in-Charge regarding seating arrangements for candidates.

6. Acandidate shall nolbe allowed to leave the examination hall before the expiry of the duration of the examination.7. A candidate shall not be permitted to possess books. written notes. pager, mobtle phones. scientifIC calculator. dlQr1af diary or

any type of scribbting in the examination hall during the examination period.

8. ~=~:~~~~~~otdh~~~~: ~~~~:vx::~:~: ~et~~cr,g;r~i~6~~g: ~'tA~~~::c~~a~~~:~~~~r;entK>ned in9. Acandtdate shall be held guitty of misconduct Of malpractice. if

(a) helshe is found 10 be in possession Wlside the examination hall, after the commencement of the examination. of books,written notes. pager, mobfe phones. scientific calculators with memory, digital diary or any type of scribbling that may have abearing on the subject in which a candidate is appearing irrespective of whether such artide(s), haslhave been used Of not;

(b) he I she helps by writing answers on another candidate's answer script or allows another candidate 10 write answers inhis/her own answer script or he/she helps in any manner or tries to obtain any help in any manner from any other candidateor any other person;

(c) he/she ccmmqoicates with another candidate or any other person whether inside or outside the examination hall for helpinghim / her in answering questions;

(d) indecorous writings or indecorous drawings or political sk>gans are found In hislher answer script:(e) he/she leaves the examination hall without submitting the OMR answer script and the question booklet to the Invigilator of

the room or any other authorized person;CO he/she leaves the examination hall with the answer script or carries from the examination ha/lttle question booklet during the

hours of examination or qoes out of examination hall with any of the above noted items after the examination is over;(9) he / She allows himself IherselflQ be impersonated in the examination hall:(h) he/ she falsely writes his/her name. ran and number in his/her answer script;(i) he I she leaves the examination hall without recording his/her attendance on the anendance roll;m he / she encloses currency note with an answer script with the intention of offering illegal gratification to an examiner, or offer

~Iegal gratification to the invigilator or other persons connected with the examinallon;(k) he / she indulges in any kind of misbehaVIOur, misdemeanour and unruly behaviour. such as, intimidation or assault of an

invigilator or any other person connected with the examination, either inside or outside the examination hall. and(I) he/she refuses to comply with orders of the Officer.in--Charge regarding seating arrangements or other matters In the

examination hall.

CODE LIST - A. for Districts CODE LIST - D, for Medium of Instruction --DARJEEL!NG 01 BENGAL! 21JALPAIGURI 02 HINDI 22COOCHBEHAR 03 ORIYA 23UTTAR DINAJPUR 04 TELUr,U 24DAKSHIN DINAJPUR 05 NEPAL! 25MALDA 06 URDU 26

--MuRSfODABAO- 07 SANTHALI 27NADIA 08 CODE UST - C, for GenderNORTH 24-PARGANAS 09

---MALE 31KOLKATA 10 FEMALE 32SOUTH 24-PARGANAS 11 CODE LIST - D. for C••• gory IHOWRAH ; 12 GENERAL 41HOOGHLY , 13 SC 42PURBA MEDINI?UR 14 ST 4JPASCHIM MEDINIPUR 15 OBC·'" 44BANKURA 16 OBC·8 4'PURL!lIA 17 PHYSICALLY CHALLENGED 468URDWAN 18 CODE LIST - E. for Category 281R8HUM 19 EX·SERVICEMAN 47

EXEMPTED CATEGORY 48PARA TEACHERS AND OTHERS I 4Q

Particulars of the candidate fro be filled In bv the caudidare)

Name of the candidate:

Address :

Slgruuun: oflhc Receiving om c-cr I4lth SC<l1 and dale

11. Passed Higher Secondary Examination or its equivalent Examination in the year 2014 or before but not in 2015and Graduation passed before 25.05.2015.

12. Details regarding the academic qualification of the candidate:

Examination Year of BoardlUnive"ily Medium 01 Subjects studied Full Marks Marks %01passed passing learning obtained Marks

as permal1tshe,t

M'*DI-IYIIMI 2.0 cq w. €O.tJ.S. E C!>Et-J eeti'c., ENQ, M,ltTH, g C>(I SflS ~I~P~~"':;SHA 141!>T. <OEb. LSe. PHe..

~.G- .2f)0'I '(!. e.e. .u.s. ~EN eNG,.,. EH(j~ EII(!I~', 500 .9£!i 6stGE4R. POL!..~),A.(H) ~O12 CttfuR,!lot /f«TA 6EN/j'(Ll ~N66, E/)~6.I-I!'S~, I~S() bt5 50/.II~OV. f!>fl/GM. ew4(, Ef(VS.

13. Whether D. El. Ed. trained or nOI : Yes ~J:No :.J:t:Tick (,r) the appropriate box

14. Name of the Authenticating Officer (in blockletters) Authentication of all documents must bedone by the Hcad of the Recognised CovtJGovt.aided/Govt. Sponsored Colleges and Secondary!Higher Secondary Schools or a Govt. Officer ofequivalent Cadre! Principal of College.

15. Designation of the Authenticating Authority

16. Certified that the information given under itemNos. 4, 5, 6, 7. 8, 9, 10. 11, 12 and 13 are true to thbest of my knowledge and belief.

Signature of the Authenticating Authoritywilhseal and dale

~~~~Signa~j~dat~~TongueSignature of the candid~te in English

17. Declaration: I do hereby declare that I have carefully read the instructions and 1 have decided to appearat Teacher Eligibility Test, 20 14 in this district and that all the statements made and infonnation providedin this Application Form are true and correct. In the event of any of the information/statement beingfound to be false or incorrect or any ineligibility being detected before or after the issue of Certificate ismade, my candidature is liable to be cancelled and appropriate legal action be initiated against me eitherby the Board orby the Government of West Bengal or by both.

Date:!'I! eW20 ISParticulars of the candidate (10 be filled in by the candidate)

~Vl"itt~Signatu~of the candi~ in full

Signature ofthe Issuing Officer with seal and dale

Name of the candidate: _

Ad~~s: _

1'1.8.: This fi/~d."p AppliCllthm Form is ICI be submirttd to Ih, issuing Authon'ry "'hich ••..if! aclutowIH~~th~ recdpt of it inthe SPQC~provided.

• Form Pricei- Rs. 100/· (Rs.251· for SC. ST and PH)