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APPLICATION FORM (ANDHRA PRADESH)
STATE LEVEL NATIONAL TALENT SEARCH EXAMINATION – 2015
(For the students studying in Class – X)
Read the instructions carefully given on the next page before filling the application form.
You may take the help from your teacher/parent for filling up application form.

Date of Examination :02-11-2014(10.00AM to 01.00 PM)

Fee should be paid through CHLLAN ONLY (DDs are not acceptable)
Application No,
Amount
Challan Number & Date
if any
Space for the
Photograph
(Passport size)
The Photograph
should be endorsed
by the Head of the
Institution
Rs.100/-
State Level 12 digit Roll Number (To be filled by the DEO Office)
X th
Class Code
State Code
Year
Dist Code
Centre Code
2
4
0
1
Sl.No.
Class
5
Date of Birth of Candidate
10
1. Name of the candidate (Do not write Miss/Master)
Date
Month
Year
2. Father’s Name (Do not write Mr./Dr./Prof.)
3.Mother’s Name (Do not write Mrs./Dr./Prof.)
4.
Gender
1
Male
5.Area of candidate resides
2
Female
1
Rural
6.Caste category of candidate
2
Urban
1
General
2
SC
7. Disability Status of Candidate
2
3
4
3
ST
1
Ortho
Hearing
Blind
None
(Please enclose a copy of the relevant reservation certificate in support of information at Sr. No.6 & 7)
8. Postal address for correspondence (Do not write father’s or your name)
Pin Code
9. Name and address of the institution in which studying at Class X
Pin Code
10. Type of the institution in which studying Class X (see definition overleaf*)
Local
Private
Private
1
Govt
2
3
4
Body
Aided
Unaided
11.Area in which the school is located
1
Rural
12. Medium of examination
(a) at the State Level
(b) at the NCERT
Level
13.Father’s
education
15. Mother’s education
16.Mother’s occupation
18. Number of brothers
19. Number of sisters
17.No.of family members living in the
house
20. At what number is the candidate
among his/her brother and sister
2
Urban
14.Father’s
occupation
* 21. Language for Language Comprehensive Test at the State Level
22. Parental annual income
1
Up to 50,000
2
3
50,001 to 1,00,000
1,00,001 to 2,00,000
4
23.Telephone/
Mobile
5
2,00,001 to 5,00,000 More than 5,00,000
24. E-Mail address
STD Code
Phone
Hall Ticket Number
Month
Year
25.If the candidate already enjoying scholarship of NMMS/NTS,
mention Roll No. and Month & Year of test .
To be filled in by the Head of the Institution
Certified that:
(1) Master / Miss.............................................is a regular student of this School/Institution and he/she has secured……..….% marks in the
class IX Annual examinations i.e., when he/she was promoted from Class IX to class X. He/She has secured …...........Marks out of 600.
(2) The particulars given by him/her in the application form have been verified and found in order.
(3) Master / Miss.........................................belongs to Scheduled Caste/Scheduled Tribe category as per the records maintained in the
Institution. (caste/disability certificate may be enclosed along with application form in respect of SC/ST and disability candidates)
Signature of the candidate
Date
Signature of the Head of the Institution With Seal
(See Instructions given on next page)
Coding Plan
Read Instructions carefully before filling up the Application Form
Use only Blue or Black Ball Point Pen. WRITE IN CAPITAL LETTERS. Do not mark or write outside the boxes.
Leave one box blank between two words. Limit your name and / or address within the space provided for it. Please see example as
given below.
Cross (X) only one of the appropriate boxes in item nos. 4,5,6,7,10,11 and 22.
Please write code number in item nos. 12,13,14,15,16 and 21 as given below.
It is the responsibility of the candidate and the H.M of the school to submit the filled in Application with the concerned District
Educational officer before the last date. No request for condoning delay in submission of application will be entertained whether it
is due to the fault of the candidate or the Headmaster / Principal of his/ her institution.
Incomplete or defective applications are liable for rejection.
The students who have selected for NMMS scholarship and studying X class now may also eligible to appear for NTSE
Examination. But such candidates have to forego the further NMMS scholarship, if he/she are selected in NTS Examination.
Candidates belongs to SC/ST/PH should enclose Caste/Disability certificate along with the application form invariably.
Candidates should opt any one language from TELUGU, URDU and ENGLISH for Language Comprehensive Test.
1.
2.
3.
4.
5.
6.
7.
8.
9.
Example for writing Name and Address
Father’s Name (Do not write Mr./Dr./Prof.)
B
L
A
Z
A
R
U
S
. Postal address for correspondence (Do not try to write complete address in one line. Break it appropriately as shown below)
9
5
9
0
D
E
V
U
N
I
T
H
O
T
R
O
A
N
Y
D
P
H
E
R
T
A
N
P
R
A
A
R
D
Medium of Examination
(Refer to item 12)
Medium of Examination
English
Hindi
Telugu
Urdu
E
S
A
S
H
P
U
R
W
.
A
G
.
Pin Code
D
5
3
T
4
2
7
Education of Father or Mother
(Refer to item Nos.13 & 15)
Code
Education
No formal education
Upto Primary
Upper Primary
Secondary
Senior Secondary
Graduation
*Language Comprehensive Test
Post Graduation
(Refer to Item 21)
Doctoral
Telugu
1
Professional degree (Engineering Medicine,
MCA, MBA, etc.)
Urdu
2
English
3
Any other
Father’s / Mother’s Occupation
(Refer to item Nos. 14 & 16)
Occupation
Professional, Technical and Related Worker
Administrative, Executive and Managerial Worker
Clerical and Related Worker
Sales / Service Worker
Farmer, Fisherman and Related Worker
Production and Related Worker, Transport
Operators and Labour Worker not classified by the above occupations
Not employed
Code
13
15
22
23
01
02
03
04
05
06
07
08
09
10
Code
1
2
3
4
5
6
7
8
*TYPE OF SCHOOL / INSTITUTION (refer item No.10)
GOVERNMENT:
A Government School is that which is run by the State Government or Central Government or Public sector
Undertaking or an Autonomous Organization completely financed by the Government.
A Local Body School is that which is run by Panchayati Raj and local body institutions such as Zilla Parishad,
Municipal Corporation, Municipalities, Notified Area Committee and Cantonment Board.
A private Aided School is that which is run by an individual or a private organization and receives grant from
the Government.
Private Unaided School is that which is managed by an individual or a private organization and does not
receive any grant from Government.
LOCAL BODY:
PRIVATE AIDED:
PRIVATE UNAIDED:
Instructions to Candidates / Principal of school
before filling up the Application Form for
State Level National Talent Search Examination
1.
2.
3.
4.
5.
The candidate / Principal of the school must confirm the last date for submission of Application Form from the state liaison officer
and Application(s) must be submitted before the last date to the concerned District Educational Officer.
The candidate / Principal shall get confirmed the name of examination centre from the DISTRICT EDUCATIONAL OFFICER.
Last Date for remittance of examination fee by the candidates / Head Master or Head Mistress: 01-09-2014.
Incomplete/ wrongly filled-in application is liable for rejection.
The candidate/principal shall submit the filled-in application along with the examination fee of Rs.100/- in the form of
CHALLAN to the following Head of Account: (No Demand Drafts are acceptable)
0202
01
102
06
800
Education, Sports and Culture
General Education
Secondary Education
Director of Government Examination
User Charges
5
GOVERNMENT OF ANDHRA PRADESH
STATE LEVEL NATIONAL TALENT SEARCH EXAMINATION - 2015
(For the Students Studying in Class X)
ADMISSION CARD
To be filled by the candidate only
Master / Miss__________________________________________
S/o D/o Sri.____________________________________________
of (School)_____________________________________________
of (District )____________________________________________
is permitted to appear for the said examination.
Passport size
photograph
attested by the
Head of the
School to be
affixed
(School Seal)
She / He is allotted with the following 12 digit Roll Number:
(to be filled by the O/o The District Educational Officer)
Class
2
State Code
4
0
Year
1
5
Dist Code
Centre Code
Sl. No.
Date of Examination: 02-11-2014 (10:00 AM to 1:00 PM)
Venue of Examination centre
______________________________________
Signature of the Head of the School
With office seal
______________________________________
______________________________________
______________________________________
Scrutinized by
(Office Staff)
Signature of the Invigilator
at the Examination Centre
Signature of District Educational
with Office Seal
Signature of the Candidate
in the Presence of Invigilator
Officer
INSTRUCTIONS TO THE CANDIDATE
1.
Candidate belonging to SC/ST/PH categories should enclose a copy of the Caste/Disability
certificate along with the application form, Otherwise they will be treated as GENERAL category.
2.
Make sure that the Admit Card is not detached from the filled in application. Candidate can collect
the Admit Card from the District Educational Officer’s office concerned at least one week before
the examination.
3.
Reach the Examination Centre at least half- an- hour before the commencement of the examination;
and occupy the seat which is allotted to your Roll Number.
4.
DO NOT take calculator, Mathematical & Physical table, cell phones or any other kind of ready
reckoner to the examination hall.
5.
The examination will be conducted between 10:00 AM and 1.00 PM on first Sunday in November
i.e., 02-11-2014.
6.
You have to take the examination as follows:
(i) Mental Ability Test (MAT) consisting of 50 compulsory questions for 50 marks.
(ii) Language Comprehensive Test consisting of 40 compulsory questions for 40 marks. This test
will be qualifying in nature and marks will not be added for deciding final merit list of the
candidate.
(iii) Aptitude Test consisting of 90 compulsory questions for 90 marks from eight subjects (History,
Geography, Political Science, Economics, Physics, Chemistry, Biology and Mathematics).
7.
Each question carries 1 (one) mark.
8.
Write your Roll Number, as given in the Admit Card, on the OMR Answer Sheet and on the cover
page of the Question Booklet in the space provided.
9.
DO NOT write your name in any part of the Question Booklet or the OMR Answer Sheet.
10.
All questions in the booklets are objective type. For each question FOUR or FIVE possible
answers are given but only one is correct. Your task is to find out the correct answer and mark your
choice in the OMR Answer Sheet.
11.
Please follow the instructions given on the OMR while shading the answers in the OMR answer
sheet.
12.
During the Examination follow the instructions of the Invigilator strictly.
13.
Handover your OMR answer sheet to the Invigilator before you leave the Examination Hall. You
shall retain your Admission card for your future reference.
14.
Postal Address
__________________________________________
__________________________________________
__________________________________________
__________________________________________
__________________________________________
Pin:________________