Notification & Application of Odisha NTSE STage I 2019-20

NTS/NMMS EXAMINATION 2019-20

Last Date for online filling up of Application Forms by candidates and submission of hard copies in schools is 25.08.2019
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NMMS/NTS EXAMINATION, 2019-20
* marked fields are mandatory
SELECT EXAMINATION FOR *	-Select-  NATIONAL MEANS-CUM-MERIT SCHOLARSHIP EXAMINATION (NMMS)  STATE LEVEL NATIONAL TALENT SEARCH EXAMINATION (NTS)

1. Name of the Candidate * 2. Name of the Father * 3. Name of the Mother * 4. Gender * Male Female 5. Date of Birth *   DD  01  02  03  04  05  06  07  08  09  10  11  12  13  14  15  16  17  18  19  20  21  22  23  24  25  26  27  28  29  30  31     MON  01  02  03  04  05  06  07  08  09  10  11  12     YYYY  1993  1994  1995  1996  1997  1998  1999  2000  2001  2002  2003  2004  2005  2006  2007  2008  2009  2010  2011  2012  2013  6. Area in which candidate Resides *   -Select-  1-Rural  2-Urban  7. Caste Category *   -Select-  General  SC  ST  OBC  EWS  8. Disability Status of the Candidate *   -Select-  01-Blindness and low vision(BLV)  02-Deaf and hard of hearing (DH)  03-Locomotor disability including cerebral palsy, leprosy cured. dwarfism, acid attack victims and muscular dystrophy(lLD).  04-Autism, intellectual disability, specific learing disability and mental illness(AID)  05-Multiple disabilities from amongst persons under clauses (01) to (04) including deaf-blingnness in the posts identified for each disabilities  06-none

9 Postal Address for Correspondence

A. At * B. PO * C. District *   -Select-  ANGUL  BALASORE  BARAGARH  BHADRAK  BOLANGIR  BOUDH  CUTTACK  DEOGARH  DHENKANAL  GAJAPATI  GANJAM  JAGATSINGHPUR  JAJPUR  JHARSUGUDA  KALAHANDI  KANDHAMAL  KENDRAPARA  KEONJHAR  KHURDHA  KORAPUT  MALKANGIRI  MAYURBHANJ  NAWARANGPUR  NAYAGARH  NUAPADA  PURI  RAYAGADA  SAMBALPUR  SONEPUR  SUNDERGARH  D. Pin *

10. Name and Adress of the Institution in which studying at Class X  level

A. School District *   -Select-  ANGUL  BALASORE  BARAGARH  BHADRAK  BOLANGIR  BOUDH  CUTTACK  DEOGARH  DHENKANAL  GAJAPATI  GANJAM  JAGATSINGHPUR  JAJPUR  JHARSUGUDA  KALAHANDI  KANDHAMAL  KENDRAPARA  KEONJHAR  KHURDHA  KORAPUT  MALKANGIRI  MAYURBHANJ  NAWARANGPUR  NAYAGARH  NUAPADA  PURI  RAYAGADA  SAMBALPUR  SONEPUR  SUNDERGARH  B. School Block *   --Select--  C. School Name *   --Select--  D. School Address * E. Pin

11. Type of Institution/School in which studying at Class X level *   -Select-  01-Government  02-Government Aided  03-Private Aided  04-Private Unaided  12. Area in which School is Located *   -Select-  1-Rural  2-Urban  Are you Student of Kendriya Vidyalaya/Nabodaya Vidyalaya? * YES NO 13. At National Level  * (a) Medium of Examination   -Select-  11-Asamese  12-Bengali  13-English  14-Gujurati  15-Hindi  16-Kannad  17-Marathi  18-Malayalam  19-Odia  20-Punjabi  21-Tamil  22-Telgu  23-Urdu  (b). Language Subject   -Select-  13-English  15-Hindi

Family Details

14. Father's Education *   -Select-  01-Up to Primary  02-Upper Primary  03-Secondary  04-Senior Secondary  05-Graduation  06-Post Graduation  07-Doctorate  08-Professional Degree(Engg.,Medicine,MCA,MBA etc)  09-Any Other  15. Father's Occupation *   -Select-  01-Professional,Technical and Related Worker  02-Administrative,Executive and Managerial Worker  03-Clerical and Related Worker  04-Sales/Service Worker  05-Farmer,Fisherman and Related Worker  06-Production and Related Worker,Transport  07-Operators and Labourer Worker not classified by the above occupation  08-Not Employed  16. Mother's Education *   -Select-  01-Up to Primary  02-Upper Primary  03-Secondary  04-Senior Secondary  05-Graduation  06-Post Graduation  07-Doctorate  08-Professional Degree(Engg.,Medicine,MCA,MBA etc)  09-Any Other  17. Mother's Occupation *   -Select-  01-Professional,Technical and Related Worker  02-Administrative,Executive and Managerial Worker  03-Clerical and Related Worker  04-Sales/Service Worker  05-Farmer,Fisherman and Related Worker  06-Production and Related Worker,Transport  07-Operators and Labourer Worker not classified by the above occupation  08-Not Employed  18. No. of family members living in the house * 19. No. of Brothers * 20. No. of Sisters * 22. Percentage of Mark Secured at Class IX Annual Exam  *  (if mark in cgpa convert to percentage) 21 At what number is the candidate among his/her brothers and sisters * 22. Parental Annual Income *   -Select-  UPTO 200000  200001 TO 300000  300001 TO 500000  500001 TO 1000000  MORE THAN 1000000

23. Contact Details

A. Telephone   B. Mobile No* C. E-Mail ID*

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