State Level Eligibility Test Commission, Assam: (N-E Region)

STATE LEVEL ELIGIBILITY TEST COMMISSION, ASSAM
(N-E REGION)
State Eligibility Test (SET) for Lecturership in the Universities and Colleges of NE Region Form of application (To be filled in capital letters) (All columns from 1 to 14 must be filled in)
15-12-2013 26-09-2013
Date of TEST
Last Date of Submission
Application form duly completed must be sent to the Test Centre opted by the candidate
Roll No. assigned
1. Write
1 Those who are in service 2 Those who are not in service (ii) Subject of PostGraduation Code No.
See item No. 5 (i) of information Brochure
2. (i) Post Graduation Examination, write 1 for Passed 2 for appearing/appeared 3. Subject opted for SET
Affix recent coloured Passport size Photograph signed by the candidate and duly attested by the Head of the Deptt. or Class I Gazetted Officer
4.
Centre of TEST
Code No.
See item No. 5 (ii) of information Brochure
Please leave space between word

5. Name of Candidate (in capital letters) 6. Date of Birth (as recorded Day in H. S. L. C. or equivalent certificate) 8. Category : GEN/SC/ST/OBC (non creamy) 10. (i) Mothers Name (ii) Fathers Name 11. Address for Communication
(capital letters)
Please do not repeat name here
Month
Year 9. BL (BLIND)/PH
7. Sex
M for Male F for Female
Do you want amanuensis ? Yes / No
Phone No.
12. Permanent Address

Please do not repeat name here
Phone No.
13. EDUCATIONAL QUALIFICATION

Examination Passed i. e. Name of University M. A. / M.Sc. / M. Com. etc Year of passing Subject Offered Specialisation Class/ Mark/Grade Total Obtained Marks/Grade Percentage (if any) Grade
14. Details of Bank Draft
Name of Bank
Draft Number
Date of issue
Amount
DECLARATION
1.
2. 3. 4. 5. 6.
I, .................................................................................... hereby declare that all statements made in this application are true, complete and correct to the best of my knowledge and belief and in the event of any of the information being found false or incorrect or any ineligibility being detected before, during or after the Test, my candidature is liable to be cancelled and action be initiated against me. I have submitted only one application for this Test. I further declare that I fulfil all conditions of eligibility regarding educational qualification etc. prescribed for the Test. I also declare that I have never been convicted by any court of Law. I declare that I have gone through the conditions attached to SET and shall abide by the same. I have enclosed the attested copies of certificates/degrees called for in the advertisement.
Place : ...................................................... Date : ...................................... Full Signature ..............................................................
ATTESTATION
(BY HEAD OF THE INSTITUTION IN CASES WHERE THE CANDIDATE IS APPEARING/APPEARED, IN THE FINAL EXAMINATION OF POST GRADUATION)
I certify that the information given by the candidate Shri/Smt/Km........................................................................................... has been checked by me and it is certified that the candidate is appearing/has appeared in M.A./M.Sc./M.Com. .................................. Semester / Final Exam in the year ....................
Place : Date
Name & signature of Head of Deptt/Instt. with date Rubber Stamps/Seal.
STATE LEVEL ELIGIBILITY TEST COMMISSION, Assam (N-E REGION)

State Eligibility Test (SET) ATTENDANCE SLIP FOR USE AT THE TEST CENTRE
(TO BE KEPT WITH OFFICER-IN-CHARGE OF CENTRE) FOR USE ON THE DAY OF TEST
* NAME ________________________________________________________________ * SUBJECT________________________ * SUBJECT CODE * Centre____________ No. as shown on DATE OF TEST : 15 - 12 -2013 * Centre Code * Roll Admission card :
PAPER TIMING 09-00 A.M. 10-30 A.M. 1-00 P.M. TO 10-15 A.M. TO TO 11-45 P.M. 3-30 P.M. FULL SIGNATURE OF CANDIDATE
(IN TEST HALL)
Affix recent coloured Passport size Photograph signed by the candidate and duly attested by the Head of the Deptt. or Class I Gazetted Officer
DO NOT USE STAPLER OR PIN
* to be filled by Candidate
PAPER - I PAPER - II PAPER - III
Roll No. to be Filled by the Centre Candidates Signature in full

NOTE : This attendance slip should be retained by the Officer-in-Charge and must be given to the invigilator for verification with the Roll No. issued to the candidate and take the signature of the candidate at the time of TEST in each paper. Signature of Co-ordinator with Seal
SET FOR ELIGIBILITY OF LECTURERSHIP, DECEMBER, 2013 ADMISSION CARD (PROVISIONAL)

(To be filled by the candidate) Roll No.
Test Centre Subject Name of the Candidate Fathers/Mothers Name Address for Correspondance
Centre Code Subject Code Affix recent coloured Passport size Photograph signed by the candidate and duly attested by the Head of the Deptt. or Class I Gazetted Officer
DO NOT USE STAPLER OR PIN
PIN
Date of Test : 15-12-2013 - 09 -12
Signature of Co-ordinator with Seal
Timings : 9-00 A.M. to 3-30 P.M. Note : (1) No TA will be paid. (2) No entry to Test Hall without this Card.
Candidates Signature in full

State Level Eligibility Test Commission, Assam: (N-E Region)

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State Level Eligibility Test Commission, Assam: (N-E Region)

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STATE LEVEL ELIGIBILITY TEST COMMISSION, ASSAM

Last Date of Submission

Roll No. assigned

See item No. 5 (ii) of information Brochure

Please leave space between word

M for Male F for Female

Do you want amanuensis ? Yes / No

12. Permanent Address

13. EDUCATIONAL QUALIFICATION

14. Details of Bank Draft

Name & signature of Head of Deptt/Instt. with date Rubber Stamps/Seal.

STATE LEVEL ELIGIBILITY TEST COMMISSION, Assam (N-E REGION)

PAPER - I PAPER - II PAPER - III

Roll No. to be Filled by the Centre Candidates Signature in full

SET FOR ELIGIBILITY OF LECTURERSHIP, DECEMBER, 2013 ADMISSION CARD (PROVISIONAL)

Candidates Signature in full

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