(An Autonomous Organization under the Union Ministry of Human Resource Development, Govt. of India). CENTRAL BOARD OF SECONDARY EDUCATION

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1 BILL FOR CENTRE CHARGES FOR PROFICIENCY TEST, 2013 Name (IN CAPITAL LETTERS) AND ADDRESS OF THE Centre Superintendent CENTRE NO... Designation Permanent address of the Centre Superintendent (C.S) for correspondence after the conduct of the examination DATE SUBJECT REGISTERED APPEARED ENGLISH HINDI MATHEMATICS SOCIAL SCIENCE SCIENCE Name and address where cheque of balance payment is to be sent.. PARTICULARS AMOUNT a. REMUNERATION OF C.S. (Day x Renum.) (Appendix-1) Rs.. b. CONVEYANCE TO C.S. (Rate x Days) (Appendix-1) Rs.. c. REMUNERATION OF DY. C.S. (Day x Remun.) (Appendix-2) Rs. d. CONVEYANCE TO DY.C.S (Rate x Days) (Appendix-2) Rs. e. REMUNERATION OF A.C.S (Days x Remun.x No.) (Appendix-3) Rs.. f. REMUNERATION OF CLERICAL STAFF (Day x Renum.) (Appendix-4) Rs. g. REMUNERATION OF CLASS IV (Day x Remun. X No.) (Appendix-5) Rs. h. REMUNERATION OF COLLECTION OF Q.P (Day x Remun.) (Appendix-6)Rs.. i. CONVEYANCE FOR COLLECTION OF Q.P (Day x Rate) (Appendix-6) Rs j. FURNITURE MAINTENANCE ALLOWANCE (Day x Rate X No.) Rs.. k. SEATING ARRANGEMENT CHARGES (Rate x No.) Rs.. l. POSTAL CHARGES AS INCURRED (Encl Receipts) (except Delhi) Rs.. m. CONVEYANCE FOR DEPOSIT OMR (Days x Actual Rates) (Appendix-7) Rs (Applicable only for Delhi Centers) n. CUSTODIAN CHARGES TO BANK (Except Delhi) (Appendix-8) Rs.. TOTAL: LESS ADVANCE: NET AMOUNT CLAIMED: REFUNDED AMOUNT (if any) Rs. Rs Rs.. Rs (In case of refund of balance amount a bank draft should be made in favor of the Secretary, Central Board of Secondary Education, and Delhi payable at Delhi.) DEDUCATION(S) MADE FOR: REVENUE STAMP (Kindly also put signature on the Revenue Stamp)

2 APPENDIX-1 BILL FOR CENTRE SUPERINTENDENT FOR PROFICIENCY TEST, 2013 NAME AND YEAR OF TEST: PROFICIENCY TEST, CENTRE NO 2. NAME OF THE CENTRE.. 3. NAME OF CENTRE SUPDT MOBILE NO. OF CENTRE SUPDT NO. OF DAYS/DATE OF EXAMINATION(s) a. Remuneration for C.S. (Days x Remun.): Rs.. b. Conveyance for C.S. (Days x Rate) : Rs.. c. Total (a+b): Rs.. Date:..

3 APPENDIX-2 BILL FOR DEPUTY SUPERINTENDENT (S) FOR PROFICIENCY TEST, CENTRE NO.. 2. NAME OF THE CENTRE.. 3. NO. OF CANDIDATES REGISTERED: DATE REGISTERED CANDIDATES NAME OF DY. C.S REMUNERATION CONVEYANCE SIGNATURE TOTAL CERTIFIED THAT THE ABOVE PERSON WORKED TO MY ENTIRE SATISFACTION DATE

4 APPENDIX-3 BILL FOR ASSISTANT SUPERINTENDENT (S) FOR PROFICIENCY TEST, CENTRE NO.. 2. NAME OF THE CENTRE.. 3. NO. OF CANDIDATES REGISTERED: DATE REGISTERED NO. OF ROOMS USED * NO. OF ASSTT.SUPDT. ON DUTY *Seating Plan to be attached 4. TOTAL NO. OF ASSTT. SUPDT. CALLED TO THE CENTRE ONE DAY BEFORE THE EXAMINATION 5. DETAILS OF ASSISTANT SUPERINTENDENTS:** S.NO NAME & DESIGNATION OF ASSTT. SUPDT. NO. OF DAYS REMUNERATION SIGNATURE **CERTIFIED THAT THE ABOVE PERSONS WORKED TO MY ENTIRE SATISFACTION DATE NOTE: APPOINTMENT OF ASSTT.SUPDT. SHOULD STRICTLY BE IN ACCORDANCE WITH THE RULES.

5 APPENDIX-4 BILL FOR CLERICAL STAFF FOR PROFICIENCY TEST, CENTRE NO 2. NAME OF THE CENTRE 3. NO. OF CANDIDATES REGISTERED : DATE REGISTERED NAME OF CLERK REMUNERATION SIGNATURE TOTAL CERTIFIED THAT THE ABOVE PERSON WORKED TO MY ENTIRE SATISFACTION DATE

6 APPENDIX-5 BILL FOR CLASS IV STAFF FOR PROFICIENCY TEST, CENTRE NO.. 2. NAME OF THE CENTRE.. 3. NO. OF CANDIDATES REGISTERED: DATE SUBJECT REGISTERED APPEARED ENGLISH HINDI MATHEMATICS SOCIAL SCIENCE SCIENCE 4. DETAILS OF CLASS IV: S.NO NAME NO. OF DAYS REMUNERATION SIGNATURE CERTIFIED THAT THE ABOVE PERSON WORKED TO MY ENTIRE SATISFACTION DATE

7 APPENDIX-6 BILL FOR COILLECTION OF QUESTION PAPER FOR PROFICIENCY TEST, CENTRE NO.. 2. NAME OF THE CENTRE.. 3. DATE WISE DETAILS: DATE REGISTERED CANDIDATES NAME & DESIGNATION OF THE OFFICIAL REMUNERATION CONVEYANCE SIGNATURE TOTAL CERTIFIED THAT THE ABOVE PERSON WORKED TO MY ENTIRE SATISFACTION DATE

8 APPENDIX-7 BILL FOR DEPOSIT OF OMR SHEETS FOR PROFICIENCY TEST, 2013 APPLICABLE FOR DELHI CENTRES 1. CENTRE NO.. 2. NAME OF THE CENTRE.. 3. DETAILS FOR DEPOSIT OF OMR : DATE NAME CONVEYANCE SIGNATURE TOTAL CERTIFIED THAT THE ABOVE PERSON WORKED TO MY ENTIRE SATISFACTION DATE

9 APPENDIX-8 RECEIPT OF CUSTODIAN CHARGES BY THE CUSTODIAN PROFICIENCY TEST,2013 (EXCEPT DELHI) It is certified that (Name of Bank) acted as custodian for Centre No., i.e (Name of the Centre) for storing of question papers of PROFICIENCY TEST, 2013.As informed the Bank has received Rs.4,000/- (Rupees Four Thousand Only) from the Centre Superintendent/Principal against custodian charges in cash/cheque. Signature & Seal of Bank Manager Name of the Bank Manager Address of the Bank Contact No. Counter Signed by Centre Superintendent with seal Centre No.

10 (SPECIAL EXAM & CTET UNIT ) PROFICIENCY TEST-2013 DATE SHEET DAY DATE TIME SUBJECT Monday 8 th April, A.m. ENGLISH Tuesday 9 th April,2013 HINDI Wednesday 10 th April,2013 TO MATHEMATICS Thursday 11 th April, P.M. SOCIAL SCIENCE Friday 12 th April,2013 SCIENCE Note :- 1. The duration of time of each paper is 2 ½ hours and has been indicated in the date- sheet/admit Card. 2. The OMR Sheets would be distributed to the candidates between A.M. during which the candidates would write their particulars on the OMR Sheet and the same shall be checked and signed by the Asst. Supdts. (s). 3. Seal of the OMR Sheet, to be broken/opened by the candidates to takeout the answer sheet at 10:25 AM. The student will start marking the response on the OMR Sheet at A.M. Director (SE & CTET)