APPLICATION FOR CONTRACTUAL APPOINTMENT (2019-2020 Session) 1. Post applied for
:
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2. Name (In block letters)
:
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3. Father’s/ Husband’s Name :
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Affix your passport size Photo
4. Date of birth (attach proof) : ……………………………………............................................. 5. Category : SC/ST/OEC/OBC/GEN 6. Address for correspondence(In block letters) Present Permanent Address: Address: ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ Phone : _______________ Mobile: ________________
Phone : _______________ Mobile: ________________
7. 8. 9. 10.
Nationality : …………………………………………………………………………… Sex (Male/Female) : …………………………………………………………………………… Marital Status : …………………………………………………………………………… Languages Known a. Read : ……………………………………………………………………………………………….…….…… b. Write : ……………………………………………………………………………………………….……….… c. Speak : ………………………………………………………………………………………………….….…… 11. Educational Qualification (Attach attested Photocopies of the Certificates) S. No Exams Passed University/Board Year of Passing % of marks obtained 1. 2. 3. 4. 5. 6. 12. Whether CTET Qualified (Yes/No) : .…….…….....Percentage of marks obtained in CTET : ….............. 13. Experience (Attach attested copies of experience certificates): S.No Post Held Name of the Institution From To Duration(In months) 1. 2. 3. 4. SELF DECLARATION I,_______________________________________________ do hereby declare that the above particulars are true and correct to the best of my knowledge and belief. I understand that the vacancies for which I apply by this is purely on contractual basis for 2019-2020. Date : ____________
Signature of applicant : __________________________
FOR OFFICE USE ONLY The documents and certificates are verified with the originals and found correct. Verified by, Name : Signature :
Remarks