KENDRIYA VIDYALAYAS (NASHIK STATION) ISP Nashik, NRC Nashik, No.1 Devlali, AFS Devlali, AFS Ojhar APPLICATION FOR CONTRACTUAL APPOINTMENT (for the session 2020-21) Post Applied for: _______________________________________________ (Separate form should be filled for each post) 1. Name of the Candidate
:
______________________________________________________
2. Caste Category
:
SC / ST / OBC / GEN ______________________
3. Date of Birth (DD/MM/YYYY)
:
_____ / _____ / __________
4. Father’s / Husband’s Name
:
______________________________________________________
5. Postal Address
:
______________________________________________________ ______________________________________________________
Phone No.
:
Residential ____________________ Mobile __________________
E-mail ID
:
_______________________________________________________
6. Educational Qualification : Marks S. Name of the Year of No. Examination passing Obtained / Maximum =Percentage a)
Hr. Sec./ Sr. Sec
b)
B.A./B.Sc./B.Com/BCA
c)
M.A./M.Sc./M.Com.
d)
Others
7. Professional Qualification a)
B. Ed.
b)
M. Ed./M. Phil/Ph. D.
c)
Any other
Subjects Offered
Name of Board / University
:
Knowledge of Computer Application: Hindi, English, both. _______________________________ Any Relation with KV Employee:- Yes / No. ____________ If yes, give details (Name, Designation & KV) __________________________________________________________________________________________ Medium of Instruction: School ____________ Graduation _____________ P. G. ____________ 8. Experience (if Yes, attach Certificate with application form) S. Designation Pay Institution served N.
9. Preference for appointment Name of KV AFS Devlali
AFS Ojhar
From
No.1 Devlali
NRC, Nasik
Duration To
Months
ISP, Nasik
Preference No. It is hereby declared that the information and particulars furnished above are true and correct to the best of my knowledge and belief and nothing has been concealed. Date : _______________________ Place : _______________________
Signature ___________________