Annexure A to the Notification No.

AO / 56 /ACB / 2010(3)-DE(S)PT1
Application for appointment of Lecturer on Contract



1. FULL NAME THONGBAM PREMILA DEVI
2. FATHERS NAME THONGBAM BABU SINGH
3. TEMPORARY ADDRESS DIBONG MAKHA LEIKAI
JIRIBAM, IMPHAL EAST, MANIPUR-795116
4. CONTACT NO. 8447191367 E-MAIL thsurjitsingh@rediffmail.com
5. PERMANENT ADDRESS DIBONG MAKHA LEIKAI
JIRIBAM, IMPHAL EAST, MANIPUR-795116
6. CATEGORY GEN
7. DATE OF BIRTH 02-DEC-1980 (in Words) Second December Nineteen Hundred
Eighty
8. GENDER FEMALE
9. DETAILS OF EDUCATIONAL QUALIFICATIONS
Class University /
Institute / Board
Year of
Passing
Division /
Class
Marks
(%)
Subject Studied
Class X Board of Sec
Education
Manipur
1997 III 44% Manipuri, English, Maths,
Science, Social Science
Class XII Council of Higher
Sec Education
Manipur
1999 I 64% Eng, Manipuri, Chemistry, Bio,
Maths, Phy
Graduation GCG Punjab
University
2003 II 57% Eng, History, Home Science,
History & Culture of Punjab
Post
Graduation
Manipur University 2005 II 57% English
B.Ed Manipur University 2010 I 67% Teacher in Emerging Indian
Society, Development of
learner and teaching learning
process, Development of
Education System in India,
Educational Technology &
Management, Methods of
teaching English, Methods of
teaching Social Science,
Educational Management &
Administration

10. Any other additional qualifications (Specify) Teacher Eligibility Test 2011, Paper I & II Passed.
11. EXPERIENCE DETAILS SIX YEARS AND SIX MONTHS
12. LANGUAGES KNOWN English, Manipuri, Hindi

Date Jul/2014 Full signature of Candidate