Application Form - Teachers Interview Vkspv 2012

APPLICATION FORM FOR THE POSTS OF TEACHERS INVIVEKANANDA KENDRA VIDYALAYAS IN NORTH - EAST

(For office use only)

Eligibility CheckedSign. of Principal/OfficialRegn. No.

Application for the post of

(Please

P

in the appropriate box)

Place of Interview:

......................................

(Refer Pt. 9 in the Instructions for candidates of Guidelines)

1. Senior Secondary Teacher 2. Secondary Teacher 3. Primary Teacher 4. Librarian5. Physical Education Teacher 6. Music Teacher (Vocal)7. Others (Specify) .................................................

(For posts 1, 2 & 3 candidates may tick in more than one boxif they are to be considered for more than one level.)

In Major / Honours or in MasterDegree. Candidates without major or honours in graduation should keep this space blank.

Preference of posting in the state :

AssamNagaland

(Write your 1st, 2nd preference in appropriate boxes)

Subject:

………………………………………

1. Name of the candidate (In BLOCK Letters) :

___________________________________

2. Father’s/Guardian’s Name:

___________________________________

3. Sex:Male / Female4. Marital Status:Married / Unmarried.5. Date of Birth:

___________________________________

6. Age as on 1

st

January 2012:

_______________________________________________

7. Nationality:

_______________________________________________

8. Religion:

_______________________________________________

9. Permanent Address:

______________________________________________________________________________________________

Tel. No.(with STD Code)

___________________________

____________________________________________

10. Present Address:

_______________________________________________

(Address for Communication)

_______________________________________________

Tel.No.

_____________________

________________

e-mail

____________________________________________

11. Academic Qualifications (from H.S.L.C./ Matriculation onwards) :

(

Do not Enclose Photostat copies of Marksheets / Certificates

)

AffixPassportSizephotograph

School/College/Institution/University

Sl.

Name of theExam/DegreeYearSubjectsDivision/ ClassPercentage

Name of the Vidyalaya where the application is deposited : ...........................................................................

12.Other Qualification(s) :i.

_________________________________________________

ii.

_________________________________________________

iii.

________________________________________________

13.Scholarships/Awards won. Details :

__________________________________________________

14.Aptitude:a)Teaching (Specific Subjects ) -

__________________________________________________

b)Other areas -

__________________________________________________

c)Proficiency in Games -

__________________________________________________

d)Hobbies -

__________________________________________________

15.Family :a.Members in your family -

__________________________________________________

b.Occupation of Father/ Mother/

__________________________________________________

Husband/Wife-

__________________________________________________

16.Work Experience (if any) :i.

_________________________________________________________________________________

ii.

_________________________________________________________________________________

iii.

_________________________________________________________________________________

iv.

_________________________________________________________________________________

17. a) Monthly Salary Last drawn (gross)………………………… b) Expected salary (p.m.)………………..18.Whether you are involved in any police case, or any criminal case is pending against you with any courtof law :Yes / NoIf ‘yes’, give details :

_______________________________________________________________

19.Aspiration (which you believe will be valuable to this institution).

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

20.I solemnly state that all the above particulars / statements are true to the best of my knowledge andbelief. I also understand that in case any particular given above is found to be false at any later date, myservices are liable to be terminated without any prior notice.

Date:Place:(Signature of the Applicant)

Notes-

i.This form is to be submitted in duplicate by post or by person in any of the Vivekananda Kendra Vidyalaya inAssam / Nagaland; Vivekananda Kendra Shiksha Prasar Vibhag, Nikamul, Tezpur; Sankardev Sishu VidyaNiketon, Bongaigaon; Janjati Vikas Samiti, Nagaland; Sri Prabir Bhaumik, Opp - CGM Court, Agartala.We will try to call you for interview to the place which you have opted in the application form.ii.Application will be rejected in case at any stage it is found that the candidate is not meeting the minimum laiddown criteria or has furnished false information.

*******

APPLICATION FORM FOR THE POSTS OF TEACHERS INVIVEKANANDA KENDRA VIDYALAYAS IN NORTH - EAST

(For office use only)

Eligibility CheckedSign. of Principal/OfficialRegn. No.

Application for the post of

(Please

P

in the appropriate box)

Place of Interview:

......................................

(Refer Pt. 9 in the Instructions for candidates of Guidelines)

1. Senior Secondary Teacher 2. Secondary Teacher 3. Primary Teacher 4. Librarian5. Physical Education Teacher 6. Music Teacher (Vocal)7. Others (Specify) .................................................

(For posts 1, 2 & 3 candidates may tick in more than one boxif they are to be considered for more than one level.)

In Major / Honours or in MasterDegree. Candidates without major or honours in graduation should keep this space blank.

Preference of posting in the state :

AssamNagaland

(Write your 1st, 2nd preference in appropriate boxes)

Subject:

………………………………………

1. Name of the candidate (In BLOCK Letters) :

___________________________________