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Affix

Passport size
Photograph
here

APPLICATION FORM
(Please fill in your own hand writing)

1. Post Applied For: - _________________________________________________________
2. GENERAL INFORMATION:
a. Name: ___________________________________________________________________
b. Sex:

Male (

)

Female (

)

c. Father's/ Husband's Name : __________________________________________________
d.Address:__________________________________________________________________
___________________________________________________________________________
e. Contact No. (R): ______________________ Mobile (P): ___________________________
f. Date of Birth: __________________________________

Age: ___________________

g. E-mail ID: ________________________________________________________________
3. Educational Qualifications:
Discipline/Subject

Name of Educational Institution

Year of

%

Passing
High School (SSC)
Inter/+2
Under Graduation
Course:__________
B.Ed (if applicable)
Post Graduation
Course:__________
4. Marital Status : Single/ Married
5. Exam Centre (Code) :_________

Name:____________________________________

6. Money Order (M.O) Details :_____________________

Date:________________

7. Declaration:
I hereby certify that all statements made and information given by me in this application
form are true, complete and correct to the best of my knowledge and belief. In the event of
any information or part of it being found false or incorrect before or after the
appointment, action can be taken against me by the Management and my candidature/
appointment shall automatically stand cancelled/ terminated.
Place: ____________________
Date: _____________________

Full Signature of the Applicant