APPLICATION FORM Home Post Applied for: 13: Post Graduate Teacher (PGT) - Physics

Please fill up the required information. *Fields marked with asterisk are mandatory. Examination Centre * Examination Centre City * Language in which Question Paper is required $ sarvesh kumar sharma Post Code: 13 Post Name: Post Graduate Teacher (PGT) - Physics 15-Jul-1976 Choice1: Choice2:

Personal Particulars * Name of the Candidate Post Applied for * Date of Birth * Father's Name * Gender * Address for communication(Do not mention your name again) E-mail ID Contact Number (Telephone no.) with STD Code * Religion Are you a KVS * permanent employee? * Are you Resident of State of J&K (Domiciled during 01.01.1980 to

* City * State * Pin Code sarveshsharma361@gmail.com Mobile No. * (10 Digit +91Only) * Category Are you in Govt. * if yes, No. of year of Regular Service Service?

31.12.1989)? * Are you Person with If yes, specify Disabilities (PWD)? Whether Guide/Scribe is Nature of Percentage of required at the Examination disability disabilty Centre * Nationality * Whether ExServiceman? *

If yes, specify Joining Date

Retirement Date

Total Service

Do you have proficiency in teaching in Hindi and English media Do you want to upload Photograph and * Signature? * Whether applying/applied for any other post(s) TGT PRT MTP None under this advertisement?