> Government of the Punjab | School Education Department SZ APPLICATION FORM FOR EDUCATORS 2013 Paste one passport size photograph here Name of Post Applied: Application Submitted to: Applied against quota: []1-Minorty []2-Disabled []3-Applicable Rule 17-A Diary No. NIC Number: E =T] Appiicant’s Nam Day, Wont Year Fathor's Namo: — Date of Birth: 7 7 Gender(Sex): C] +Male.C] 2-Female Religion: [J 1-Musim [] 2Non-Muslim (Please ick) Marital Status: [1 +-Single [1] 2-Married Husband's Name (if applicable}: Domicile of Applicant OR Husband (if applicable} District. Tehsil (Wie only one Domicile Dist and Test) Present / Mailing Address: Permanent Address: COE Sr.| Certificate / No| Degree ‘Subjects studied other than compulsory| Board! |Passing| Marks | Total | % | DiviGrade/| Merit g, Urdu, English, | University| Year Marks | age| CGPA | Marks ‘Study, islamiat ote| +] Matric 2 | Intermediate| 3 | Graduation Post 4 | cradtation 5 [meninen.o 6 | NTSTest Agyater 7 | Geecity) TEDL eee fe) Crea! Dowd Uae Paar tae ee |e | ae PRM aaanerla Documents to be attached with the Application Form. (Tick the relevant box) Litenccory [1] 2b0micte ory] sain Nama Copy []4atsbands Domicte [] scenes Degrees [] 6iitty cartes [z-service Record in case of inservice employee) [Le departmental Permission (NOC) Hany CO ae | certify that the information mentioned in this application form is true and correct to best of my knowledge and belief. | understand that statements found to be falsefincorrect shall disqualify me from the recruitment process, and would make me liable for criminal action under Criminal Procedure Code/Pakistan Penal Code. Signature: