‘wor goerkaglobal eo Ap oll cA uid r ora6. GORNKA PUBLIC SCHOOL (7K) Important: Pease answer all questions and pint he information clearly in BOLD, using black or ble BALL POINT pen, APPLICATION FOR THE POST OF[ Date Note 1. Only cated coples of Degrees! Certicates! Testimonials shouldbe sent wth his ‘Applicaton Form. Originals must be produced athe time oneview only 2. Aaplcars called for tne interview anal bear their own aveling expenses unless ‘otherwise agreed In advance. 3. Application shouldbe delivered personaly a the School office or sent by Regisored Pos. st proogah PERSONAL DATA OF CANDIDATE Surname First Name Midcte Name Date of Bith [Do] Years [Months [7] ays 7 Sex Fema )Molo []Natonaty Maria! Status: Marod [7] Unmarried ]Wicowion [Seperated Permanent Address) ty] in Code] country] Home Tele [} Mob] xt [emai > Father's! Husband's Name Occupation Ades Number of Ciren:[—] Age Sex GGrado(Class and School in which studying 1 C4 Co | 2 ; Coo CO | Major ilness(on| TT] Physica hancicap isttty [TY Personal Habis: Do you Smoke? Yes[—] No] Do you Drink? Yes] No] boon convicted of any criminal ofance? Iso, give details _——SSS—*™Y Have you e Present Pay/ last salery drawn: Basic Pay[] Sealel__JAlowences[_ oto]ACADEMIC QUALIFICATIONS. 6. GORNKA PUBLIC SCHOOL (7K) ‘SENIOR SECONDARY/ A LEVEL OR EQUIVALENT (PLEASE SPECIFY) Examination | Board Grade! % School UNIVERSITY OR COLLEGE Degiee Passed Teifapateabie [iversiyiCalese| EDUCATIONAL DEGREE/ DI Degree Passed Ye ifapplcable [UniversiyiCalege| ‘TEACHING EXPERIENCE School | Subjects taught “atal_[_ Reston er Leaving PROFESSIONAL TRAINING AND EXPERIENCE (FOR NON-TEACHING POSTS) TRAINING Name of the Ietation ‘Shorthand Typng speed Grade EXPERIENCE ane of Organisation Reason forleavng6. GORNKA PUBLIC SCHOOL (7K) LUst games you play [Name iterary or cultural activities in which interested. Mention any distinctions achieved. Montion whether ‘Capa PSecrelayFPresidet ofa Teamy Cub Socal. [id {Gwe names of SchoolICaleges where these postions hela ‘Any other special particulars! achievements REFERENCES note: Retronces must beable to comment on your professional performances andlor academic achievements nimum salary acceptable Have you ever applied for any postin any GD. Goenka School ath’? H 0, "eraby crit that he paiculas fished above are correct othe best of my knowledge and bla, have nol concealed any Information tkely to mpair my fess for employment. is revealedater that | have given false detals or concealed materia Infomation, my services ar lable to summary termination without any notice or compensation Irselecte, | shall produce: {8 Modical Corticate trom a recognised Hospital Cire! Registered Mecical Practitoner ndcaling, in the case of lass, ifthey are pregnant) »b) Experlence certfiate rom my ast employer duly counter signed bythe Zonal Educatlonal Offce or the competent author. Cal for interview on