APPLICATION FOR THE POST OF HIND TEACHER

(FILL IN CAPITAL LETTERS ONLY)

(Strike out whichever is not applicable)
1.

Name :___________________________________________

2.

Fathers/ Husbands Name : __________________________

3.

Permanent Address:

4.

Correspondence Address:

5.

Category

6.

Contact No
(a)
Phone with STD Code _____________ (b) Mobile No. __________________
(c)
E-Mail: _____________________________________

7.

(a)

(b)

9.

Qualifications:

12th
Graduation
Post
Graduation
B.Ed
Any Other

Age on 01 Nov 2015 :

Marital Status

10th

_____________________________________________
_____________________________________________
_____________________________________________

: ST/ SC/OBC /GEN

Date of birth

8.

Class

________________________________
________________________________
________________________________

Medium of
Instruction

Date

Month

Year

Months

Days

Married / Single

Subject Studied
Main

Year

Ancillary

Month
Name
& year of
of
Completi- School/
on
College

University

%ge in
Main
Subject

Division

2
10.

Experience (Attach Separate sheet, if columns are insufficient).

Period
Name of
Day /
Sl
the
Appoint- Class
Residential
Total
No Institution
ment
Taught
From To
Period School
and address

Salary
Temp/
Drawn
Adhoc/
(all incl
PermPer
anet
month

1
2
3
4
11.
Proficiency in Computer: ________________________________________________
__________________________________________________________________________
12.
Proficiency in Games / Co-curricular activities
Sl
Games /
Level Played
No
Co-curricular
School/Zonal College
Regional

Remarks
University

State

13.

Hobbies: _____________________________________________________________

14.

Details of In- service training attended (If any):_______________________________

15.

NCC: (a)
(b)

Certificate obtained: A/ B /C
Camps attended:______________________________________________

16.
Application fee: (Demand Draft only in favour of Principal, Sainik School Kunjpura Payable at
SBI, Kunjpura, Branch, Code 2400). (Candidates should write Name, Post, Subject applied for and
complete Mailing address in capital letters, on the reverse side of the Demand Draft).
DD No.
Amount
Rs. 500/Date
Drawn on
17.
CTET Qualified details: _________________________________________________
18.
Any other details: ______________________________________________________
__________________________________________________________________________
CERTIFICATE
I, herby certify that the above particulars are correct and true in all respect to the best of my
knowledge and belief.
Place:
Date:

(Signature of Applicant)