KENDRIYA VIDYALAYA SANGATHAN

18, Institutional Area, Shaheed Jeet Singh Marg

New Delhi - 110602
RECRUITMENT OF POST GRADUATE TEACHERS IN KVS FOR THE YEAR 2011-2012

Registration Number : 21012520

SUBJECT OPTED IN POST CODE QUALIFICATION CATEGORY DATE OF BIRTH GENDER AGE AS ON
PGT CODE (GENERAL/
(DD/MM/YYYY) (Male/Female) YEAR MONTH DAYS
SC/ST/OBC)

COMPUTER SCIENCE 21 13 GENERAL 30/5/1979 MALE 31 6 0

(First Name) (Middle Name) (Last Name)
1 . Candidate Name KUMOD KUMAR SHARMA
2 . Father's/Husband's Name SHYAMJI LAL SHARMA

3. Choice of Examination City 4. Area Code (For remote area and Abroad)

I Preferrence II Preferrence if Yes,

YES/NO
Name of City City Code Name of City City Code Name of Area Code

DELHI 09 JAIPUR 13 No NOTAPPLICABLE 00

5. Sub-Category
SUB-CATEGORY- I (Physically Challanged) If Physically Challenged, please SUB-CATEGORY-II
indicate whether Guide/Scribe is
Visually Hearing required at the Examination In Govt. Resident of State Of J&K
Locomotor/Orthopaedically KVS Regular
Challenged Challenged
challenged Centre (write : Yes/No) Regular (Domiciled During 1.1.80
Employee
Service to 31.12.89)
No No No No No No No

Ex-servicemen To be filled only if candidate himsellf/herself is Ex-Servicemen 6. Are you able to teach
through English & Hindi, both
Self Dependent Joining Date Retirement Date Total Service

No No ------ ------ ------ Yes

7. Candidate Address

Name : KUMOD KUMAR SHARMA

Father/Husband : SHYAMJI LAL SHARMA

Address : 20-C JANAKPURI MAHOLI ROAD
Please affix one recent
photograph

City : MATHURA

State : UTTAR PRADESH Pin Code : 281004

Contact Details : STD Code Tel. No.

Email ID. kumod.niit@gmail.com Mobile No. 9219748153
Signature of Candidate

8. Details of fee paid through Electronic Transfer

UTR No./Journal No. Date Name Of Bank Branch Address Branch Code Amount(Rs.)

23-Nov-10 MATHURA
00841408 INDIAN BANK 00579 750
 Registration Number: 21012520
9. Academic Qualification

Name of Aggregate marks

Examination Duration of
Name of Passed(write Year of
complete name of
Subjects Studied course (in Board / University
Examination passing Max. Marks Marks %age of
course passed as on months)
Obtained marks
30.11.2010)

Senior INTERMEDIATE 1997 500.0 264.0 52.80 SCIENCE GROUP PHY 24 U. P. BOARD
Secondary CHM BIO

(Class-XII)
Graduation/ B.A 2000 1250 622 49.76 GHINDI LHINDI POLSC D B R A U AGRA
ECO
Diploma 36

Post M.SC 2007 2000 1348 67.40 Computer Sc./ Computer 24 M D U ROHTAK
Graduation Applications

Other if
any(specify)

Note of Column 9:
(a) If code/numeral are indicated in the mark sheet in place of subject(s) studied, please attach necessary details for such de-codification along with Computer
Generated Application Form.

(b) If grades are given in lieu of marks, write equal percentage of marks in the relevant columns and attach the gradation list along with Computer Generated
Application Form.

10. Teaching Experience

A Separate Experience sheet is attached in next page (in case of any experience).
11. Permanent address

Name : KUMOD KUMAR SHARMA

Father/Husband : SHYAMJI LAL SHARMA Please affix one recent

Address : 20-C JANAKPURI MAHOLI ROAD passport size
Photograph with
attestation

City : MATHURA
State : UTTAR PRADESH Pin Code : 281004
*********************************************************************************************
DECLARATION TO BE SIGNED BY THE CANDIDATE
I hereby certify and declare that (i) I am an Indian National, (ii) I have read the provisions given in the Advertisement,(iii) All
statements made and information given by me in this application 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 exam./interview or appointment,
action can be taken against me by the KVS and my candidature/appointment shall automatically stand cancelled/terminated, (iv) I
further declare that I fulfil all the conditions of eligibility regarding age,educational, professional qualifications, etc. prescribed for
the post applied for as on 30.11.2010. The essential qualifications prescribed are possessed by me, the proofs of which have been
enclosed, (v) In case my application is not received by KVS within the stipulated date due to postal delay or otherwise, KVS will not
be responsible for such delay, (vi) I will not lay any claim for refund of non-refundable application fee from KVS under any
circumstances.

Place :

Date : Signature of Candidate

 Experience Sheet Registration 21012520

1 . FACULTY

Post Held : FACULTY

Name of Institution : ROYAL COMPUTERS

Whether Recognized : YES

Period of Service : From 07-Sep-00 To 15-Apr-01

No. of Completed months : 7.0

Scale of pay and salary per month : 3000 PM

Subject and Classes taught : C C PLUS PLUS HTML JAVA SCRIPT

Signature of Candidate
 Experience Sheet Registration 21012520

2 . SR FACULTY

Post Held : SR FACULTY

Name of Institution : NIIT SIKOHABAD

Whether Recognized : YES

Period of Service : From 13-Aug-01 To 25-Feb-03

No. of Completed months : 18.0

Scale of pay and salary per month : 6000 PM

Subject and Classes taught : C C PLUS PLUS VB ORACLE

Signature of Candidate
 Experience Sheet Registration 21012520

3 . TGT COMPUTER SCIENCE

Post Held : TGT COMPUTER SCIENCE

Name of Institution : D.P.S MATHURA

Whether Recognized : YES

Period of Service : From 01-Apr-03 To 30-Nov-05

No. of Completed months : 31.0

Scale of pay and salary per month : 6000 PM

Subject and Classes taught : C C PLUS PLUS QBASIC MS OFFICE

Signature of Candidate
 Experience Sheet Registration 21012520

4 . SOFT MAINTENANCE ENGINEER

Post Held : SOFT MAINTENANCE ENGINEER

Name of Institution : HIMCS MATHURA

Whether Recognized : YES

Period of Service : From 05-Dec-05 To 25-Nov-10

No. of Completed months : 59.0

Scale of pay and salary per month : 17193

Subject and Classes taught : C C PLUS JAVA LNUX TRAINING

Signature of Candidate