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KENDRIYA VIDYALAYA NO.1 BATHINDA CANTT.

(Proforma for Contractual teachers for Session


2015-16)
Application for the post of
TGT Advt. Date
Detail Of CTET/TET, if applying for PRT/TGT
Year : Sept. 2014
Score : 87/150
Important Instructions :- (i) All entries should be made in capital letters.
(ii) Envelope containing application must be superscribed Application for the post of ______________
(iii) Candidature will be rejected if a candidate is not having requisite qualification as on
last date of application i.e 20.03.2015.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

Candidates Name : PUSHPA KUMARI


Fathers/Husbands name : KULDEEP SINGH
Date of Birth : 16-AUGUST-1987
Sex : FEMALE
Contact No. / Mobile : 9646692355
E-mail(if any) : pushpa.kumari670@gmail.com
Community to which belong (SC/ST/OBC/GEN) GEN
Employment Exchange Reg. No. --------Any relation with KVS Employee (if yes, specify)______________________________________
Address :H. No. 87/16, A.D. Colony, Bathinda Cantt- 151004, Punjab
______________________________________________________________________________
______________________________________________________________________________
11. Academic Qualification (starting from class 10th )
Name of
Examination

Please
write name
of Exam
Passed
AISSE

Year
of
passi
ng
2004

Maximum
Marks

Marks
Obtained

Percentage
(%) of
marks

500

388

77.6%

CBSE

Senior
Secondary/
Class XII

AISSCE

2006

500

321

64.42%

CBSE

Graduation/
Diploma

B.Sc. (Non
Med.)

2009

3000

1445

48.17%

Punjabi
Uni.

Post
Graduation

MBA

2011

2850

2069

72.60%

PTU

Maximum
Marks

Marks
Obtained

Percentage
(%) of
marks

1200

904

75.33%

Matriculatio
n/
Class X

Percentage
in subject
applied

Duration
of course

Name of
Board/
University

Other if any,
specify

12. Professional Qualification


Name of
Examination

JBT/B.El.Ed
/B.Ed
M.Ed/M.Phil
/Ph.D

Please
write name
of Exam
Passed
B.Ed.

Year
of
passi
ng
2013

Subject
Offered

Duration
of course

Name of
Board/
University
Punjabi
Uni.

Other if any,
specify

13. Experience (attach separate sheet, if columns are insufficient)


Post held (Ad
hoc/Regular/
Temp./
Permanent)

Name of
institution/
Department/
Ministry

Temp.

The Global ESchool Jaitu

Whether Central
Govt./State
Govt./Autonomous
Body/Public
Sector/Recognized
/
Unrecognized (if
applicable)
State Govt.

Period of service
From
To

No. of
complete
d years
and
Months

Nature
Of
Duties

Scale
of pay
and
salary
per
month

Feb. 2012

Six
months

Teachin
g

10,00
0

Aug
2012

14. Are you able to teach through English and Hindi, both ? (Yes/No).
15. Do you have working knowledge of computer ? (Yes/No)
16. Any other information in support of suitability for the post

YES
YES
Giving Tuition at home to students
upto 12th Sci. since 4 years

DECLARATION TO BE SIGNED BY THE CANDIDATE


I, Pushpa Kumari S/o/D/o/W/o Kuldeep Singh hereby certify and declare that all 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/appointment, action can be taken against me
by the KVS and my candidature/appointment(contractual) shall automatically stand cancelled/repatriated/terminated.

Place : Bathinda Cantt

(Pushpa Kumari)

Date : 16th March 2015

Signature of Candidate

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