CURRICULAM VITAE Code for Office use:________

APPLICATION FOR THE POST OF _________________________________________

1. Name of the Applicant:

(in Block letters)
2. Fathers/Husbands Name:
3. Address for correspondence
_________________________________________ Paste your
_________________________________________ photo here
_________________________________________
_________________________________________
_________________________________________Pin:

4. Contact No.(Landline with Code No: ________________________ Mobile

No.

5. Date of Birth (DD/MM/YYYY) Email id ___________________

6. Age as on 01/04/2017.
Day Month Year
7. Gender (put tick mark)
Male Female
8. Nationality:
Indian Other(if specify)
9. Marital Status: (put tick mark)
10. Category (GEN/SC/ST/OBC/PH Married Unmarried
(put tick mark) Gen SC ST OBC PH
11. Academic / Professional Qualification (Beginning from +2 level)

Sl Examination Board/ Year of Subjects Marks Maximum % of marks % in

No. passed University passing offered obtained Marks in concerned
(optional aggregate subjects
subjects) for
(TGT/PGT)
1. Higher. Secondary
2. Graduation
3. Post Graduation
4. CT/JBT/DIET
5. B.Ed.
6. M.Ed.
7. Any Other
12. Details of Experience (working in schools up to +2 level)

S Name and address of Name of Post held Period Salary Reasons for
No. the school the Board drawn leaving
to which From Upto
affiliated

13. Proficiency in Language Read Write Speak

(put tick in appropriate box) English:
Hindi:
14. Whether clear the CTET Exam. Yes No. If yes % of marks secured P1 P2
Conducted by CBSE(put tick mark)

I declare that the above information is correct and complete to the best of knowledge and belief. In case any
wrong/ false information detected at later stage, my appointment may be cancelled without assigning any
reason thereof.
Date:
Place: Signature of the Candidate