KENDRIYA VIDYALAYA NO.

2, AGRA CANTT
Application for the Post of _______________________on Part-time Basis for the year 2020-21

Name: ______________________________
Father’s Name ______________________________
Passport size
Date of Birth ______________________________
Photo
Permanent Address with Tel. No. ______________________________
______________________________
______________________________
Educational Qualification:-
Examination Passing % of Marks Div. Board/University Subject
Year Offered
Hr.. Sec./Inter
B.A./B.Sc./B.Com.
M.A./M.Sc./M.Com.
B.Ed./STC/JBT
M.Ed.
CTET
Any other
Qualification
Experience:-
Nam of Post Held From To Total Class Amount
Institution

I declare that the information given above is true and correct to the best my knowledge.

Signature of Applicant
Date:______________

Checked all the original documents and found eligible for interview.

Signature of Checker