APPLICATION FOR TEACH IN ENGLISH MEDIUM SCHOOL

WILLING TO TEACH IN ENGLISH MEDIUM

A. Personal Details of the Employee

1 Employe Treasury Code:
2 Name :
3 Father's Name:
4 Sex :
5 Date of Birth :
6 Community :
7 Disability(If any):
8 Local/Non-Local : Local/ Non-Local
9 Mobile Number :

B. Details of First Appointment

1 Mode of Appointment :
2 Designation at time of Appointment :
3 Date of First Appointment :
4 Date of Obsorption :
5 Management :
6 Year fo DSC :
7 Hall Ticket No. of DSC :
8 Marks Secured in DSC :
9 Details of the Present Cadre of the Post
10 Present Working Mandal :
11 Category of the School :
12 School Name:
13 Date of Join in Present School :
14 Present Cadre of the Post:
15 Date of Join in Present Cadre :
16 Medium of the Post :
17 In Case of Inter District Transfer Whether the Employee transferred to this District through Inter
District (YES/NO)
18 Whether the Employee is transferred to this Dist in G.O. 610 (YES/NO)

C. Employee Qualifications
1 SSC:
2 Intermediate:
3 Degree:
4 D.Ed/TTC:
5 B.Ed:
6 Post Graduation:
7 If any other:

Signature of the Employee

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