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KENDRIYA VIDYALAYA NO.

1, SHAHIBAUG, AHMEDABAD
INTERVIEW FOR PART TIME CONTRACTUAL TEACHERS - 2022-23
APPLICATION FORM
01 Post applied for PRT/TGT/PGT/(___________)/Miscellaneous___________

Subject : _______________ on Contractual basis under KVS terms and Conditions.

02 Name (in Capital)______________________________________________________

03 Name of Father/Husband________________________

04 Date Of Birth(DD/MON/YYYY): _________________ (Paste Passport Size


Recent Photograph
Here)
05 Sex : Male/ Female: ______________

06 Whether Married: Yes/No _________

07 Whether SC/ST/OBC/Differently Abled (if Yes, Specify)________


08 Whether employed at present (if Yes details, thereof)__________________________
_____________________________________________________________________
09 Permanent Address_____________________________________________________
____________________________________________Pin Code_________________
10 Address for Correspondence______________________________________________
____________________________________________Pin Code_________________
11 Telephone number for contact with STD Code_______________________________
Mobile No______________________Email id_______________________________
12 Professional Qualification
Certificate/ Board/University Year of Passing Subject offered % of Marks
Degree
SSC/AISSE

XII/AISSCE

B.A/B.Sc.

M.A/M.Sc.

B.Ed / PTC
CTET or any
state Govt. Exam
Any Others

13 Computer Literacy______________________________________________________

14 Teaching Experience:
Post Held Institute with Place Pay From To Time period of
Experience

15 Co-Curricular activities (Specify interest / achievement) _______________________


_____________________________________________________________________
16 Any other relevant information (Specify) ___________________________________
_____________________________________________________________________
17 Write two/three Lines about yourself: ______________________________________
_____________________________________________________________________
_____________________________________________________________________
I hereby, certify that above information is correct to the best of my belief & Knowledge.
Photocopies (Self Attested) of relevant documents have been attached.
Place: Ahmedabad Signature in Full______________
Date:____________ Name______________________

For official use only


Details as given above are verified from the original documents and found correct.
Eligible for the Post : _________________________________________________
Eligible for interview : Yes / No

Date:________________ Signature_______________Name_______________________

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