Professional Documents
Culture Documents
पद ददनांक समय
इच्छुक अभ्यर्थी ननयत नतथर्थ को 8:30 am बिे तक सािात्कार हे तु पंिीकरर् करवा िें एवं शैक्षिक
योग्यता/अनभ
ु व के मि
ू दस्तावेिों और उनका एक फोटो कॉपी सैट अवश्य िाये।
प्राचायष
2. Candidate’s Name (in capital letters) (Please keep one box blank between First name, Middle name & Last name)
5. Gender
4. Date of Birth: M F
(Please
DAY MONTH YEAR
Tick)
6. Age as on 31.03.2O22
Year Month Days
7. Candidate Address (in capitals letters)
Name : Please affix one recent
Photograph without
Father/Husband’s Name: attestation
Address :
:
:
City/Town : PIN
Ph/Mobile No. 1 :
Mobile No 2:
E-mail id:
Signature of Candidate
8. Academic Qualification (Starting from High School level)
(Please give information as applicable. (Attach attested copies of Mark sheets and Certificates)
Write name AGGREGATE MARKS Duration
Name of Examination
of Year of %age Subjects / of course Board/
(with complete name Max. Marks
Examination passing of Specialization (in University
of course passed) Marks obtained
passed marks months)
High School (Class X)
Intermediate (Class
XII)
Graduation
(Name of Course)
Post Graduation
(Name of Course)
Others if any
(Specify)
9. Professional Qualification (Attach attested copies of mark sheets & certificates)
Name of AGGREGRATE MARKS
Write name Duration
Examination
of Year of Marks Subjects of course Board/
(with complete Max. %age of
Examination passing obtaine /Specialization (in University
name of course Marks
d
marks
passed months)
passed)
JBT/B.E.ED/
(specify)
Theory
B.ED
Practical
BE/B.Tech(CS)/
Other if any
(specify)
11. Are you able to teach through English and Hindi, both?
(Please mark (√) tick in the appropriate box) For teaching posts YES NO
UNDERTAKING
I hereby certify that all the information given above are true and correct to the best of my knowledge. I have attached attested
copies of my testimonials in support of the entries made above. I also agree that mere eligibility does not confer right to be
called for interview/selection. My candidature may be cancelled in case any information is found to be incorrect on
verification.
Place______________
Date_______________
Signature_______________________
Contact No.
Name__________________________
CHECKED BY:
Particulars and undertaking submitted by all the candidates to be
engaged on part time contractual basis for session 2022-23
Name of KV: KENDRIYA VIDYALAYA AMBARNATH
I Sh./Smt/Ms._____________________________________________________________________S/o,D/o,W/o
Sh_____________________________ applying for the post of ___________________on part time contractual
basis for the session ____________________declare as under that:-
1 Whether any Police Inquiry/case is pending or contemplated
against him/her, please write YES or NO, if yes, please give
details.
2 Whether he/she has filled any court case against KVS in any
court. Please write YES or NO, if yes, please give details.
3 Whether he/she has worked in any KV across in India,
Please write YES or No, if yes, please give details.
4 Whether any his/her relative is working in KVS, please
write YES or No, if yes, please give full details of the
relative working in KVS.
All above information furnished by me are true and correct to the best of my knowledge. In the event of
any wrong/false information is to be found at any stage or after engagement on part time contractual basis, I shall
be personally fully responsible for discontinuation from engagement on part time contractual basis.
I also aware that such arrangement/engagement cab be discontinued at any time without any prior notice
and without assigning any reason.
I am also aware that my services will be utilized purely on part time contractual basis depending upon the
need of the Vidyalaya. I shall neither claim regularization of service nor claim any appointment in KVS.
Date:- _______________
Signature:-
Name:- _________________________
Address:- _____________________
____________________