SAINIK SCHOOL TILAIYA

PO - TILAIYA DAM, DISTRICT – KODERMA

JHARKHAND - 825413

APPLICATION FOR THE POST OF WARD BOY (CONTRACTUAL)

1. Name (in capital letter) : ________________________________ Affix a Self

attested Passport
2. Father’s/Husband’s Name : ________________________________
3. Permanent address : _________________________________ size photograph

_________________________________

_________________________________

4. Correspondence address : _________________________________

Specimen signature
_________________________________ in black ink
_________________________________
_________________________________

5. Date of Birth : _________________________________

(As per Class 10th certificate)
6. Age as on 01 Aug 2022: Years_______Months_________ Days____________
7. Marital status: ___________________________________________________
8. Category (SC/ST/OBC/GEN) : ___________________________________________________
9. Nationality: __________________________________________________________________
10. (a) Contact No. (Telephone/Mobile No.) : _______________________________________

(b) E-mail: _______________________________________________________________

Educational qualification: Commence from Highest qualification achieved

Qualification University / Board Year of Subjects Marks Marks
passing obtained (%)

11. Professional qualification:_________________________________________________________

(Proficiency in managing boarders in Hostel. Attach self attested copies of certificates issued by the
competent authority of relevant professional qualification)
12. Experience (if any):_______________________________________________________________
(ATTACH SELF-ATTESTED CERTIFICATES ISSUED BY THE COMPETENT AUTHORITY)

13. Skills: _________________________________________________________________________

14. Extra Co-curricular activities(NCC/Sports):_____________________________________________
15. Hobbies :_______________________________________________________________________
16. SBI DD No. ______________ dated_________ amount Rs. 400/- (Gen/OBC) / Rs. 250/- (SC/ST)
(SBI DEMAND DRAFT ONLY IN FAVOUR OF ‘PRINCIPAL SAINIK SCHOOL TILAIYA’ PAYABLE AT STATE BANK OF
INDIA BRANCH – SAINIK SCHOOL TILAIYA (CODE – 03502) WILL BE ACCEPTED.)

Date: _____________________
Place: ____________________ (Signature of Applicant)