Govt. Shramodal*a Awasiya Yidyalal-a ............,...... ".... M.p.

Post o a a a a a aaa a a Subject:-...,

a
rr t...o.....
Phoiograpir
(1) Name ef Candidate -
i

(2) Father'sffIusband's Narne -

r1\ Date of Birth -

s) Address for Correspondence

(4) Contact Number: I )

Email Ib-
Educational
Exam Year Name of Subject Studied o/o
of
Board/University Marks

HSSC/AISSCE/Intermediate

BA/B.Sc./ts.com/

M. A./]VI. S c./lVI.C om.

D.E dIJBTiB.EdfI}I.E d.

Any other/CTETIPGDCA

(7} Total Teaching Experience ...,........,Years..............nnonths in.........

(8) Teaching competeucy (English/tlindi)

DECLARATION
by declare that inforrnation
l'urnished above by me is tnle and correct up to my best of knowledge and belief.
In case of my selection I shall join my duties immediately.

Date
{
PIace:------ Signafure of Candidates

Compared and verified by:-

Sign with name:-
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