DELHI PUBLIC SCHOOL

SECTOR – 14, ROURKELA, PIN – 769009

PH: 0661-2603251 / 2601351
EMAIL: info.dpsrkl@gmail.com, WEBSITE: www.dpsrkl.in
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BIODATA

Post applied for : Primary Teacher (PRT) Subject: __________________________

Name : _______________________________________________________________

Father’s Name : _______________________________________________________________

Spouse’s Name : _______________________________________________________________

(If married)
Date of Birth : ___________________ Age as on dt.30/04/2023 : ____________________

Gender : _____________ Religion: ___________ Category : ___________

Marital Status : _______________ Nationality: _________ Blood Group : ________

Languages Known: ________________________________________________________________

Academic Qualifications
Year of Percentage
Board/University Subjects
passing of Marks*

H.S.C.

10+2
(Arts/ Science/
Commerce)
Core:
Graduation
(Hons.) Agg:

B.Ed.

CTET/OSSTET

Post Graduation

* Write equivalent percentage if grade/grade point was awarded

Work Experience: Total Experience (in years) : ________________________________________
Organization Designation Year No. of years
From To

*The candidate has to furnish the experience certificate from all the schools and no objection certificate from the
present employer / Principal in the format enclosed.
Co-curricular Activities:

Any other information you would like to provide: _____________________________________

__________________________________________________________________________________

Address for Communication : ___________________________________________________

__________________________________________________________________________________

Phone/Mobile : _________________________________________________________________

Email id : _________________________________________________________________

DECLARATION
I do hereby declare that, the information given above are true to the best of my knowledge and belief.

Signature of the Applicant