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APPLICATION FOR ENGAGEMENT OF STAFFS IN RESIDENTIAL SCHOOLS

(Note – Incomplete application/without document produce and application received after due date
shall be rejected)

1. Name of Post applied for :…………………………………………………………..

2. Name of the Candidate :…………………………………………………………... Recent Self


Attested Pass
(In Block Letters) Port Size
3. Father’s/Husband’s Photograph
Name :…………………………………………………………. To be Pasted

4. Present Address :…………………………………………...................


………………………………………………………….
…………………………………………………………
5. Permanent :………………………………………………………..
Address …………………………………………………………
…………………………………………………………
6. Email ID and
Contact No. :………………………………………………………………………….
7. Nationality :…………………………………………………………………………..
8. Date of Birth :…………………………………………………………………………..
9. Age as on 01.05.2022 :…………………………………………………………………..
10.Sex (Male/Female) :………………………………………………………………………
11.Marital Status :……………………………………………………………………………..
12.Employment Exchange
Registration No. :……………………………………………………………………………
13.Educational Qualification:

Exam. Board/University/ Year of Total Marks % of


Passed Institution Passing Marks Secured Marks

H.S.C

C.H.S.C

Graduation

Training
(B.Ed)

Computer

Others, If
any
14.Work Experience :

Designation Nature Name of the Period of Service


of Organization Type of organization
Work (Govt./Project/Pvt./NGO) From To Completed
years

DECLARATION
I do hereby declare that the information furnished above is true and
correct to the best of my knowledge and belief.

Place:

Date: Full Signature of Candidate

Document to be attached

1. Self attested photocopies of all documents in support of Age, Educational


Qualification & Mark sheet, (HSC onwards), Experience, Caste Certificate,
Resident Certificate and valid Employment Registration Card.
2. 02 recent passport size photocopies (self attested) must be affix to the
application form.
3. Self attested photo identity card ( Aadhar / Voter Id/PAN-card/DL)
4. 02 Self – Address stamped enveloped

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