JAWAHAR VIDYA MANDIR, SHYAMALI

RANCHI – 834002
(APPLICATION FOR THE POST OF SRC)
ACADEMIC SESSION: 2023-2024
(PLEASE FILL ALL THE FIELDS IN CAPITAL LETTERS)
NAME OF THE CANDIDATE: …………………………………………………………………………….
NAME OF HOUSE: ……………………………………………………………………………………………………….
POST APPLIED FOR: ……………………………………………………………………………………………………. PASTE YOUR
RECENT
CLASS: …………. SECTION: ……………… REGISTRATION No: …………………………………………… PASSPORT SIZE
PHOTOGRAPH
MOBILE No.
WITH YOUR
NAME PRINTED
ON IT
ADDRESS FOR CORRESPONDENCE: ……………………………………………………………………
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➢ ACADEMIC CREDENTIALS (Last two academic sessions):

S. No. NAME OF BOARD STREAM YEAR OF PERCENTAGE OF GRADE

EXAM PASSING MARKS
1 10th

2 11th

➢ DETAILS OF ACHIEVEMENTS IN ACADEMICS / SPORTS / OTHERS:

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➢ DETAILS OF SIMILAR POST HELD IN PAST:

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2.

➢ Write in brief why do you consider yourself appropriate for the post mentioned by you.

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➢ DECLARATION: I do hereby declare that the particulars furnished by me above are correct to the best of my
knowledge and belief.

Date:

(Signature of Applicant)