BEST TEACHERS AWARDS FOR 2012 PROFORMA

The Details of assessment of work of the Teacher for Selection Committee are given below.

1. Name of the Teacher 2. Name of the Father 3. Permanent Address 4. Date of Birth 5. Designation and School Address 6. Date of appointment and Category 7. Award for which the applicant is identified 8. Date of Present post held 9. Date of Retirement 10.Age of the Candidate 11.Academic and Professional qualifications 12.Service Record a. Name of the School b. Whether belong to Primary or Secondary School c. Management

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: :

d. Period of Service details of appointment and date of present

//2// e. Continue length of Service f. Break of Service g. Subject taught h. % of results in proceeding three years : : : : 2011-12 2010-11 2009-10 13. (a) Achievement in the field of (b) Academic and non academic 14.Community service 15.Awards and Prizes received : : : :

16.Contribution to the following i)Creative Work ii)Literacy Work iii)In creative Work 17.Contribution of Physical Development of School 18.Interest in helping the handicapped and backward students

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19.Relationship with students, teachers and parents

20.General assessment/citation of Inspecting officer

21.Antecedent of the Candidate : (Please state whether any court cases and Disciplinary proceedings are pending against thee candidate)

SIGNATURE OF THE FORWARDING OFFICER