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MODERN DELHI PUBLIC SCHOOL

SECTOR - 87, TIGAON ROAD, FARIDABAD (HARYANA)


Ph. 0129 - 2229277, 377, 477, 577

AP P L I C ATI O N F O R M
Please paste
your passport
size photograph
size - 45x35mm

Post Applied For _____________________________________________________


1.

Name in block letters


Miss/Mrs./Mr

2.

Date of birth/age ............................................................................................................ (Please attach proof)

3.

Permanent address :

................................................................................................................................

.......................................................................................................................................................................
.......................................................................................................................................................................
Pin ............................................. Phone No ..........................................................................................................
4.

Address for correspondence :

.................................................................................................................

.......................................................................................................................................................................
.......................................................................................................................................................................
Pin ............................................. Phone No ..........................................................................................................
5.

Nationality ............................................................................................................................................................

6.

Marital Status ...........................................................................Number of children

7.

Father s/Spouse s Name : .................................................... Occupation ........................................................

8.

Mothers Name : .......................................................................Occupation

9.

Details of foreign travel :

Year

...............................................................................................................

.............................................

...............................................................................................................

.............................................

...............................................................................................................

.............................................

10.

Academic Qualifications (Start from matric)


Sr.
No.

Class
Passed

1.

Matric

2.

Sr. Sec.

3.

Graduation

4.

Post Grad.

Board /
University

Year of
Passing

Subjects

Percentage
of Marks

Board /
University

Year of
Passing

Subjects

Percentage
of Marks

5.

6.
11.

Professional Qualifications
Sr.

Degree/
Diploma

1.

2.

3.

4.

5.

6.

12.

Details of Scholarship / Awards / Honours

13.

Details of Research Work / Publications

14.

Details of Work Experience

Sr.
No

Post

Name of
Institution

Duration

Nature of work

Salary

1.

2.

3.

4.

5.

6.

Total Experience
a)

Teaching

............................................................................

b)

Administration

............................................................................

c)

Any other

............................................................................

Reasons for
Leaving

15.

Existing salary : ................................................................................................................................................

16.

Expected Salary : ..............................................................................................................................................

17.

Sports/Games you can play & coach : ...............................................................................................

18.

Hobbies and interests : ....................................................................................................................................

19.

Proficiency in extracurricular activities : ........................................................................................................

20.

Name and address of two referees with telephone number:

(a) .............................................................................................................................................
.......................................................................................................................................................
.......................................................................................................................................................
(b) .............................................................................................................................................
.......................................................................................................................................................
.......................................................................................................................................................

The above details are true and correct to the best of my knowledge and belief.
Place ..

Date

Signature of the candidate

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