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6/19/2015

OnlineApplication:KVS2015

ApplicationFormforthepostof
TrainedGraduateTeacher(TGT)WE
* ApplicationNo.

2106081
ExaminationCentre

ExaminationCentreCity
selected

LanguageinwhichQuestion
English
Paperisrequired

* PostAppliedfor

Choice1:Jammu
Choice2:Jallandhar

TrainedGraduateTeacher(TGT)WE

PersonalParticulars

* Name

MAHESHSHARMA

* DateofBirth

21Sep1985

* Gender

Male

* Addressforcommunication NearP.N.B.Kamini

NagrotaP.O.KandoliNagrota


* City

Jammu

* State

Jammu&Kashmir

* EmailID

er.mahesh09sharma@gmail.com

ContactNo.

01912673240

* MobileNo.

9797555237

* Religion

Hindu

* Category

GENERAL

AreyouaKVSpermanent
NO
employee?
AreyouResidentofStateof
* J&K(Domiciledduring
YES
01.01.1980to31.12.1989)?
*

Areyoupersonwith
disabilities?

NO

* Nationality

INDIAN

* WhetherExServiceman?

NO

* PinCode

AreyouinGovt.Regular
Service?

181221

NOifyes,No.ofyearof
Service:

Ifyes,indicatethenatureof
disabilityandPercentageof
%
disabilty
IfExServiceman,No.of
yearofservice

Doyouhaveproficiencyin
* teachinginHindiandEnglish YES
media
..................................
SignatureofCandidate

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6/19/2015

OnlineApplication:KVS2015

ApplicationNo.:2106081

QualificationDetails

Percentage
Month
Duration
ofMarks#
&Year
Nameofthe
Marking Marks Maximum
(in
(Uptotwo
of
University/Board Scheme Obtained Marks
Months)
decimal
Passing
places)
Mathematics,Phy
May
10+2
12
JKBOSE
Marks
298
600
49.67
andChem,
2004
Dec
BTech(ECE) Electronics
48
PTU
Marks
4162
6600
63.06
2010

Qualification Nameofthe
Level
Qualification

12th
Degree

Main
Subject(s)

#Note:IncasetheMarkingSchemeisGrade,pleaseentertheequivalentpercentage.

ModeofPayment:>Credit/DebitCard

* TransactionReferenceNo.
*

ReceiptNo./
BankRef.No.

2106860

* PaymentDate

6/19/201510:10:11PM

DSBI3860886416/
IG0AFASTY9

* AmountPaid

750/(ApplicationFee)
+ 30/(ServiceCharge)

Iherebycertifyanddeclarethat:
1. IamanIndianNational.
2. IhavereadtheprovisionsgivenintheAdvertisement.
3. Allstatementsmadeandinformationgivenbymeinthisapplicationaretrue,completeandcorrecttothebestofmyknowledgeandbelief.Intheevent
ofanyinformationorpartofitbeingfoundfalseorincorrectbeforeoraftertheexam/intervieworappointment,actioncanbetakenagainstmebythe
KVSandmycandidature/appointmentshallautomaticallystandcancelled/repatriated/terminated.
4. IfurtherdeclarethatIfulfillalltheconditionsofeligibilityregardingage,educational,professional/technicalqualifications,etc.prescribedforthepost
applied.
5. IwillnotlayanyclaimforrefundofnonrefundableapplicationfeefromKVSunderanycircumstances.
Undertaking:IhavegonethroughtheadvertisementandtheGeneralConditionsmentionedthereinandfulfilalltheconditions/requirementsspecifiedtherein.
IherebyAcceptandconfirmtheUndertaking.

Signatureofthecandidate

Print Home
(PleasePrinttheformforFurtherReference)

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6/19/2015

OnlineApplication:KVS2015

CERTIFICATEFROMTHEPRESENTEMPLOYER(Whereverapplicable)
(ForcandidatesservinginCentralGovt./StateGovt./PublicSectorUndertaking/Autonomousbodies)
CertifiedthattheabovementionedinformationfurnishedbytheofficeristrueandthereisnoVig./Disp.Casependingagainst
him/her.
(Signature&SealofEmployer)

..................................
SignatureofCandidate
ImportantInstructionforCandidates:
1. CandidatehastotaketheprintoutoftheApplicationFormcontainingtheautogeneratedapplicationnumberandkeepit
alongwithdocumentsdulyphotocopiedwithhim/herforrecordandthesametobeproducedatthetimeof
interview/skilltest,ifshortlisted.
2. Candidatesapplyingforthepostsadvertisedarenotrequiredtosubmitthedocumentsi.e.Printoutofapplicationforms
alongwithtestimonialandservicecertificatetoKendriyaVidyalayaSangathan(KVS)eitherbypostorbyhand.

ApplicationNo.:2106081
Name:MAHESHSHARMA
Address:NearP.N.B.Kamini
NagrotaP.O.KandoliNagrota
Jammu181221
Jammu&Kashmir

TestDate:(Tobeannouncedlater)

SignatureofCandidate
(inthespaceprovided)

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