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Application form FOR THE YEAR 2018-19

Application for the post of _________________(Apply separately for each post) Application No.__________

(1) Name of the Candidate: __________________________

(2) Father’s Name __________________________


PHOTO
(3) Date of birth __________________________

(4) Present Employment Regn. No.(If any)___________________________

(5) Whether belongs to S.C./S.T/


O.B.C./Physical handicapped _______________________________

(6)Educational Qualification:-

Name of Exam. Board/ Passing of Subjects Max. Marks Division %age of


passed Year obtained marks
Univ. marks

(7) PROFICIENCY IN GAMES/SPORTS AND OTHER ACTIVITES:

S.NO. NAME OF THE PARTICIPATION LEVEL REMARKS


ACTIVITY SCHOOL/COLLEGE/DISTT./STATE/NATIONAL

(8) EXPERIENCE OF RECOGNISED SCHOOL, Duly countersigned by the competent authority:

S.NO. NAME OF SCHOOL PERIOD TOTAL EXPERIENCE REMARKS


FROM TO

(9) OTHER QUALIFICATION WHICH THE CANDIDATE LIKES TO MENTION:

_______________________________________________________________________________________

_____________________________________________________________________________________________

FULL POSTAL ADDRESS: Signature_____________________________


______________________________ PHONE/MOBILE NUMBER_______________

________________________

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