Kendriya Vidyalaya, Datia (MP)

APPLICATION FORM for contractual teachers/instructors (session 2018-19)

Post applied for:______________________________

1. Name of the candidate :___________________________________________ Paste recent
(In Capital Letter) coloured
2. Gender (Male/Female) : --------------------- passport size
photograph
3.Name of Father/husband :___________________________________________
4.Date of birth :___________________________________________
5. Correspondence Address :___________________________________________
_________________________________________
_______________________________________________________
6.Mob. No: : ________________________________Email ID…………………
7.Educational & Professional Qualification
S. Exam. Passed Year of Board/ Subjects Aggregate Marks Div.
N. passing University Max. Marks Pass %
Mark Obtained
1. Intermediate
(XII)
2. BA/ BSC/ B.COM,
BE/B.TEC./BCA or
equivalent

3. MA/MSC/M.COM/
MCA or equivalent
4. JBT/D.Ed//BTC/
B.Ed
5. PGDCA/ A or O level
from DOEACC
6. CTET
7 Other
8.Teaching Experience, if any (attach copy of experience certificate)
S. Name of Institution Whether Post Held Period of service Total period Remarks
N. Govt./ Pvt. From To (Year &
month)

9: Teach through English and Hindi medium both: Yes/No.________________

10: Category: Gen./OBC/SC/ST/ _________________
Declaration
I_________________________________________do hereby declare that the information
furnished above is true to the best of my knowledge and nothing has been concealed.

Place:___________ Signature of candidate

Date:___________
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For VIDYALAYA Use only
Eligible/Not Eligible (Give reason if not eligible):_______________________________________
Documents verified & checked by-

Name & Designation of Checker: ------------------------------------------------Signature of Checker----