Applied for the post of ^*		Name (In capital letters) ^*		Paste your recent photo here ^*
Date Of Birth ^*	Category ^*	Gender ^*	Date Of Marrige	Religion ^*	Nationality ^*
Present Address ^*			Permanent Address ^*
Phone number. ^*	Mobile ^*	E-mail ^*		Aadhar Card number ^*	PAN Card number ^*
Personal Mark of Identication ^*			Height	Weight	Blood Group ^*

Father's Name ^*	Occupation ^*		Ph. No ^*
Spouse's Name	Occupation		Ph. No
No. of Depedents	No of Children		No of Girl	No of Boy
Specify Whether Spouse's /Father's job is transferrable ^*		The house where you reside is yours or rented one? ^*

Academic and Professional qualification in chronological order from matriculation

Qualification	Name of Institution	Board	Year of Passing	Subject studied	Percentage	Division
10th
12th
Graduation
Post Graduation
B.ED
CTET/NET
Any Other

Experience (if any)

Name of Institute/School	Designation	Board	Period	Class Taught	Subject Taught	Salary Drawn	Reason for Leaving

Have you already resigned from your present job? (yes/No) ^*

YesNo

Give details of your administrative experience (if any):-

Name of School	Period	Responsibility

Give details of Seminars/Workshops attended in the last 2 years.:-

Seminar / Workshop	Period	Take away

Enumerate the books you have read in the last 6 months

S.No.	Name of Book	Author	Gist of the book
1
2
3
4
5

Which Games/ Sport have you participated in actively and at what level? ^*

(School/ College/ Zonal/ Inter-Zonal/ State/ National)

Details of any Paper/ Article/ Book published. (if any)

State any other Qualification /Hobbies/ Abilities/ Skills/ Experience that may be of value to the institution, and not covered in this form ^*

Are you trained to take online classes? (yes/No) ^*

Have You gone through the "New Education Policy" What changes are made in your subject? Please mention any three highlight as per the post applied. ^*

Have You applied for a Pvt./Govt job elsewhere of which the result is awaited? (Please tick) ^*

YesNo
If yes, Give details of the organization and post applied for

Have You ever been convicted by any court of law or any disciplinary proceeding / enquiry is pending against you or any penalty has been imposed on you? ^*

Do You suffer from any major ailment / medical problem? ^*

Do You need any medical assistance/treatment for the disease, you are suffering from? ^*

(You will have to give your medical fitness certificate on the date of joining).

Why should you be selected for this post? ^*

Would you like to be considered for a job in a grade lower, if not selected for the grade appied for? ^*

YesNo

How did you come to know about this vacancy? ^*

Give the name, Designation, complete address and telephone no. of two references (not relatives) from whom confidential reports of your work, character and personality may be obtained. At least one of them must be from Head of dept. / Head of Institution in which you have worked recently.

References:-

1. Reference

Name :- Designation :- Address :- Mob No. :-

2. Reference

Name :- Designation :- Address :- Mob No. :-

If selected, state the exact period after which you can join: ^*

For how long would you like to continue with the institution? Please Tick ^*

Minimum one sessionTwo SessionsMore than two Sessions

If you are currently pursuing any degree/diploma, please share the expected date of examinations

Document Attached

S.No.	Name of Document	Please Tick	Remarks	Document
1	10th
2	12th
3	Graduation
4	Post Graduation
5	CTET / NET
6	Relieving Letter (Last Post)
7	Aadhar Card
8	PAN Card
9	Other

Where do you see yourself three years down the line?

SHRI RAM SHIKSHA MANDIR