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KENDRIYA VIDYALAYA AURANGABAD (BIHAR) APPLICATION FORM FOR PART –TIME CONTRACTUAL /DAILY NEED BASIS TEACHER
Session 2018-19 Please affix one recent Photograph
POST APPLIED FOR(please indicate whether
PGT/TGT/PRT /Computer Instructor /counselor/ Sports Coach/ Art &Craft Tr./ Yoga coach./Doctor/ Staff Nurse. etc. in the box)
1. Candidate's Name (in capital letters) (please keep one box blank between name, middle name & sur name)
2. Father's/Husband's Name (in capital letters)
Father
Husband
(Please mark (√ ) tick in the appropriate box)
3. Date of Birth:
4. Sex DAY
5. Age as on 31.03.2018:
MONTH
Year s
M
F
YEAR
Month s
Days
6. Candidate Address (in capital letters) Name
:
Father /Husband Name : Address
:
Pin Code: Contact No.
: (Land line )_________________________________
Mobile No.
:___________________________________________
Alternate Mobile Number: __________________________________
Signature of candidate .
7. Academic Qualification (starting from + 2 stage) (Please give information as applicable. Attach separate sheet if columns are insufficient.) Name of Examination (write complete name of course passed)
Please write, name of Examination Passed
AGGREGATE MARKS Year of Passing
Max. Marks
Marks Obtained
% age in subject applied
%age of marks
Subjects offered
Board/ University
Senior Secondary (Class – XII) Graduation (name of course) Post Graduation (name of course) Other if any, (Specify)
8.
Professional Qualification
Name of Examination (write complete name of course passed)
Please write, name of Examination Passed
AGGREGATE MARKS Year of Passing
Max. Marks
Marks Obtained
%age of marks
Subject Offered
Board/ University
JBT/B.Eld./NTT etc. (Specify) B.Ed. M.Ed/Ph.D /M.Phil CTET/ Others if any (Specify)
9. Post Held
Experience (attach separate sheet, if columns are insufficient) Name of Institution/ Department/ Ministry
Whether Central Govt. / State Govt. / Autonomous Body/ Public Sector/ Recognized/ Un- recognized (if applicable)
Period of Service From
10.
Proficiency in computer (YES/NO):-_________________
11.
Proficiency in teaching through English and Hindi, both ( Please mark (√ ) tick in the appropriate box) HINDI ONLY ENGLISH ONLY
To
No. of Completed years & months
Nature of Duties
Remarks, if any
Both Hindi and English
DECLARATION TO BE SIGNED BY THE CANDIDATE Hereby certify and declare that: (i) I am an Indian National. (ii) I have read the provisions given in the Advertisement and will abide by the rules meant for us. (iii) All statements made and information given by me in this application are true, complete and correct to the best of my knowledge and belief. In the event of any information or part of it being found false or incorrect before or after the exam./interview or after Part –Time contractual appointment, action can be taken against me by the Vidyalaya and my candidature/appointment shall automatically stand cancelled. (iv) I further declare that I fulfill all the prescribed conditions of eligibility regarding age, educational, professional/technical qualifications, etc. The proof of which I have enclosed. (v) I have no claim for regular appointment in KVS/Vidyalaya as this advertisement is only for temporarily arrangement and part–time contractual basis. PLACE : ____________________ DATE : ____________________ Signature of Candidate
