KENDRIYA VIDYALAYA HISAR CANTT. SESSION: 2015-16 APPLICATION FOR THE POST OF_____________________________________ON CONTRACTUAL/PART-TIME CONTRACTUAL BASIS IN REF. TO ADVT. PUBLISHED IN DAINIK BHASKAR, DATED: 05.02.2015 1. NAME : _________________________________________ 2. FATHER’S/HUSBAND’S NAME : _________________________________________ 3. DATE OF BIRTH : _________________________________________ 4. SC/ST/OBC/General : _________________________________________ 5. CTET Qualified (Yes/No) : _________________________________________ 6. PERMANENT ADDRESS WITH MOBILE NUMBER. : _________________________________________ _________________________________________ 1.___________________ 2.__________________ 7. EDUCATIONAL AND OTHER QUALIFICATIONS S.No. Exam/Degree University Year of Passed / Board Passing 1 Matric 6. 2 10+2 3 B.A./B.Sc./B.Com 4 M.A./M.Sc./M.Com 5 B.Ed. 6 M.Ed. Paste a recent passport size photograph with signature : Subjects TEACHING EXPERIENCE: YEARS MONTH (In a Recognised Institution Only___ __ ____ DAYS _____ %age of Marks Classes Taught ……………… EXTRA CO-CURRICULAR ACTIVITIES: __________________________________________ Certified that the abovesaid information is true and correct to the best of my knowledge and belief and nothing has been concealed therein. In case any of the information given above is found false/incorrect at any stage, my candidature may be cancelled forthwith and I shall have no claim for that. Dated:___________________ (SIGNATURE OF CANDIDATE)
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