1. No category

BARU SAHIB via Rajgarh, Dist. Sirmour (H.P.) -173101
Ph. 01799-276031, 09816033303, 04, Fax: 084316-02277, E-mail: [email protected]
APPLICATION FORM
Place of interview
: ______________________
Date of Interview
: ______________________
Post Applied For
: ______________________
Paste your
recent
passport size
photograph
1. Name (Mr. /Miss)
: ________________________________________
2. Husband/Father’s Name
: __________________________________________________________
3. Date of Birth
: ____________________ Place of Birth: _________________________
4. Religion (Hindu/Sikh/Muslim/
Christian/Others)
:___________________________________________________________
5. Marital Status
: __________________ No. of Children: _________________________
6. Address for Communication:
(a)
Permanent Address
: __________________________________________________________
:___________________________________________________________
:___________________________________________________________
(b)
Correspondence Address
:___________________________________________________________
:___________________________________________________________
:___________________________________________________________
7.
(c)
Telephone/ Mobile No.
:___________________________________________________________
(d)
E -Mail/ Fax No. if any
: __________________________________________________________
Detail of immediate family Members & their education & present occupation.
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
8. Name of two Relatives/friends (with Tel. Numbers and Full address)
1.________________________________________________________________________________________
_________________________________________________________________________________________
2.________________________________________________________________________________________
_________________________________________________________________________________________
9. Educational Qualifications:
S.No Class/Course
1.
Class X
or
equivalent
2.
Class XII
or
equivalent
3.
B.A. / B.Sc. /
B.Com
4.
M.A / M.Sc /
M.Com.
5.
B.Ed.
6.
Any Other
Qualification
Subjects
(graduation/
PG level)
Board/
Univ.
%age of
Marks &
medium
of
instruction
Year of
Certificates passing;
Furnished number
Yes/no
of
attempts
Private/
Regular
10. Computer Skills:
Below Average
Basics
Others
M.S. Word
M.S. Excel
M.S. PowerPoint
Tally
Internet Surfing
Average
Good
11. Any other achievement/Special talent or Hobbies
:_________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
12. Detail of examinations for which you are already registered as an examinee:
Examination
University/Board
Regular/Correspondence
Month of
examination
Number of days for
which leave would be
required for appearing
in exams
13. Total teaching /working experience after Graduation/Post Graduation:_____________________________
______________________________________________________________________________________
14. Details of works Experience:
S.No
Office/Department/
Work Place
Post held
Date of
joining
Date of
leaving
Reason for
leaving
Salary
Proof
(b) Name of two references from the last two work places (with Telephone No.)
15. Have you ever earlier applied/served in the Kalgidhar Trust/Society? If so give details: ________________
_________________________________________________________________________________________
16. Post and name of Employer for which you have already applied or the interview already attended but the
result is not yet known __________________________________________________________________
17.
Personal Details:
(a)
Writing in English
(b)
Fluency and Pronunciation
in spoken English.
(c)
Strong points or Strength
of personality
(d)
Any other personal details which you
Below Average
Average
Good
:______________________________________________
would like to furnish.
______________________________________________
18.
Any other training/experience
: ______________________________________________
19.
Educational qualifications of the spouse
: ______________________________________________
20.
Whether your spouse will be
accompanying you to Baru Sahib
:______________________________________________
21.
Medical History (any information
which you think is relevant for the
Organization to know)
: ______________________________________________
22.
Salary expected
: ______________________________________________
Date: ________________
Signatures of the candidate
________________________________________________________________________________________
(For Office Use Only)
a)
Write up submitted by the candidate
b)
Professional assessment of skills:
i)
: Yes/No. ________________ Marks ________________
Subject Test _____________________________
ii) Demonstration___________________________
iii) Music/ Computer/any other test____________
___________________
(Signatures)
_______________________________________________________________________________________