Application Form For Teaching / Non-Teaching / Applicant

1. Post Applied For   *	--Select-- Teaching Non-Teaching
2. Preferred Department   *	PRT   TGT  PGT  Pre Primary  Academic Coordinator
3. Subject Applied For   *	English Hindi Sanskrit French Mathematics Science Physics Chemistry Biology Computer Science Accounts Business Study Physical Education History Geography Political Science Fine Art Sociology Psychology Economics Sociology Business Studies Assamese Others
4. Name In Full   *
5. Mobile No.   *
6. Email Id   *
7. Name of the Father/Husband/Mother    *
8. Date of Birth as in HSLC Examination   *	(MM/DD/YYYY)
9. Sex   *	Male  Female
10. Marital Status   *	Married Unmarried
11. Name of the Community (Caste/Tribe)   *
12. Religion   *	Hindu Muslim Christian Catholic Buddhist Sikh Others
13. Permanent Address   *
14. Present Address   *
15. Name of the Spouse
16. Occupation
17. Children	Boys : Girls :

18. Educational Qualification (Mention from HSLC/Class X onwards)   *

	Examination	Year	Subjects Offered	School/College	Board/University	Percentage	Marksheet
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d.
e.
f.
g.
h.

19. Special Qualification/Achievements including Co-curricular activities (Sports, Games, Music Dramatics, Debate, Quiz etc)

a.
b.
c.
d.
e.

20. Languages Known(Others than English)   *

21. Teaching Experience in any recognized schools

	Name Of The School	Duration (in yrs)	Class & Subjects taught
a.		0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
b.		0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
c.		0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
d.		0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
e.		0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

22. Name & Address of two references

Reference 1	Reference 2
Name : Address : Mobile :	Name : Address : Mobile :

Upload Photo	Upload Id Proof	Upload Address Proof
Upload Resume *	Other Documents	Other Documents

Declaration :
I hereby declare that the entries in this record are true to the best of my knowledge. I am aware that if after appointment, it should come to light that I have forged my educational qualification/age of other vital data, my appointment will be terminated.