Personal Information

Name Please Enter Name
Contact No. Please Enter Personal Phone No. Please Enter Ten Digit Mobile No only
Date of Birth*

Email Address Please Enter Your Email
Nationality Please Enter Your Nationality
Aadhar No. Aadhar No.
Marital Status Please Enter Your Marital Status
Father/Husband Name Name
Father/Husband Contact Please Enter Ten Digit Mobile No only Contact

Correspondence Address

Academic Qualification

S.No.	Qualification	Stream	Name of School/Board/College/University	Year of Passing	% of Marks
1	10^th	Subjects/Discipline	Name of School	Select	Percentage
2	12^th	Subjects/Discipline	Name of School	Select	Percentage
3	Graduation	Subjects/Discipline	Name of University or College	Select	Percentage
4	Post Graduation
5	Diploma
6	Other

Professional Qualification

S.No.	Qualification	Stream	Name of School/Board/College/University	Year of Passing	% of Marks
1	B.Ed	Subjects/Discipline	Name of University or College	Select	Percentage
2	M.Ed
3	P.HD
4	Other

Work Experience

Fresher

Total Experience

Teaching (in years)
Administrative (in years)

Responsibilities Held Under Administrative Experience

Particulars of Present Job

Organization Name
Full Address
Organization Contact No 1 Please Enter Ten Digit Mobile No only
Organization Contact No 2 Please Enter Ten Digit Mobile No only
Present Designation
Date of Joining
Present Place of Posting

Total Emoluments

Current Salary Drawn
Salary Expected Expected Salary
Allowance
Other Benefits

Are you under bond?

Exact period after which you can join if selected Select Months Select Days

Interests

S.No.	Academics	Sports	Co-Curricular
1
2
3

Seminars and courses attended

S.No.	Workshops / Seminars Attended	Duration	Date	Description	Mode
1
2
3

Details of Scholarship / Awards / Honours (If any)

Do you suffer from any major medical ailment problems ?

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 upon you ?

Give details of two references (other than relatives) in the field of education

S.No.	Name	Occupation	Address (Official)	Telephone No.
1
2

I hereby certify that the information provided above is true to the best of my knowledge and belief.