APPLICATION FOR CONTRACTUAL APPOINTMENT FOR THE ACADEMIC SESSION 2023-24 [K V 1 REWA]: PGT/ TGT/ PRT
______________
[TICK APPROPRIATE]
Subject in case of TGT/PGT: ………………………
KINDLY FILL SEPARATE FORM FOR SEPARATE POST / SUBJECT [IF ELIGIBLE FOR MORE THAN ONE POST / SUBJECT]
BIO-DATA
1. Name of the candidate:………………………………………………………………
2. Father’s/Husband’s name:…………………………………………………………………………..
3. Date of birth (dd/mm/yyyy) : ….…/….../… .......... 4. Gender: Male/Female/Transgender
(Photo)
4. Caste: GEN(UR)/ SC/ ST/ OBC (CL)/ OBC (NCL)
5. DIFFERENTLY ABLED (दिव्यांग) WITH MIN. 40% DISABILITY: YES / NO
6. Age as on date of interview:……..Years… ... months
7. Present address:………………………………………………………………………………………………. PIN:………..…
8. Mobile No: 1. …………………………………2…………………………...... e-mail id:……………………..……………………..@............
9. A. Educational Qualifications:
SNo Qualification Board/University Year of Subjects % of marks in
passing aggregate
1. SECONDARY [10TH]
2 SR. SECONDARY
[12TH]
3 Graduation
[TICK APPROPRIATE]
(BA/ B.COM/ B.SC.)
4 Post-Graduation
5 B. Ed./B. EL.Ed.
[TICK APPROPRIATE]
FILL OTHER, IF ANY
(… ...................... )
CTET [TICK
6 APPROPRIATE]
[PRT / TGT]
Note: Any candidate seeking of claim of equivalence of the qualifications with that of the above should furnish
documentary evidence in support of their claim at the time of interview/selection.
10. Working knowledge of English and Hindi: Yes/No…………….
11. Working knowledge of COMPUTER: Yes/No…………..
12. Any other relevant information: ………………………………………………….
13. Experience: (Attach certificate) Experience gained in last 10 yrs only on the same / equivalent post will be countable
Name of Institution Post Period of service Classes taught Subjects taught/ nature of work
From To
It is certified that above information provided by me is true to the best of my knowledge and belief. If this information found incorrect at any
time before or after selection procedure, my candidature will be cancelled automatically & legal action may be initiated against me. I also
understand that the post is purely temporary and on contractual basis. My service can be terminated at any time if any regular incumbent is
posted to my post by KVS / my work not found satisfactory in the welfare of students / Vidyalaya without assigning any reason thereof.
Place:
Date: ……………. Signature of the candidate
…………………………………………………………………………………………………………………………………………………………………………
For office use, only:
Found Eligible/Not eligible for the reasons: …………………………………………………………………………..
First Checker: Second Checker: Date: