Scribd
Upload
4 views

Application PVM (2) (1)

The document is an application and personal data form for a position at Purwanchal Vidyamandir in Kolkata. It requires applicants to provide personal particulars, educational qualifications, employment history, references, health history, and reasons for applying. The form also includes a declaration section for the applicant to certify the accuracy of the provided information.

Uploaded by

Amit Saha
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
4 views

Application PVM (2) (1)

The document is an application and personal data form for a position at Purwanchal Vidyamandir in Kolkata. It requires applicants to provide personal particulars, educational qualifications, employment history, references, health history, and reasons for applying. The form also includes a declaration section for the applicant to certify the accuracy of the provided information.

Uploaded by

Amit Saha
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 5

RECENT

PHOTOGRAPH
Purwanchal Vidyamandir
P- 232, C.I.T. Road, Scheme-VII M
Kolkata- 700054.
Phone: 033-35619830, 35620130
Email: [email protected]
Website: www.purwanchalvidyamandir.org

APPLICATION & PERSONAL DATA FORM

Position Applied For __________________________________


Personal Particulars
(PLEASE FILL IN THE REQUIRED DETAILS IN YOUR OWN HANDWRITING)
FULL NAME:
____________________________________________________________________
(IN BLOCK LETTERS) (FIRST NAME) (MIDDLE NAME) ( SURNAME)

PRESENT ADDRESS:
____________________________________________________________________
____________________________________________________________________

PERMANENT ADDRESS:
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Phone No:________________________________ Mobile No__________________
Email ID____________________________________________________________
Father’s / Husband’s Name:______________________ Occupation______________
Address:
____________________________________________________________________
____________________________________________________________________
(If employed give designation and official address)

DATE OF BIRTH ____________________PLACE OF BIRTH ___________________________


MARITAL STAUS: SINGLE / MARRIED / SEPARATED / DIVORCED __________________
BLOOD GROUP: _______________________________________________________
CHILDREN’S AGE & SEX (1)______Yrs M / F (2) _______Yrs M/ F (3) ______ Yrs M / F

LANGUAGES KNOWN:
S.No Languages Known Speak Read Write
1.
2.
3.
4.

EDUCATIONAL QUALIFICATION (Enclose photocopies of testimonials)


Degree Name & Year of
/Exam Location of Subjects Medium Grade
School / Entering Leaving %
College /
University
Particulars of scholarship / special merit awards / specialised training:
1.
2.
3.
4.

Co – Curricular Activities:
1.
2.
3.
4.

EXPERIENCE
1. Employment Particulars (Present Employment First)
(Enclose photocopies of previous experience certificates, appointment letter and
salary slip of present employer, please provide separate sheet if the space provided
for employment detail is insufficient.)

Position Employer’s Classes Last Reasons for


Period Name & & Salary Leaving
From To Address Subjects Drawn
Taught

REFERENCES
(Please give the name of the Principal and one of the senior staff from your previous
organisation who knows you but are not related to you)

S. Name Occupation Address Phone No Email


No
1.
2.
Present Salary Details:
(Enclose photocopies of payslip / bank statement)
1. Expected salary per month:
____________________________________________________________________
2. Minimum notice period required by present employer:
____________________________________________________________________
3. If already a member of Provident Fund, please furnish Provident Fund No or UAN No:
____________________________________________________________________

HEALTH HISTORY:
In case physically challenged, please furnish details:
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Have you had any major operations / illness: YES / NO
If yes give details
____________________________________________________________________
____________________________________________________________________

Information Required:
1. How did you come to know of this vacancy
____________________________________________________________________
____________________________________________________________________
2. Have you applied earlier for any position at Purwanchal Vidyamandir? YES / NO
3. Have you appeared for any interview at Purwanchal Vidyamandir? If yes, give
details.
_________________________________________________________________

Reasons for desiring to join our organisation:


1.
2.
3.
DECLARATION
I certify that the information provided here is correct and complete to the best of my
knowledge and belief. If at any time I am found to have concealed any material
information or given any false details, my candidature is liable to be rejected without
notice or compensation.

______________ _______________ ____________________


Date Place (Signature of the Applicant)

Note: Please attach self-attested copies of all your testimonials and ID proof

FOR OFFICE USE ONLY


Mr. / Ms. __________________________________________________ was called
for an interview on ___________________ in the department of ________________.

You might also like