DAYANAND PUBLIC SCHOOL
PANDUSAR, NABHA
PH. NO. 01765 – 220078, 220043
Affiliated to Central Board of Secondary Education, New Delhi
Session: 2021-2022
TEACHERS ENROLLMENT FORM
APPLICATION FOR THE POST OF:
PERSONAL INFORMATION
1.
*
Name in Block Letters Ms/Mr
*
Upload photo here
2.
*
Date of Birth :
*
3.
*
Gender :
*
Male
Female
4.
*
Contact Address :
*
5.
Phone No :
*
Mobile No :
*
*
E-mail :
*
*
6.
Place of Birth
Nationality
Marital Status
No of Children
Age of Children
7
.
Languages spoken at home (Seporate by Comma(,)) :
8.
*
Name of Father/Mother/Spouse :
*
9.
Occupation of Father/Mother/Spouse :
10.
Details of foreign travel, if any :
Destination
Year
*
Pan Card No. :
*
*
Aadhar Card No. :
*
ACADEMIC QUALIFICATION
S.No.
Qualification
Subject
Name of School/College/Univ.
Year of Passing
%age
Div
PROFESSIONAL INFORMATION
S.No.
Qualification
Subject
Name of School/College/Univ.
Year of Passing
%age
Div
DETAILS OF SCHOLARSHIPS/AWARDS/HONOURS
PROFICIENCY IN LANGUAGES
S.No.
Language
Read
Write
Speak
INTERESTS
ACADEMICS
EXTRA CURRICULAR ACTIVITIES
SPORTS ACTIVITIES
Accountancy
Art/History
Ancient Civilization
Business Studies
Comp. Science
Economics
Environment St.
Literature
Language
Mathematical Sc.
Natural Sc.
Physical Sc/Appried Sc.
Social Science
Art Galleries
Dramatics
Fine Arts
Clay Modelling
Gardening
Carpentary
Trekking
Interior Designing
Literary Activities
Music & Dance
NCC
Photography
Social Science
Athletics
Basketball
Badminton
Cricket
Football
Hockey
Table Tennis
Volley Ball
Chess
Judo/Karate/Taekwondo
DETAILS OF WORK EXPERIENCE
S.No.
Name of Institution
From
To
Position Held
Subject & Classes
Total Experience (in years)
*
Teaching :
*
Any Other :
PARTICULARS OF PRESENT JOB
1.
Name and address of present institution with contact numbers
2.
Present designation :
3.
Date & year of joining
:
4.
Present place of posting
:
5.
Total emoluments
:
(Break up) Basic :
Allowance :
Other Benefit :
6.
*
Are you under a service bond? :
*
Yes
No
If yes, give reason :
7.
Exact period after which you can join, if selected :
OTHER INFORMATION
1.
Have you applied in this institution before this application
Yes
No
If, yes give application no
2.
Have you ever been disqualified during study in school/college?
Yes
No
If, yes give application no
3.
Have you ever been dismissed from services?
Yes
No
If, yes give application no
4.
Have you ever been convicted by any court of law or any disciplinary proceedings/enquiry is pending against you or any penalty is pending against you?
Yes
No
If yes, give reason
5.
Give details of two refrences (other than relatives) in the field of education in Dayanand Public School, Pandusar, Nabha.
Name
Occupation
Address (Official)
Tel. No.
I hereby certify that the information provided above is true to the best of my knowledge and belief. If any information is found to be false/incorrect it will disqualily me for employment in Dayanand Public School, Pandusar, Nabha.
INTRODUCTION
1.You are requested to fill this application form dearly in your own handwriting.
2.Submission of any false information will make you liable for rejection at the time of interview or if appointed, termination without notice and transferable in any Branch of Sarvhitkari Educational Society (Regd).
3. Any other information which you like to submit, if not covered above, may be given overieaf along with special reasons to be considered for the post.
4. Please do not send copies of your certificates or testimonials. These may be shown at the time of interview. It is also certified that I have passed all the above Degree from the recognised University and equalivent to the Punjab/Punjabi/Guru Nanak University. If my Degrees is found to be from an unrecognizes University. I will refund the all emoluments received from the society.
5. The decision of the Selection Commitee will be final & binding