KENDRIYA VIDYALAYA GARDEN REACH, KOLKATA APPLICATON FOR THE POST OF CONTRACTUAL TEACHERS, 2017-18 Name of the candidate (in capital) …………………………………………………. Post applied for Attach (A) …………….… (B) ……………… (C)…………….……. Date of Photograph Birth (DD/MM/YYYY) ………………………. Name Father’s ………………………….….. Mother’s Name.…………..……..……. (Self Attested) Residential Address …………………………………………………………….…….. ………………………………………………………….………. …………………………………………………………….……. Contact No. Resi. ………………..… Mobile ……….………. Email Id- …………………………….. EDUCATIONAL QUALIFICATIONS: Division / Board / Year of % of Marks Examination Subjects Taken CGPA Remark University Passing Obtained X XII Graduation Post Graduation Higher Qualification(if any) PROFESSIONAL QUALIFICATION ( B.Ed, M.Phil, BCA, MCA and any other qualifications) Year of % of Marks Remark Board / Examination Passing Obtained University EXPERIENCES: Sl. Period Name of the Organization Post Held Remark No From - - To Awards (if any) Special Achievements (If Any) ……………………………………… …………………………….. I hereby declare that the above said information is true to the best of my knowledge and belief. (in full) VERIFIED BY Candidate’s Signature Date:
KENDRIYA VIDYALAYA GARDEN REACH, KOLKATA APPLICATON FOR THE POST OF CONTRACTUAL TEACHERS, 2017-18 Attach Photograph (Self Attested) Name of the candidate (in capital) …………………………………………………. Post applied for (A) …………….… (B) ……………… (C)…………….……. Date of Birth (DD/MM/YYYY) ………………………. Father’s Name ………………………….….. Mother’s Name.…………..……..……. Residential Address …………………………………………………………….…….. ………………………………………………………….………. …………………………………………………………….……. Contact No. Resi. ………………..… Mobile ……….………. Email Id- …………………………….. EDUCATIONAL QUALIFICATIONS: Examination Board / University Subjects Taken Year of Passing % of Marks Obtained Division / CGPA Remark X XII Graduation Post Graduation Higher Qualification(if any) PROFESSIONAL QUALIFICATION ( B.Ed, M.Phil, BCA, MCA and any other qualifications) Examination Board / University Year of Passing % of Marks Obtained Remark EXPERIENCES: Sl. No Name of the Organization Post Held Period From - - To Remark Awards (if any) ……………………………………… Special Achievements (If Any) …………………………….. I hereby declare that the above said information is true to the best of my knowledge and belief. Candidate’s Signature (in full) VERIFIED BY Date:
58110505pgt(chemistry)__06_4_17.docx