APPLICATION FOR APPOINTMENT - Modern School€¦ · I certify that the above information is correct...
Transcript of APPLICATION FOR APPOINTMENT - Modern School€¦ · I certify that the above information is correct...
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Strictly Confidential Received on………………..………………
MODERN SCHOOL VASANT VIHAR
POORVI MARG, NEW DELHI-110057
APPLICATION FOR APPOINTMENT
Post ………………………………………….
Grade ………………………………………
Subject …………………………………….
1. PERSONAL DETAILS
NAME ____________________________________________ SEX ____________________ AGE _______
DATE OF BIRTH __________________ PLACE OF BIRTH _____________ STATE______________________
MARITAL STATUS Married Unmarried Divorced Separated Widowed
PRESENT ADDRESS (For communication) PERMANENT ADDRESS ________________________________________ ______________________________________
________________________________________ ______________________________________
________________________________________ ______________________________________
________________________________________ ______________________________________
TEL _____________________________________ TEL ___________________________________
E-mail Id _________________________________ E-mail Id _______________________________
2. LANGUAGE PARTICULARS
Spoken Languages _______________________________________________________________________
Spoken, Read and Written ___________________________ Fluent enough to teach ___________________
To be filled and returned in original. Attach extra sheets where necessary, or for additional information.
AFFIX LATEST PASSPORT SIZE
PHOTOGRAPH
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MODERN SCHOOL, VASANT VIHAR, NEW DELHI-110057
3. FAMILY DETAILS
NAME OF SPOUSE Mr. /Mrs. _________________________________________________ Age______________
Educational Qualifications ___________________________________________________________________
Occupation _____________________Organisation ____________________Designation __________________
FATHER’S NAME _________________________ Age __________________Occupation ______________________
MOTHER’NAME _________________________ Age __________________ Occupation ______________________
CHILD’S NAME Age Sex Education School/College/Occupation _____________________ _____ _____ ____________________ _________________________
_____________________ _____ _____ ____________________ _________________________
_____________________ _____ _____ ____________________ _________________________
4. EDUCATIONAL HISTORY (In chronological order) Enclose self-attested copy of certificates
School/College & University Location Year Degree Subjects Marks%
___________________________ _________ ______ ______________ __________________ _________
___________________________ _________ ______ ______________ __________________ _________ ___________________________ _________ ______ ______________ __________________ _________ ___________________________ _________ ______ ______________ __________________ _________ ___________________________ _________ ______ ______________ __________________ _________ ___________________________ _________ ______ ______________ __________________ _________ ___________________________ _________ ______ ______________ __________________ _________ ___________________________ _________ ______ ______________ __________________ _________
5. ACHIEVEMENTS AND DISTINCTIONS DURING EDUCATION
Achievement/Distinction Description Year
____________________ ________________________________________________ ___________
____________________ ________________________________________________ ___________
____________________ ________________________________________________ ___________
____________________ ________________________________________________ ___________
____________________ ________________________________________________ ___________
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MODERN SCHOOL, VASANT VIHAR, NEW DELHI-110057
7 .EMPLOYMENT DETAILS
7. EMPLOYMENT DETAILS
DATE OF JOINING_________________________________ PRESENT/LAST REMUNERATION
Grade on joining (PGT, TGT etc.)__________________ Basic Monthly Salary Rs.__________________
Designation on joining__________________________ Dearness Allowance Rs.__________________
DATE OF CURRENT APPOINTMENT__________________ House Rent Allowance Rs. __________________
Current Grade_________________________________ Other perks(please specify)__________________
Current Designation____________________________ ________________________________________
CLASSES TAUGHT _______________________________ ________________________________________
SUBJECTS TAUGHT ______________________________ Total Remuneration Rs.__________________
ADDITIONAL PORTFOLIO (If applicable) ___________________________ <,_______________________________
JOB RESPONSIBILITIES (Brief description)
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
_____________________________________________
6. PRESENT/LAST EMPLOYER
NAME & ADDRESS OF INSTITUTION BOARD AFFILIATED TO ______________________
______________________________________________ NUMBER OF BRANCHES ____________________
______________________________________________ CLASSES FROM ____________ TO _____________
______________________________________________ NUMBER OF TEACHERS _____________________
TEL __________________________________________ NUMBER OF STUDENTS _____________________
CLASSES FROM TO
NUMBER OF TEACHERS
NUMBER OF STUDENTS
8. REMUNERATION EXPECTED____________________________________________________________________
ORGANISATIONAL (REPORTING) CHART
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MODERN SCHOOL, VASANT VIHAR, NEW DELHI-110057
9. PAST EXPERIENCE (In reverse chronological order) Year Name & Location Post held Classes Subjects Reasons
of Institution taught taught for Change
From To
From To
From To From
To From
To From To From To
10 .SEMINARS / WORKSHOPS /TRAINING COURSES ATTENDED Description Organisation Year
______________________________ __________________________________________ _______________
______________________________ __________________________________________ _______________
______________________________ __________________________________________ _______________
______________________________ __________________________________________ _______________
______________________________ __________________________________________ _______________
______________________________ __________________________________________ _______________
______________________________ __________________________________________ _______________
______________________________ __________________________________________ _______________
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MODERN SCHOOL, VASANT VIHAR, NEW DELHI-110057
11. ANY PAPERS/ ARTICLES/ BOOKS WRITTEN OR PRESENTED BY YOU Paper/ Article/ Book Subject Year
__________________________ _______________________________________________ ________________ __________________________ ______________________________________________ ________________ __________________________ ______________________________________________ ________________ __________________________ ______________________________________________ ________________
12. A BRIEF NOTE ON ICT KNOWLEDGE & SKILLS __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________
13. MEMBERSHIP OF CULTURAL, SOCIAL, RELIGIOUS OR POLITICAL ORGANISATIONS Name of Organisation Objectives of Organisation Your Status Joined in
_______________________ ____________________________ ________________ ______________
_______________________ ____________________________ ________________ ______________
14. ANY HOBBIES, SPECIAL SKILLS OR INTERESTS __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________
15. DETAILS OF ANY DISABILITY/ SERIOUS ILLNESS
Description Consequences Year Period ____________________________ ____________________________________ _______________ __________________ ____________________________ ____________________________________ _______________ __________________
16. ANY OTHER RELEVANT INFORMATION/INSIGHT _______________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________
17. REFERENCES (Two persons not related, at least one from your line of work who may be contacted)
NAME ________________________________________ ___________________________________________
OCCUPATION ________________________________________ ___________________________________________
ORGANISATION ________________________________________ ___________________________________________
ADDRESS ________________________________________ ___________________________________________
________________________________________ ___________________________________________
________________________________________ ___________________________________________
PHONE ________________________________________ ____________________________________________
E-mail Id _______________________________________ __________________________________________
DECLARATION I certify that the above information is correct and complete to the best of my knowledge, and that nothing has been concealed. If at any time I am
found to have concealed or misrepresented any information, my appointment is liable to termination without notice or compensation. I declare that I am of sound mind at the time of signing this document.
Date ___________________ Place_______________________ Signature________________________