JAWAHAR NAVODAYA VIDYALAYA, TUDIPAJU, (PHULBANI)

DT.KANDHAMAL, (ODISHA)

APPOINTMENT OF TEACHERS ON CONTRACT BASIS

Candidates are invited to appear before the appointment committee for verifications of

documents on 04-08-2017 at 11.00 A.M. in this Vidyalaya for empanelment of teachers on

contract basis for the academic session 2017-18 against purely temporary vacancy for stopgap

arrangement as detailed below for JNV, Tudipaju, Phulbani.

Sl.No. Post No. of vacancy Consolidated salary

per month(Rs.)

01 PGT(Biology) 1 27,500/-

02 PGT(Physics) 1 27,500/-

03 PGT(Hindi) 1 27,500/-

The period of engagement will be up to 30-04-2018 or till regular incumbent joins

whichever is earlier. Eligible qualification should be as per Navodaya Vidyalaya Samiti norms

which can be seen from the website of JNV,Phulbani i.e. www.jnvphulbani.nic.in or

www.kandhamal.nic.in .All interested candidates may attend the document verification on the

scheduled date and time with all original certificates & mark sheet with one set of Xerox copy,

Bio-data form and one Passport size Photograph at JNV Tudipaju, Phulbani, Dist-Kandhamal

(Odisha). Sd/-

PRINCIPAL JNV Phulbani

JAWAHAR NAVODAYA VIDYALAYA __________________Distt._________________

APPLICATION FORMAT FOR PGTs & TGTs FOR EMPANELMENT OF

TEACHERS PURELY ON CONTRACT BASIS FOR THE SESSION 2017-18

PART-I

Application for the post of __________________________________(on contract basis)

Name :_____________________________________________________

Date of Birth :____________________Age as on 30.06.2017:__________________

Father/Husband’s Name :________________________________________________

Full Correspondence Address:____________________________________________

Vill;____________________________________________________

P.O. ___________________________________________________

Teh.____________________________________________________

Distt. ___________________________________________________

Pin code No.______________________________________________

Contact Phone No. STD Code.___________Phone Nos._________________________________________

Mobile No. ________________________________________

Category to which belong : :_________________________________________________________ (Gen./SC/ST/PH/OBC/Navodaya Spouse)

In case of Navodaya Vidyalaya Spouse, given full details : A. Name of spouse :_________________________________________

B. Post Held & Place of Posting :_________________________________________

C. EDUCATIONAL QUALIFICATION Sl.No. Qualifications Maximum

Marks

Marks

secured

% of marks

obtained

Weightage

Whether the copy of

marksheet & certificate

produced

1. High School (Class 10th

) Yes No

2. Intermediate +2 (Class 12th

) Yes No

3. Graduation-B.A./B.Sc./B.Com./B.C.A./

B.E.) (Others please specify)

Yes No

4. Post Graduation in the subject

( Mention subject)

Yes No

5. B.Ed. ( Theory & Practical) Yes No

6. CTET conducted by CBSE Yes No

7. M.Ed./M.Phil./Ph.D. Yes No

8. Additional Qualifications, if any

(Kindly enclose proof in respect of conversion of grades into marks.)

Latest Passport

size photo affix

::2::

B. Non-Scholastic achievement :

Sl.No. Activities

01 Representing National/SGFI in Sports and Games Attach copy of certificate

02 Representing State/University/Region in Sports and Games Attach copy of certificate

03 Representing Distt. In Sports and Games Attach copy of certificate

04 NCC ‘C’/’B’/’A’ Certificate Attach copy of certificate

05 NCC Attach copy of certificate

06 Scout & Guide President award/Government Award/Tritiya Sopan

Attach copy of certificate

07 Certificate of performance awarded by Govt. Institution in Art/Music/Literature at “National Level”

Attach copy of certificate

08 Certificate of performance awarded by Govt. Institution in Art/Music/Literature at “State Level”

Attach copy of certificate

09 Teaching experience in day school/Residential Attach copy of certificate

C. SUBJECT COMBINATION AT GRADUATION (only for TGTs)

Course

of

study

Ist Year IInd Year IIIrd Year Total

Marks

obtained

(all year

together)

Maximum

Marks

allowed

(all year

together)

Remarks

Subject

Studied

%age of

Marks

obtained

Subject

Studied

%age of

Marks

obtained

Subject

Studied

%age of

Marks

obtained

1 Attach copy

of mark sheet

of B.Sc./B.A.-

I, II & III 2

3

D. TEACHING EXPERIENCE:

S.No. Name of

organization

(School/College)

Whether

Govt. or

Govt.

aided

school

Whether

Residential

or day

school

Class(es)

taught

Pay scale or

consolidated

remuneration

Nature of

appointment

regular/contract

/part time

Period of Experience Possessed

From To Completed

Year (s) of

experience

::3::

UNDERTAKING

(i) Certified that the information given above is correct and true. If any discrepancy is found, my

candidature may be rejected and I shall have no claim for selection.

(ii) I am willing to accept the offer of appointment in any of JNVs of Bhopal Region (MP/CG/Orissa).

Signature of the candidate ____________________ with name Date : __________________

Place :__________________

For office use

Verified the Original documents and found in Order / *Shortcomings observed if any.

Sl.No. Nature of Shortcoming Remarks

Signature of verifying officer Signature of the Member Secretary with name & designation of the Selection Committee

with name & designation