1.Title(Ms. Mr. Dr.)

2.Name of the candidate

3.Gender:MaleFemale

4.Father’s/Husband’s name:

5.Date of Birth

6.Age:

7.Martial Status:MarriedUnMarried

8.Detail of children:

No. of childrens

Son(S)

Daughter(s)

9.Mobile:

Landline:

Alternative:

10.E Mail ID:

11.Present Address:

14. Any other information about your achievement in the field of
Academics:

Research:

Sports:

Cultural Activities:

15. If Selected, How Much Time Would You Need To Join?

16. Do You Have Any Plan To Proceed On Long Leave After Joining, During The First Year Of Service? (If So Give Details):

17. Mention Any Course/Studies You Are Pursuing At Present. Will You Need Any Leave On This Account?

18.Present annual salary drawn:

Expected annual salary:

19.References: 1.
2.

DECLARATION: I, seeking an appointment in this school, solemnly declare that the information furnished above is absolutely true and that if found factually wrong at any time after my joining the school, shall abide by the decision of the school authorities without any plea or protest. I also agree to abide by the rules and regulations of the institution in all respects.

Name of candidate(In Capital)

Place:
Date:

Δ