Application Form for Facilitators
Please fill in the form below with the relevant details and submit it for processing. Fields marked * are mandatory
  
POST APPLIED FOR
Level of Teaching   Category*
NAME*
(as per birth certificate/passport)
DATE OF BIRTH*

(dd/mm/yyyy)
AGE* (in years)
FAMILY BACKGROUND
Please list the present family members – parents, siblings, spouse, children and any other dependents.
S No Name Relation Current Occupation Dependent
1
2
3
4
5

 
SCHOOL EDUCATION
S No Level School Name & Address Board Year of Passing Grade/
Percentage
1 Secondary (X Grade)
2 Higher Secondary (XII Grade)

 

QUALIFICATION

Enter educational qualification in the chronological order from undergraduate course onwards

Based on the Category selected, enter the Qualification in the next column. For example ...

If Under Graduate is selected, then enter B.A, B.Sc, B.Com, BBA, BCA, B.Corp, B.P.Ed, etc.
If Post Graduate is selected, then enter M.A, M.Sc, M.Com, MBA, MCA, M.P.Ed, etc.
If Specialization is selected, then enter M.Phil, Ph.D, etc.
If Professional is selected, then enter M.Ed, B.Ed, Diploma, etc.
If Technical is selected, then enter B.E, Diploma, etc.
S No Category Qualification Major Subjects Ancillary Subjects
(as applicable)		 College/
University
(Name & Address) 		Year of Passing Grade/Percentage
1
2
3
4

 

TEACHING EXPERIENCE (in reverse chronological order - starting with the present)
S No Name of the School with Full Address Board Classes Handled Experience (Years)
1
2
3
4

 
LAST DRAWN SALARY*
(Please specify Gross pay per month)
EXPECTED SALARY*
(Gross Salary per month)
SPECIFY LANGUAGES KNOWN
S No Language To Speak To Read To Write
1
2
3
4
SPECIFY PROFICIENCIES IN CO-CURRICULAR ACTIVITIES
S No Co-Curricular Activity Description
1
2
3
PROFICIENCY IN COMPUTER SKILLS
S No Skill Description Your Rating
(1 to 10 – highest is 10)
1
2
3
4
5
Do you need accommodation if selected?
ADDRESS FOR COMMUNICATION:
Current Address*:
Permanent Address:
Phone:
Email*:
FAX:
Write in five lines as to why you prefer the teaching profession.