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CTET (CTET
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B.A./B.Sc.(Psychology)
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01-
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21@02@2016
050607-
080910-
Sl.No.
Designation
Station
Consolidated Pay
Hard Station
Rs. 31,250
PRT
Hard Station
Rs. 26,250
"Computer Instructor
Hard Station
Rs. 31,250
Yoga Teacher
Hard Station
Rs 26,250
Counselor
Hard Station
Rs.31,250
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2. Candidates Name (in capital letters) (Please keep one box blank between First name, Middle name &
Last name)
Husband
5. Gender
4. Date of Birth:
(Please Tick)
DAY
6. Age as on 31.03.2016
YEAR
MONTH
Year
Month
Days
Please
affix
one
recent
Photograph without attestation
PIN
Signature of Candidate
8. Academic Qualification (Starting from High School level)
(Please give information as applicable. (Attach attested copies of Mark sheets and Certificates)
Name of
Write
Year of
AGGREGATE MARKS Subjects
Duration Board/
Examination
name
passing
/Specializa of course Universit
Max.
Marks %age
(with complete
of
tion
(in
y
Marks obtain of
name of course
Examinati
months)
ed
marks
passed)
on passed
High School
(Class X)
Intermediate
(Class XII)
Graduation
(Name of Course)
Post Graduation
(Name of Course)
Others if any
(Specify)
Note: - Please provide information for the qualification completed by February 2016 only.
Duratio
n
of
course
(in
months)
Board/
Universit
y
CTET (I to V)
Qualified
CTET (VI to VIII)
Qualified
Theory
B.E
D
Practical
MBBS Degree
/Diploma in
Nursing /
Counseling/Yoga
Other if any
(specify)
10. Experience (Attach certificates if experience is in the recognized Schools) priority will be given.
Post
Name of
Period of service
No. of
Class
Subjects taught
Scale of pay
held
Institution From
completed
years
taught
and salary
To
& months
per month
11. Are you able to teach through English and Hindi, both?
(Please mark () tick in the appropriate box) For teaching posts
YES
NO
NO
Yes
No
UNDERTAKING
I hereby certify that all the information given above is true and correct to the best of my knowledge. I have attached
attested copies of my testimonials in support of the entries made above. I also agree that mere eligibility does not
confer right to be called for interview/selection. My candidature may be cancelled in case any information is found
to be incorrect on verification.
Place______________
Date_______________
Signature__________________
Contact No.
Name_____________________