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7/27/2019 NVS Form 2019

Applicant Details

Personal Details

Application Sequence No
NVS418654

Candidate's Name
PAWAN KUMAR

Father's Name Mother's Name


ANAND KUMAR MAYA DEVI

Marital Status Nationality


Unmarried Indian

Post Applied Details

Post Applied Sub Post


POST GRADUATE TEACHERS(PGT) PGT Chemistry

Post Code Center Choice 1

03 Lucknow

Center Choice 2 Center Choice 3

Allahabad Delhi NCR

Category Gender

SC Male

Date of Birth (DD-MM-YYYY) same as Matriculation/


Secondary Certificate

24/Sep/1996

Age as on 10.08.2019 Are you Physically Handicapped (PH) (degree of


disability 40% or above)?
22 Years 10 Months 16 Days
No
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7/27/2019 NVS Form 2019

Are you an Ex-Service man? Were you originally domiciled in the state of Jammu
and Kashmir between 01.01.1980 and 31.12.1989?
No
No

Are you Government employee who has served a Are you currently a NVS employee?
minimum period of 3 years of continuous service ?
No
No

Contact Details

Mobile Number

9628224264 Email ID

pawankeshari13@gmail.com

Present Address

Address Line 1

RAI COLONY

Address Line 2
CITY STATION

Country

India

State District

Uttar Pradesh Ghazipur

Pin Code

233001

Permanent Address

Address Line 1

RAI COLONY

Address Line 2

CITY STATION

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7/27/2019 NVS Form 2019

Country

India

State District

Uttar Pradesh Ghazipur

Pin Code

233001

Matriculation (10th) Details

Name of the Board/Council

UP BOARD

Year Of Passing Institute Name

2008 ADARSH INTER COLLEGE

Subject Studied Percentage of Marks

HINDI,ENGLISH,SANSKRIT,MATHEMATICS,SCIE 73
NCE
Qualification Name

Intermediate (12th)

Intermediate (12th) Details

Name of the Board/Council

UP BOARD

Year Of Passing Institute Name

2010 ADARSH INTER COLLEGE

Subject Studied Percentage of Marks

PHYSICS,CHEMISTRY,MATHEMATICS,HINDI,EN 85
GLISH

UG Degree Details

Course Name

Bachelor Degree

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7/27/2019 NVS Form 2019

Specialization Institute Name

PHYSICS , CHEMISTRY PG COLLEGE GHAZIPUR

Year Of Passing

2013

Percentage of Marks

68

PG Degree Details

PG Degree Name
Master's Degree

Specialization Institute Name

Chemistry BBAU LUCKNOW

Year Of Passing Percentage of Marks

2015 72

B.Ed Details

Degree Name

B.Ed Degree

Year Of Passing Institute Name

2017 BBAU LUCKNOW

Percentage of Marks

83

Previous Work Experience Details

Do you have Experience of working in a residential school system?

No

Do you have proficiency in teaching in Hindi and English medium?


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7/27/2019 NVS Form 2019

Yes

Do you have experience as TGT in recognized institution in concerned subject?

No

Do you have experience of working in a residential school?

No

Do you have knowledge of Computer Application?

Yes

Payment Details

Amount

Candidate Documents/Images Upload Details

Photo

Signature

Declaration

I hereby, solemnly declare that information provided by me in the form is true to the best of my
knowledge and belief. I understand that my candidature is subject to the conditions laid down in the
adverisement brochure. I further declare that I am not involved in any criminal case and/or no such
case is pending against me in any court of law.

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7/27/2019 NVS Form 2019

Version 13.07.01

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