<p> KENDRIYA VIDYALAYA CHERO-SALEMPUR APPLICATION FORM FOR PART TIME CONTRACTUAL TEACHERS/ INSTRUCTORS /EXPERTS/ ETC .2014-15 Important notes: All entries should be made in capital letters One form should be used for one post. Attested copies to be attached with all sets if applying for more than one post. 1. Post applied for SUBJECT APPLIED FOR</p><p>2. Candidate’s Name (in capital letters) (Please keep one box blank between First name, Middle name & Last name)</p><p>3. Father’s /Husband’s Name (in capital letters) Father Husband (Please keep one box blank between First name, middle name & Last name)</p><p>5. Sex 4. Date of Birth: (Please Tick) M F </p><p>DAY Month YEAR 6. Age as on 31.03.2014 Year Month Days </p><p>7. Candidate Address (in capitals letters) Please affix one recent Photograph without attestation Name : Father/Husband’s Name: Address : : City/Town : PIN Ph/Mobile No. : </p><p>Signature of Candidate 8. Are you able to teach through English and Hindi, both? (Please mark (√) tick in the appropriate box) For teaching posts YES NO</p><p>9.Do you have knowledge of computer application? (Please mark (√) tick in the appropriate box) For teaching posts YES NO</p><p>10.Academic Qualification (Starting from High School level) (Please give information as applicable. (Attach attested copies of Mark sheets and Certificates) AGGREGATE MARKS Office use Name of Examination Write name Year of Subjects Duration Board/ Max. Marks %age (with complete name of of passing /Speciali of course Universit Marks obtained of course passed) Examination zation (in y marks passed months) High School (Class X) Intermediate (Class XII) Graduation (Name of Course) Post Graduation (Name of Course) Others if any (Specify) 11. Professional Qualification (Attach attested copies of mark sheets & certificates) AGGREGATE MARKS Office use Name of Examination Write name Year of Subjects Duration Board/ Max. Marks %age (with complete name of of passing /Speciali of course Universit Marks obtaine of course passed) Examination zation (in y d marks passed months) JBT/B.El.ED/ (specify) B.ED CTET (Primary) CTET (Upper Primary) TET (Primary) TET (Upper Primary) B.Tech/ M.Tech/Degree 12. Experience (Attach attested copies of the experience certificate issued by the competent authority)) Post Name of Period of service No. of Subject and salary per Office use held Institution From To completed class taught month years & months</p><p>UNDERTAKING I hereby certify that all the information given above and copies of documents attached is true and correct to the best of my knowledge. I understand that the nature of job is purely Part time contractual basis and can be terminated at any time. I also understand 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 or at any stage later. I agree to abide with rules and regulations in this regard. Place______Date______Signature______Contact No______Name______</p>