application form - Modern DPS

18 downloads 294 Views 83KB Size Report
Ph. : 0129-2229277, 8527887777, 8826337777, Fax : 0129-2229477 ... Sr. No. 11. Professional Qualifications. 10. Academic
Application No.

MODERN DELHI PUBLIC SCHOOL GREATER FARIDABAD (HARYANA) Ph. : 0129-2229277, 8527887777, 8826337777, Fax : 0129-2229477

APPLICATION FORM Post Applied For ______________________________________________________

1.

Name in block letters

Please paste your passport size photograph size - 45x35mm

Miss/Mrs./Mr. ............................................................................................... 2.

Date of birth/age .............................................................................................. (Please attach proof) Email ID : ..................................................................................................................................... PAN : ...................................................... Aadhaar No. ................................................................

3.

Permanent address :

...........................................................................................................

.................................................................................................................................................... .................................................................................................................................................... Pin ..................................... Phone Nos. ........................................ ........................................ 4.

Address for correspondence :

...............................................................................................

...................................................................................................................................................... ...................................................................................................................................................... Pin ..................................... Phone Nos. ........................................ ........................................ 5.

Nationality .........................................................................................................................................

6.

Marital Status ...........................................................

7.

Father’s/Spouse’s Name : ............................................. Occupation ...............................................

8.

Mother’s Name : .............................................................. Occupation ..............................................

9.

Details of foreign travel :

Number of children ...................................

Year

............................................................................................... ................................................... ............................................................................................... ................................................... ............................................................................................... ................................................... Contd. P-2

-210. Sr. No.

Academic Qualifications (Start from matric) Class passed

1.

Matric

2.

Sr. Sec.

3.

Graduation

4.

Post Grad.

Board / University

Year of Passing

Subjects

Percentage of marks

Year of Passing

Subjects

Percentage of marks

5.

6.

11. Sr. No.

Professional Qualifications Degree/ Diploma

Board / University

1.

2.

3.

4.

Contd. P-3

-312.

Details of Scholarship / Awards / Honours

13.

Details of Research Work / Publications

14.

Details of Work Experience

Sr. No.

Post

Name of Institution

Duration

Nature of work

Salary

Reasons for leaving

1.

2.

3.

4.

Total Experience a)

Teaching

.............................................................................

b)

Administration

.............................................................................

c)

Any other

.............................................................................

Contd. P-4

-4-

15.

Existing salary : .......................................................................................................................................

16.

Expected Salary : ....................................................................................................................................

17.

Sports/Games you can play & coach : ...................................................................................................

18.

Hobbies and interest : ...........................................................................................................................

19.

Proficiency in extra curricular activities : ...............................................................................................

20.

Name and address of two referees with telephone number : (a)

.................................................................................................................................................. .................................................................................................................................................. ..................................................................................................................................................

(b)

.................................................................................................................................................. .................................................................................................................................................. ..................................................................................................................................................

The above details are true and correct to the best of my knowledge and belief.

Place : ........................................

Date ..........................................

Signature of the candidate