KENDRIYA VIDYALAYA NO.1 BATHINDA CANTT.

(Proforma for Contractual teachers for Session 2015-16)

Application for the post of TGT Advt. Date Detail Of CTET/TET, if applying for PRT/TGTYear : Sept. 2014Score : 87/150Important Instructions :- (i) All entries should be made in capital letters.(ii) Envelope containing application must be superscribed Application for the post of ______________(iii) Candidature will be rejected if a candidate is not having requisite qualification as on last date of application i.e 20.03.2015.

1. Candidates Name : PUSHPA KUMARI 2. Fathers/Husbands name : KULDEEP SINGH3. Date of Birth : 16-AUGUST-19874. Sex : FEMALE5. Contact No. / Mobile : 96466923556. E-mail(if any) : pushpa.kumari670@gmail.com 7. Community to which belong (SC/ST/OBC/GEN) GEN8. Employment Exchange Reg. No. ---------9. Any relation with KVS Employee (if yes, specify)______________________________________10. Address :H. No. 87/16, A.D. Colony, Bathinda Cantt- 151004, Punjab____________________________________________________________________________________________________________________________________________________________11. Academic Qualification (starting from class 10th )Name of ExaminationPlease write name of Exam PassedYear of passingMaximum MarksMarks Obtained Percentage (%) of marksPercentage in subject appliedDuration of courseName of Board/ University

Matriculation/ Class X

AISSE200450038877.6%CBSE

Senior Secondary/ Class XII

AISSCE200650032164.42%CBSE

Graduation/Diploma

B.Sc. (Non Med.)20093000144548.17%Punjabi Uni.

Post Graduation

MBA20112850206972.60%PTU

Other if any, specify

12. Professional Qualification Name of ExaminationPlease write name of Exam PassedYear of passingMaximum MarksMarks Obtained Percentage (%) of marksSubject OfferedDuration of courseName of Board/ University

JBT/B.El.Ed/B.Ed

B.Ed.2013120090475.33%Punjabi Uni.

M.Ed/M.Phil/Ph.D

Other if any, specify

13. Experience (attach separate sheet, if columns are insufficient)Post held (Ad hoc/Regular/Temp./Permanent)Name of institution/Department/MinistryWhether Central Govt./State Govt./Autonomous Body/Public Sector/Recognized/Unrecognized (if applicable)Period of serviceNo. of completed years and MonthsNature Of DutiesScale of pay and salary per month

FromTo

Temp.

The Global E-School JaituState Govt.Feb. 2012Aug 2012 Six monthsTeaching10,000

14. Are you able to teach through English and Hindi, both ? (Yes/No). YES15. Do you have working knowledge of computer ? (Yes/No)YES16. Any other information in support of suitability for the postGiving Tuition at home to students upto 12th Sci. since 4 years

DECLARATION TO BE SIGNED BY THE CANDIDATEI, Pushpa Kumari S/o/D/o/W/o Kuldeep Singh hereby certify and declare that all information given by me in this application are true, complete and correct to the best of my knowledge and belief. In the event of any information or part of it being found false or incorrect before or after the exam/interview/appointment, action can be taken against me by the KVS and my candidature/appointment(contractual) shall automatically stand cancelled/repatriated/terminated.

Place : Bathinda Cantt(Pushpa Kumari)Date : 16th March 2015Signature of Candidate