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Performa for Sending Application through Proper Channel inside/ outside the Department 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

Name of the Applicant: Designation: Name of the School: Grading in which working: Date of Regular Appointment: Whether Permanent/ Officiating: Name of the post applied for: Whether Copy of advertisement attached: Whether Inside/ outside the department: No. of applications already sent in this year: Total Teaching experience as J.B.T.: .. .. .. .. .. .. .. .. .. .. ..

Whether Advance copy sent to the concerned: ..

Declaration: I . S/D/W/o Sh. .. hereby declare and confirm that the above information given by me is true and I fulfil the conditions and criteria laid down for the post applied for. If any information furnished by me is found to be false, I shall be responsible for the consequences.

Signature of Applicant Certificate by Head of the School It is to certify that: 1. 2. 3. 4. 5. No Complaint/ Enquiry are pending against the official. The particulars have been checked from the service book of the official. The applicant has not obtained the training on the Govt. expenses. The applicant fulfils all the required qualifications and criteria. There is nothing against him regarding his integrity. Signature of Head with seal

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