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KENDRIYA VIDYALAYA No.

2, FEROZEPUR CANTT
APPLICATION FOR PART TIME CONTRATUAL TEACHER/MISCELLANEOUS POST for SESSION 2014-15

Registration No. (For Office Use Only) ...

Post Applied for: ...................................................................................................................


*Registration No. with MCI/SMC/NCI: ...
(*Applicable only for the Post of Doctor/Nurse)

PHOTO
1. Name of Candidate: ..................................................................................................................
2. Fathers/Husbands Name:-.
3. Date of Birth: ................................................................................................................................
4. Address for Correspondence:
......................................................................................................................................
.........................................
5. Telephone number: Mobile: Landline:.

6. Educational Qualification (from Class XII and onwards):


S.
No.

Examination

Year of
Passing

Board/University

Subjects Offered

Marks
Obtained
with Max.
Marks

% of Marks

1
2
3
4
5
7. Experience
S.
No.

School/College/Institution

Whether
recognized
or not

Period
Post Held

From

To

Total
Experience
YY/MM/DD

1.
2.
3
8. Computer Skill:

.
9. Any other:...
...

Declaration
I certified that the above information is true to the best of my knowledge and belief. I am liable to
be disqualified if any information given is found to be incorrect/incomplete or false.

Place: ...
Date: ...
Applicant

Signature of

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