U dt 0 020

Date ..................
Form No. ...........
Bhagwanpur, Annapuma, Lahartara, Varuna, Indira Nagar, Suncity, 5amath- Varanasi Teaching
FINAL REMARKSg ofi'ice vse onty) Staff
Appointed asfor Junior / Senior / Middle / College / Office I Hostel
With effect fromPay details
(Sign. of the Authority)

Candidates are requested to fill up the following details

NafTle : ................................................................................. DOB: .......................... Age' ............ SeX: ...............Past8 your
recent
Application for the post of (PGT/TGT/PRT/KG/Aademic Head/Activity Inch/Coordinator) ...................,....................................
Subjects ..............................................................................................................................Class........................................size
1. If given a chance, I am ready to serve as : photograph
1.Administrator Post
2.Asst. Teacher Subject Class
2. Choice of Institutions (in order of preference):
a) Sunbeam Annapuma b) Sunbeam Bhagwanpur c) Sunbeam Indira Nagar
d) Sunbeam Lahartara e) Sunbeam Samath f} Sunbeam Suncity g) Sunbeam Varuna
h) Sunbeam College for Women Bhagwanpur i) Sunbeam Women's College Varuna
j) Associate Sunbeam School at ............................................................
3. Father's/Husband's Name: .................................................................... Profession ...................................................
4. Contact No.: Land line: ..............,.................. Mobile ......................................... e-mail: ...........................................
s. Residential Address : ...................................................................................................................................................
... ........................ ...... ..... ................................. ... .....................................................................................................
6. Address for correspondence: ..............................................................................,......................................................

7. Marital status: ....... .. ... .... .. . .. ............ ........ ......... ..........................................

8. Children: .
SI. No. Name Aqe Name of the school where the child is studying

9. Educational Qualifications :
Name of Board/ Year of Medium of °/» Subject
SI.no Examination School/College University Passing study age

11. Working Experience :

Class Subject taught Reason for leaving
Name of the Institution City Duration taught

12. Knowledge of Computer ................. Details. .......................................................................................................

13. Last salary drawn ......................................................... Expected salary: .............................................. ...............
 14.SpeciaIAchievements (Co-curricular/sports) :
i
Yeer Event Achèvement

15.Hobbies / Interest . ...................................................................................................................................................,...

Interview Reoort
(to be filled in by the School / College authorities)
1. Interviewer's opinion
i) Subject knowledge: ..........................................................,.. ii) Personality: ....... ..... . . .. ... ..... . ... ... ....
iii) Communication skill : .......................................................................................................................................
iv) Overall assessment .................................................................................................................,........................
v) Remarks: ..........................................................................................................................................................
2. Called for the demonstration on Date : ...... ........... .... .. ...... .. . Time: ..............................................
Class: ...................................... Subject: .........................................

Signature ofthe Principal/Diie‹:ton

Demonstration Report
(To be given by concemed teacher) (To be given by Admin In-charge)
Subject: ....................... Topic: ............................................... .... Subject: ....................... Topic: ..........................,.....,......... ..........
Class: ....,.......... Date: ................ Time: ................. Class: ............... Date: ................ Time: .................

1.Excellent GogÓ SatisfactoryCan be inducted on trialRejected 1.ExcelIent @ DdSdtÏSf8Ctory Can be irxÏucted onbislRejected
3.Class control
2.Subject Knowledge
2.Subject A B C *“ y t QC 4.Confidence on board ABC
’ 4.Confidenæ on board A 8 C
Knowledge
5. Language & Presentation6. Interaction Cth students QBC 5. Language 6 Presentation Q B6. Interaction with student¢
Any other remarks:
Any other remarks:

Panel Interview Report

Subject knowledge
Communlcat¡on SkillS.................................... ...........................................................,...........................................
Presentation¥ < < • • ••• •< >< • •• • << >< » •< • < • x< < < ••< •<< <<<«» < << < < • >< <»
Sign. of Admin (Heading Interview Panel)••.........................•.••....•.•.....•...•........••.....

Please express your views on the following topic

Grade: Name/Sign. of the concerned teacher

 Response Sheet

Name: Contact no.

Post applied for : Subject Class

Subject Knowledge
Topic

Grade/Marks:
Corectedby:
(Please put in full signature)
Date: