केन्द्रीय विधालय दानापरु कैंट @KENDRIYA VIDYALAYA DANAPUR CANTT.

2021-22
vkosnu i=@APPLICATION FORM
1-vkosfnr in dk uke@ POST APPLIED FOR______________________

2-mEehnokj dk iwjk uke/FULL NAME OF CANDIDATE (IN BLOCK LETTERS)

फोटो/ Photo

3-ekrk dk uke@ MOTHER’S NAME (IN BLOCK LETTERS)

4.firk@ifr dk uke@ FATHER’S/HUSBAND’S NAME

66

5-जन्द्मतिथि@DOB 6.fyax@GENDER MALE/FEMALE

7.राष्ट्रीयिा/ NATIONALITY 8. श्रेणी/

CATAGORY

9-irk@
ADDRESS:_______________________________________________________________________________________
____________________________________________________fiudksM@Pincode
10-Qksu ua-@MOB. No.
11.
शैक्षिक योग्यिा /
EDUCATIONAL QUALIFICATION
Ø- ;ksX;rk@ fo”o fo|ky;@ विधालय/ उत्िीणण होने fo’k;@ Aggregate
अंक
la0@ cksMZ Subjects Marks
Qualification महाविधालय का िर्ण @
S.NO. University/
Year of
izfr”kr@
Board School/college Percentage
passing
of marks
1 HIGH SCHOOL/
AISSE EXAM
2 INTERMEDIATE/
AISSCE EXAM

3 BA/B.Com/B.Sc./
B.Tec/BCA

4 B.Ed./B.E.Ed/ETT/
JBT

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5 MA/M.Com/M.Sc./
M.Tech/MBA

6 Any
Diploma/Degree in
the concerned field
7 CTET

12.rduhdh ;ksX;rk@TECHNICAL QUALIFICATION:__________________________________________________

13-dk;Z vuqHko dk fooj.k/DETAIL OF WORK EXPERIENCE

Sl.No संस्िा dk uke@ inuke@ िेिनमान@ dk;Z dh vof/k TOTAL YEAR OF

. Designation pay scale Period of Service EXPERIENCE
Name of the
Organization(s) ls@ From rd@To
1.
2.
3.
4.

UNDERTAKING

I, hereby certify that all the information given above is true and correct to the best of my
knowledge . I have attached attested copies of my certificates and testimonials in support of the entries
made above. I also agree that mere eligibility does not confer right to be called for interview/selection.
My candidature may be cancelled in case any information is found to be incorrect on verification.

Place : Signature :………………………………………

Date : Name :…………………………………………

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