APPLICATION FOR GUEST TEACHERS IN EMRS 2022

Applied POST

01 Name of the Applicant

02 Father’s Name

03 Gender

04 Date of Birth

05 Address for Communication

Pin :

06 Contact No

07 Whats app No

08 Email id

09. QUALIFICATIONS :

Percent Year of
S.NO
Qualification SUBJECT / GROUP Class age (%) Medium BOARD/UNIVERSITY Pass
1 2 3 4 5 6 7 8
1 PG

1.

2 DEEGRE 2.

3.

1.
3 B.Ed
2.

4 INTER

5 SSC

Additional
6 Qualifications
(if any)
10. CTET / TET :

Sl.No Hall ticket No Year of Pass Marks

11. Experience in Central / State Govt./ Reputed Educational Institutions :

Sl.No Name of the Institution Working From & To Length of Service

12. Are You Retired Person : Yes / No

if Yes
Sl.No Name of the Institution Working From & To Length of Service

13. LANGUAGES KNOWN :

DECLARATION OF THE CANDIDATE

I,………………………………………………………………………………. hereby declare that the

particulars furnished by me are correct to the best of my knowledge and belief and
submitted attested copies . I know that if any particulars are found to be incorrect
on verification, I will be liable for prosecution as well as criminal action. All the
required certificates/documents in support of above facts are enclosed.

Signature of the Applicant

Name of the applicant:
List of Enclosures:

1.
2.
3.
4.
5.
6.