Form No. .....................

QUEEN MARY'S SCHOOL

SECTOR-25, ROHINI, DELHI - 110085 Paste a recent
passport size
PHONE : 27934571, 27049084 Colour
Photograph
in this space
Post Applied for _____________________________________________________________

A. PERSONAL INFORMATION

1. Ms/Mr. (in block letters) ___________________________________________________________________________

2. Date of Birth (dd/mm/yyyy) ________________________________________________________________________

(In words) ______________________________________________________________________________________

3. Age (on the date of application) _________________ Years _________________ Months _______________ Days

4. Father's Name _______________________________________________ Occupation _________________________

5. Mother's Name ______________________________________________ Occupation _________________________

6. Residential Address ______________________________________________________________________________

_____________________________________________________________________________________________

7. Telephone No(s) _______________________________ 8. E-Mail _________________________________________

9. Place of Birth ____________________________________________________________________________________

9. Nationality ___________________________________ 10. Marital Status __________________________________

11. Particulars of spouse (If married), Name _____________________________________________________________

Official address ________________________________________________________________________________

Contact No(s) __________________________________________________________________________________

12. State Number of Children/other family member living with you, with their ages give full details :

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

13. Whether belong to SC/ST/OBC or any other reserved category __________________________________________

B. ACADEMIC / PROFESSIONAL QUALIFICATIONS

Qualification/ School/ Board/ Subjects Year of % of Division

Exam Passed College University Passing Marks

C. OTHER QUALIFICATIONS :

_____________________________________________________________________________________________

_____________________________________________________________________________________________

D. ACHIEVEMENTS

➢ Scholarship / Awards _________________________________________________________________________

_________________________________________________________________________________________

➢ Research Work / Publication ___________________________________________________________________

_________________________________________________________________________________________

➢ Co-curricular Activities / Hobbies _______________________________________________________________

_________________________________________________________________________________________

➢ Sports / Other Activities _____________________________________________________________________

_________________________________________________________________________________________

➢ Proficiency in Language (write mother Tongue at no. 1)

Language Read Write Speak

1. __________________________________________

2. __________________________________________

3. __________________________________________
 ➢ Proficiency in Computers

● Softwares known ______________________________________________________________________

● Websites you access frequently __________________________________________________________

● Course Content (if done any) ___________________________________________________________

___________________________________________________________________________________

E. TEACHING / WORK EXPERIENCE

Name of the Medium of Period of Service Position Held Salary last Subjects and
Institution Instruction drawn & scale Classes Taught
From To

➢ Total Experience (in years) ___________ Teaching ____________ Administrative / Non teaching ___________

➢ Subjects and Classes you can teach ____________________________________________________________

➢ Current Status -

a) Pursuing any course (further studies) ...................... Full / Part Time

b) Any Job ...................... Full / Part Time

If yes, give details ________________________________________________________________________________

_____________________________________________________________________________________________

F. REFERENCES
Give names & full addresses of two references (Not Relatives) who can vouch for you :

a) _________________________________________________________________________________________

_________________________________________________________________________________________

b) _________________________________________________________________________________________

_________________________________________________________________________________________
In the space given below, answer this question in 200 words

If selected how you will you help the students to attain “Holistic Development”?

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

INSTRUCTIONS :
1. Candidates are required to fill this application form in their own handwriting.
2. Duly attested photocopies of certificates, academic qualification and experience letters should be attached.
3. Only short listed candidates will be called for interview.
4. No TA/DA will be paid if called for the interview.
5. Submission of any false information will be subject to rejection at any time without prior information.
6. Incomplete forms in any respect will not be accepted.