Unique ID TRA712vkspv

Application for the post of 5. Physical Education Teacher

Subject PHYSICALEDUCATION
(In Major / Honours or in Master
Degree. Candidates without major
or honours in graduation should
keep this space blank.)

Place of Interview Silchar

Preference of posting in the state Assam

1. Full Name VIBEKANAND DUBEY

Upload Affix Passport Size Photo

2. Father’s/Guardian’s Name ANJANI KUMAR DUBEY

3. Sex Male

4. Marital Status Married

5. Date of Birth 05-09-1985

6. Age as on 1st January 2024 38 Years 3 Months 6 Days

7. Nationality INDIAN

8. Religion HINDU

9. Permanent Address VILLAGE YUSUFPUR KHADBA, PS

SADIYABAD, GHAZIPUR, Uttar Pradesh, India,
233310
 10. Present Address VILLAGE YUSUFPUR KHADBA, PS
SADIYABAD, GHAZIPUR, Uttar Pradesh, India,
233310

Contact Number +918752987720

Email adityakumar1161@gmail.com

11. Academic Qualifications

Name of Year School/ Subject Division/ Perecenta

the Exam/ College/ Class ge/CGPA
Degree Institution
/
University

i HIGH 2001 BSE HINDI THIRD 35.16

SCHOOL ASSAM ENGLISH
MATH
HISTORY
SCIENCE

ii INTERME 2007 AHSEC ENGLISH SECOND 47

DIATE GUWAHA POLITICA
TI L SCIENCE
ECONOMI
CS
ADVANCE
HINDI

iii BA 2012 ASSAM PLSP SECOND 48.37

UNIVERSI ECOP
TY HINL
SILCHAR ENGG

iv MA 2016 UPRTOU HINDI FIRST 60

PRAYAGR
AJ

v BPES 2019 HGU PHYSICAL FIRST 63.5

UTTARAK EDUCATI
HAND ON

vi

12. Other Qualification(s)

 Write here

II

III

13. Scholarships/Awards won.

Details :

14. Aptitude PHYSICAL EDUCATION

a) Teaching (Specific Subjects )

b) Other areas HINDI

c) Proficiency in Games YOGA CRICKET BADMINTON

d) Hobbies READING BOOKS

15. Family
a) Members in your family

b) Occupation of Father

c) Occupation of Mother

d) Occupation of Wife/ Husband

16. Work Experience (if any)

write Here

i 2 YEARS EXPERIENCE AS A PHYSICAL

EDUCATION TGT

ii

iii

iv

17. a)Monthly Salary Last Drawn 15000

(Gross)

b) Expected salary 20000

 18. Whether you are involved in any No
police case, or any criminal case is
pending against you with any court
of law?

Give Details

19. Aspiration [ which you believe

will be valuable to this institution ]

21. Enter Transaction ID T2404080010064231560986

Terms and Conditions Agreed

22. Upload Signature

23. Payment Date 08-04-2024

24. Place GHAZIPUR