Appx A

( Ref to para 7 of SOP)

APPLICATION FORM FOR WRITTEN EXAMINATION

FOR TEACHERS/ADM STAFF SELECTION IN
ARMY PUBLIC SCHOOL KALUCHAK
Post applied for ________________________________________________________
1.

Personal Data :(a)

Name in full Mr/Mrs/Miss________________________

(in Block letters)

(b)

Son/Daughter/Wife of___________________________

(c)

Date of Birth__________________________________

(d)

Age as on 01 Apr 2013

Years

(e)

Affix latest
Photographs

months

days

Address ____________________________________________________
Telephone No________________________E-Mail__________________

2.

Educational Qualification:

Give particulars of all examination you have passed right from matriculation
onwards.
Examination

Board/University

Year

Subject taken

% of marks
obtained

3.

Experience : Fill in particulars in chronological order starting with your first appt.

Period
From
To

School/College

Subject taught

Class(es) taught

4
Merit scholarship won?
Details________________________________________________________________
______________________________________________________________________
5.

Name of classes you prefer to teach with subjects

(a) Class(es)
________________________________________________
(b) Subjects

6.

________________________________________________

Family :
(a) Martial Status

: Single/Married/Widowed.

(b) No of children with age & sex

: ________________________(M/F)
________________________(M/F)
________________________(M/F)

7.

Aptitude
(a) Teaching __________________________________________________
(b) Other Areas ________________________________________________
(c) Efficiency in Games __________________________________________
(d) Hobbies____________________________________________________

8.

Aspiration (Which you believe will be valuable to this institution).

9.

Are you presently working?

(a)
Appt & Institution __________________________________________
(b)

Salary

___________________________________________

10.
Have you been selected for an appointment in any Army School ? If yes, give
details :(a)

Name of the Army School ___________________________________

(b)

Appointment for which you have been selected___________________

I solemnly state that all the above particulars/statements are true to the best of
my knowledge and belief, I also understand that in case any particulars given above are
found to be false at any later date, my services are liable to be terminated without giving
any prior notice.
Date :

( Signature of applicant )