APPLICATION FOR THE POST OF CONTRACTUAL TEACHERS FOR THE YEAR 2015-16

POST APPLIED: PLEASE TICK THE APPORPRIATE BOX (

TGT

POST

OTHERS

HINDI

PRIMARY TEACHER

SANSKRIT

SPORTS COACH

ENGLISH

TAMIL TEACHER

SCIENCE

DOCTOR

SOCIAL STUDIES

NURSE

MATHEMATICS

COUNSELLOR

YOGA TEACHER

COMPUTER
INSTRUCTOR

A.PERSONAL DETAILS:
1.NAME (CAPITAL LETTERS)

2.FATHERS/ HUSBAND S NAME

3. SEX

MALE / FEMALE

3.DATE OF BIRTH & AGE AS ON

31/03/2015
4 COMMUNITY

SC/ ST/OBC / GEN

4.MARITAL STATUS

MARRIED / UNMARRIED

5.POSTAL ADDRESS WITH PIN

CODE

6.CONTACT NUMBERS

LANDLINE
MOBILE

7. EMAIL Id

B.ACADEMIC QUALIFICATIONS:
COURSE

SUBJECTS

BOARD /
UNIVERSITY

DURATION
OF THE
COURSE

X
XII
U.G
P.G
MPHIL
PHD
OTHERS
1

YEAR OF
PASSING

MARKS
OBTAINED

PERCENTAGE

C.PROFESSIONAL QUALIFICATION:
COURSE

SUBJECTS

BOARD /
UNIVERSITY

DURATION
OF THE
COURSE

YEAR OF
PASSING

MARKS
OBTAINED

PERCENTAGE

DTEd/ JBT
B.Ed
OTHERS

D.EXPERIENCE DETAILS:
POST HELD

NAME OF THE
INSTITUTION

SERVICE PEROID
FROM

TO

NO OF
COMPLETED
MONTHS

PRT

E. CTET MARKS :

CLASSESS
TAUGHT

SUBJECTS
TAUGHT

TGT

(enclose the photocopy of mark statement)

F.I hereby certify and declare that

1. I am an Indian national.
2. I have read the advertisement.
3. The information furnished by me is true, complete and correct to the best of my knowledge and
belief.
4. In case of my application is not received by KV Madurai within the stipulated date due to postal
delay or otherwise, KV Madurai will not be responsible for such delay

SIGN OF THE CANDIDATE

DATE: