i APPLICATION FOR IHE POST OF GRADUAI-E TEACHER INCLI.
JDING LANGUAGE
TEACHERS CR HINDI TEACHER OR CLASSICAL TEACHERS iN PROVINCIALISTD
HIGH/ HIGHER SECONDARY HIGH N4ADRASSA SCHOOIS
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C,:icred Phott-.r
TliI PRI[.]C ?-r. *:-..,'->--' -\-..,-
I'O5T APPLIFD FOR
NAME OF THE APPLICANT
FATHER'S/MOTHER'S/HUSBAND'S NAME i
MAt[i riMALr"
I
i
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4 Pfl[5[NT ADDRISS OF COMMUNICATION WITH
CONTACT NUMBEIl
PERIVIANENT ADDRESS
ARE YOU A CII IZEN Oi: INDIA? IF SO, HOW
1
CATEGORY OF CASI'E 1. General, 2. OBC/MOBC,4. I
ST (P), 5. ST(H), 6
7 PWD (person with
SC,
dlsability) attach a copy of certifrcate from the
competent authorily (wheri: necessat ;i)
l\re you presently enrpioyed? !f yes, attacir .r i r-)py
i-i of NOC f rom your employer or Fleacl of off ice.
t_
lg Date of Birth as per ilSLC pass Ccrlifrcalc.
Age on 0i 01 2Lri 9.
t:d ucationa I QLra i ification-8.A /[Link]/t) Sc.
Professional Qualification B. Ed/B.f (furnish the
name of lnstitution. Also give fulldetails of
qLralification in aporopriate boxes in Pait'll)
Do you have NCC Certificate? lf ves, rnentiorred
tiie grade. (Attach a seli attested copy of the
ce rtificate ).
Did you have Assarnese/Hindi/Bengali as MIL at Assamese at HSLC
the IlSLC level or eqr:ivalent Certifii:atelDipioma ? Bengaii at i-lSLC.
lf yes, tick the appropriate Sl iiindi at i1!i {
Pa rt- ll '),?)
Ed ucatio na I Qualificatio n : Please insert information :-
Examination Year of pass il :,( +
--:: Grade/Division Pass
/ percentage of ;
rISLC [::rrn
HSSLC Exarri
[Link]
[Link] Exanr
B"ED/B.T Exam
(Name of
ln stit ut io n
recognized by
NCTE)
'IET
TET Exanr Name of Mar l<s secured Paper i:
in Paper ii
Other Qualification :
3. NCC.
4. Representation of State in Cultural and Sports events :
Full Signature of thq_ Ap!]-Lcgll!.
Qe!]gpliql:
l, do hereb'y declare that the information prr:vided in my application form is true and nothirrg has
been concealed. lf it is proved otherwise my candidature for the post is liable tr: be canceiled.
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