DAV FERTILIZER PUBLIC SCHOOL, BABRALA
An English Medium Co-Ed. Senior Secondary School, Affiliated to CBSE, New Delhi
E-mail Id- principal_davbabrala@[Link], Website: [Link]
(Application Form)
Reference No. (To be filled by the office): _______________________________________
Application for the post of _____________________________________________________
I. Personal Details
1. Name of the Applicant (Block letters): ________________________________________ Paste
Your Recent
2. Father’s/Husband’s Name: __________________________________________________
Photograph
3. Date of Birth (in DD/MM/YYYY format): _______________________________________ Here
4. Age (as on Current Date): ___________________________________________________
5. Place of Birth: ____________________________________________________________
6. Proficiency in writing and spoken: (Tick any one)
6.1 English : Excellent Very Good Good Fair None
6.2 Hindi : Excellent Very Good Good Fair None
6.3 Other language : Excellent Very Good Good Fair None
7. Marital Status: Single Married
7.1 If married, Name of Spouse: _____________________________ Education: __________________________
7.2 No. of Children: ___________________________ Age in years: ____________________________________
8. Do you have basic knowledge of computer operation? Yes No
II. Contact Details
1. Correspondence Address: ________________________________________________________________________
2. Permanent Address: ____________________________________________________________________________
3. Contact No: Mobile _______________________________ Phone _________________________________
5. E-mail Id: _____________________________________________________________________________________
III. Academic Qualifications (From Highest to Lowest)
Examination Year of Name of Regular/Private Marks Max. Subject
SNo % age Division
Passed Passing Board/Uni. /Correspondence Obtained Marks Offered
1
5.
6.
7.
Th:
8 [Link].
Prac:
9 CTET / TET
QSF-PRIN-HRS-01 Rev. No.: 04 Rev. Date: 01/02/2017
IV. Institutions Served- Present to First (only recognized institution)
Institution Total
Period Medium
Name, Experience Classes Subjects Total Salary
SNo of
Affiliation No. Taught Taught (Basic+Allowances)
From To Years Months Teaching
and Address
1
2
3
4
5
Total Work Experience: _____________Years ___________ Months
V. Other Details
1. Notice Period required (if selected) : ______________________________________________________________
2. Minimum expected salary (in Rs.) : ______________________________________________________________
3. References (Give name, profession and address of two references who are not the relative of the candidate)
3.1 Reference-1: _____________________________________________________________________________
___________________________________________ Contact No.: ______________________
3.2 Reference-2: _____________________________________________________________________________
___________________________________________ Contact No.: ______________________
4. Games played:
4.1 Game-1 _________________________ Standard achieved: National / State / College / University level
4.2 Game-1 _________________________ Standard achieved: National / State / College / University level
5. Creative activities (Art, Craft, Music, Dance, Dramatics, Debate or any other)
5.1 Activity-1_________________________ Standard achieved: National / State / College / University level
5.2 Activity-2_________________________ Standard achieved: National / State / College / University level
6. Details of Published work (if any) __________________________________________________________________
DECLARATION
I hereby declare that I have read all the terms & conditions mentioned in the Advertisement and I fulfill the
same. All the statements made in the application are true, complete and correct to the best of my knowledge
and belief. I also declare that I have submitted one application only for the above post. I am duly aware that in
the event if any particulars or information furnished by me is found to be false/incorrect/incomplete or if found
indulging in some unlawful act at any time, my candidature for the post is liable to be summarily
rejected/cancelled and in the event of any statement/information submitted found false/incorrect even after
my appointment, my services are liable to be terminated.
Candidate’s Signature
FOR OFFICE USE ONLY
All the photocopies have been checked and verified with the original documents & found correct.
Checked By: _____________________________________ Signature: _________________________________
QSF-PRIN-HRS-01 Rev. No.: 04 Rev. Date: 01/02/2017