7/28/2019 Sample Application Format for Tgt Backlog Recruitment 2013 in h.p

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Employment Exchange: Registration No. in Employment Exchange:

PASTE YOUR

RECENT, GOOD

QUALITY

PASSPORT SIZE

COLOURED

APPLICATION FORM FOR THE POST OF TGT(Arts/ Medical/Non- Medical) UNDER

BACKLOG BATCHWISE RECRUITMENTS BY DEPT. OF ELEMENTARY EDUCATION, H.P.-2013

(To be filled in by the candidate with Ball Point Pen in his/her own handwriting after carefully

PHOTOGRAPH

HERE

reading the instructions as laid down in the advertisement.)

SIGNATUREOFCANDIDATE

(Note: Fill the name of category of post .i.e. Arts/ Medical/Non- Medical)

POST NAME: T.G.T.

1. POST NAME

2. CANDIDATE NAME IN HINDI _____________________________________________________________

3. CANDIDATE NAME IN 4.CATEGORY/COMMUINITY

ENGLISHSh/Km/Mrs

5. FATHER/HUSBANDS

NAME IN ENGLISH

6. ADDRESS (Write in capital letters only) FOR COMMUNICATION

PIN CODE

7. DATE OF BIRTH DAY MONTH YEAR

(a) (In figures)

(TICK MARK

GEN.

GEN. IRDP

SC

SC IRDP

ST

ST IRDP

WEXM.

HANDICAPPED

W.F.F.

O.B.C.

O.B.C. IRDP

OTHERS

8, SEX

applicable IN BOX)

(b) In words __________________________________________________________________________________

(c) AGE AS ON CLOSING DATE :_________YEAR_______________MONTH______________DAYS____________

10. DETAILS OF THE BACKLOG POST APPLIED FOR

M

F

9. MARITAL STATUS

M

U

NAME AND CATEGORY OF POST BATCH 50% OR MORE MARKS IN GRADUTION TET QUALIFIED OR NOT

11.(a) EDUCATIONAL AND PROFESSIONAL QUALIFICATION POSSESS AS ON 30/07/2010 (Attach duly attested copies of certificates as proof)

SL.No.

EXAMINATIONPASSED

NAME OF BOARD/UNIVERSITY

DURATION(in numberof years)

MONTHANDYEAR OFPASSING

% OFMARKSOBTAINED

SUBJECTS

12. DO YOU POSSESS THE ESSENTIAL QUALIFICATION AND EXPERIENCE AS ON CLOSING DATE OF RECEIPT OF APPLICATION

(TICK MARK IN THE BOX) AND GIVE DETAILS APPROPRIATE IN THE BOX GIVEN BELOW:REMARKS

NAME OF EXAM BOARD/UNIV YEAR ROLL NO. MARKS SCORED % MARKS SUBJECTS PASSED OR NOT

PLACE: ______________

DATE : _____________

CONTINUED..

(SIGNATURE OF THE CANDIDATE)

Name:______________

7/28/2019 Sample Application Format for Tgt Backlog Recruitment 2013 in h.p

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13. LIST OF DOCUMENTS ATTACHED WITH THE APPLICATION FORM (ONLY DULY ATTESTED COPIES OF RELEVANT DOCUMENTS)

1. BONAFAIDE HIMACHALI CERTIFICATE2. CASTE CERTIICATE3.

WARD OF EX-SERVICEMEN QUOTA RELATED DOCUMENTS(IF APPLICABLE)

4. LATEST I.R.D.P. CERTIFICATE(IF APPLICABLE)5. TET PASS CERTIFICATE PHOTOCOPY6. MATRIC,10+2 AND GRADUATION CERTIFICATE PHOTOCOPIES7. AADHAR CARD/VOTER CARD/IDENTITY PROOF PHOTOCOPY8. EXPERIENCE CERTIFICATE(S)IF ANY.9. B.ED. AND RELATED CERTIFIACTES10. OTHER HIGHER QUALIFICATION RELATED DOCUMENTS PHOTOCOPIES.

(a) I hereby certify that all statements made in this application are true, complete and correct to the best of my knowledge and

belief and have been filled in my own handwriting.

(b) I also declare that I have submitted only one application for one post code in response to this advertisement.

(c) I have read all the provisions mentioned in the notice carefully as published in Daily Newspapers dated 29-06-

2013 by Director, Elementary Education (H.P.) and I hereby undertake to abide by them.

(d) I also declared that as per the terms and condition of advertisement I am eligible for the post, and

have acquired all educational/professional qualification and experience as on cut off date applicable.

(e) I have also enclosed duly attested and legible copies of all the relevant documents/certificates.

(f) I understand that in the event of information being found false or detected incorrect or incomplete at any stage prescribed

in the notice or any ineligibility being detected before or after the examination, my

candidature/selection/appointment is liable to be cancelled/terminated automatically without any notice to me and

action can be taken against me by the Dept. of Elementary Education, H.P.

(g) The information submitted herein shall be treated as final in respect of my candidature for the post applied-for through this

application form. I want to participate in the counseling for these Backlog Posts.

(h) I also declare that I have informed my Head of Office/Department in writing that I am applying for this

post/exam (for GOVERNMENT employees only).

PLACE: ______________

DATE : _____________

_________________________________

(SIGNATURE OF THE CANDIDATE)

NAME__________________________

NOTE: ALL THE SIGNATURES ON THE APPLICATION FORM SHOULD BE IN RUNNING SCRIPT

(NOT IN BLOCKLETTERS) AND IN THE SAME LANGUAGE AND STYLE.