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St. Cecilia’s Public School (Minority)(Recognised And Affiliated to CBSE)

F-Block, Vikaspuri, New Delhi-110018

APPLICATION FORMSTAFF RECRUITMENT

Application for the Post of ___________________________________

Name (in capital letters) ________________________________________________

Residential Address ___________________________________________________

_________________________________________Tel./Mob. No. ________________________________

Date of Birth ______________________________Age at Present ________________________________

Unmarried/Married/Divorcee __________________Year of Marriage/Divorce ______________________

No. of Wards/their age (if applicable) _______________________________________________________

Wards studying in class and school named ___________________________________________________

_____________________________________________________________________________________

Weight _____________Height ________________ Physical Deficiency (if any) _____________________

Place of Birth __________________________________________________________________________(Town/ State etc. complete address)

Mother Tongue ____________________ Religion__________________ Caste ______________________

Proficiency in spoken language : (Very good / good / None)

English _________________Hindi _________________Any other language________________________

Computer Knowledge: (Give details) _______________________________________________________

________________________________________________________

Participation in Games and Sports (give details) :

Standard achieved – School / College / University / State represented

Participation in Co-curricular / Extra-curricular Activity (if any)

Name of Activity Training From Level of Participation Achievement

.Contd 2……

Affix CurrentPhotograph

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Educational and Professional Qualifications

Year Qualifications(Class Xonwards)

Regular/Corres.

Name andLocation ofSchool/College

Name ofBoard/Univ.

MarksObt. %

SubjectsStudied

Mediumofinstruction

Subjects of Specialisation (applicable for TGT/PGT Post only):

Subjects of Specialisation Marks ObtainedClass X Class XII

Can Teach Easily – Subjects & Classes _____________________________________________________________________________

Can Teach Easily – Extra Curricular Activities ______________________________________________________________________

Contd 3…….

Name of School(with Address)

Post HeldPeriod

PayDrawn

Classes & SubjectTaught

MediumofInstructionFrom

Month YearFromMonth Year

Name of School/Office (with Address)

Post HeldPeriod

Pay DrawnDetails of Nature of

Work DoneFromMonth Year

FromMonth Year

Total Work Experience: Non-Teaching ________________________

Total Work Experience : Teaching ____________________________

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Name of: Husband _________________________________________________ Wife ___________________________________________________________

Occupation of: Husband _________________________________________________ Wife ___________________________________________________________

(Designation/ Name and complete _________________________________________________ ___________________________________________________________

address of Organization, if applicable) ________________________________________________ ____________________________________________________________

________________________________________________ ___________________________________________________________

Name of : Father _______________________________________________ Father – in – Law _______________________________________________

Occupation of Father _______________________________________________Father – in – Law _______________________________________________

(Designation/ Name and complete _______________________________________________ _______________________________________________

address of Organization, if applicable) _______________________________________________ _______________________________________________

_______________________________________________ _______________________________________________

Name of : Mother _______________________________________________Mother – in – Law _______________________________________________

Occupation of : Mother _______________________________________________Mother – in – Law _______________________________________________

(Designation/ Name and complete _______________________________________________ _______________________________________________

address of Organization, if applicable) _______________________________________________ _______________________________________________

_______________________________________________ _______________________________________________

Name of : Brother/ s _______________________________________________Brother – in – Law _____________________________________________

_______________________________________________ _____________________________________________

Occupation of : Brother/s _______________________________________________Brother – in – Law ____________________________________________

(Designation/ Name and complete _______________________________________________ ____________________________________________

address of Organization, if applicable) _______________________________________________ _____________________________________________

_______________________________________________ _____________________________________________

Name of: Sister/ s _______________________________________________Sister – in – Law _____________________________________________

_______________________________________________ _____________________________________________

_______________________________________________ _____________________________________________

Occupation of : Sister/s _______________________________________________Sister – in – Law _____________________________________________

(Designation/ Name and complete _______________________________________________ _____________________________________________

address of Organization, if applicable) _______________________________________________ _____________________________________________

_______________________________________________ _____________________________________________

Involved in Any Criminal and/or Civil Case or Action: (if yes, give details) ___________________________________________________________

References, if any _______________________________________________________________________________________________

__________________________________________________________________________________________________________________________

Any other relevant information you will like to furnish concerning your suitability for the post : _____________________

___________________________________________________________________________________________________________________________________________________

___________________________________________________________________________________________________________________________________________________

If selected, all original certificates/ documents etc.will be available for submission immediately Yes / No. __________________________________________________________

Declaration : All the information / details stated here in above are true and correct to the best of my knowledge and beliefand are in accord with the relevant certificates / documents etc. and nothing has been concealed.

Date ________________ Name : _________________________________ Applicant’s Signature: ________________________________

Please Note : Attested copies of all certificates and testimonials etc. are required to be furnishedalong with this application formAdd additional sheet if space insufficient.

Contd…4

List of Enclosures :

1. ___________________________________________________________________________

2. ___________________________________________________________________________

3. ___________________________________________________________________________

4. ___________________________________________________________________________

5. ___________________________________________________________________________

6. ___________________________________________________________________________

7. ___________________________________________________________________________

8. ___________________________________________________________________________

9. ___________________________________________________________________________

10. ___________________________________________________________________________

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