as2015 [examination Contra + Examination Centre City select | Language in which Question Paper is requred + Post applies for + bate of eirth + Gender + address for communic = city + state + EmaitiD Contact No, + cateaory |. Are you a KVS permanent employes? ‘Are you Resident of State of 38K + (Domicied curing OF 01.1986 to 31.12.1888)? + are you person with disabities? 1 PW, specity whether you are 2 Physically Handicapped person iho is certified as bing unable te type by the Mecical Board + attaches to the Special Employment Excnange for the Handicapped (or by 3 Cv Surgeon where tere is no such Board)? + Nationality + whether &x-serviceman? |. bo you have working knowledge of Hin? |. Do you have knowledge of Computer Applications | Typing Speed (wee) (Online Applicaton KVS 2015 ede faeray wrt KENDRIYA VIDYALAYA SANGATHAN Application Form for the post of Lower Division Clerk 1249284 (Choices: Bangatore ‘Cholee2: Chennal Hing Lower Division Clerk VIVEK SINGH 29-Sep-1992 Male 802 A 4 YADAV NAGAR POST HARIINDER NAGAR KANPUR NAGAR Pin Cade Uttar Pradesh chandelaud@gmail.com = Mobile No uR .-Are you in Govt. Regular C3 Service? No. 1 yes, indicate the nature of No. ‘sability aod Percentage of disabity If ExServiceman, No. of year of CS service ves In ing In Englishao 208007 9590067989 No ‘Signature of Candidate| tps: lfcbapoly inkvs2018/K\SNon eaching201Sl_applicalonNextaspx 18as2015 (Online Applicaton KVS 2015 np: fobapoly inkvs2016/K SN eaching201SM_applicallonNextaspxas2015 (Online Applicaton KVS 2015 ‘plication No. 1249284 lauatifcation Det month founieaton tame al tain uration [a'veer| name ofthe Jessi wort in ef Marke tere acai) Secazatinven/monin of" Mnwerstytordschemsonaned hare] UP ae places) Lown iH ban sc ‘Year 0 Months) 2un- [JP BOARD Mar 374 04 hon [ion scnoo paris science ver ovens] ey SOS as | am | om | eas fan fen, _prvstes cromstar navn [2veorononns] Jan, Frsoaee, [wens | a7 | so | 730 Es pam ce ea woes | seo | ie00 | s0z8 {hoes Ca The RTS Bate BGT aoe wT Te a Tm [bo you have Experience indicated as below: INT ‘Application No.: 2245284 [Total qualification Experience: Year(s) Months) I transaction Reference No. 50103859 = payment Date + Receipt Now! DHMPs8s2010461/ eee Bank Ref-No, 692668 19/15/2015 12:42:18 PM 750/- (Application Fee) + © 30/- (Service Charge) i (Pease Prine the form for Further Reference) tps: lfcbapoly inkvs2018/K\SNon eaching201Sl_applicalonNextaspx a