Application

Form

Grade Applied for Principal / VP / PRT / TGT / Others Affix passport size
Subject Applied for: colour photo here

Personal Information

Ms.: Asha Bolia

Date of Birth: Gender: Female

(DD/MM/YY)

Contact Address:

C – 23 , Y Road , ITI Township ,

Doorvani Nagar , Bangalore 560016

Telephone: 080 – 25656058 ; 9448950226

E-mail: asha.bolia@gmail.com

Place of Birth: Udaipur Nationality: Indian

Marital Status: Married

Family Details:

Name Relation Age Occupation

Akhilesh Bolia Spouse 52 Service - PSU

Service – Private
Apoorv Bolia Son 24
Sector

Student –
Bhoomika Bolia Daughter 21
Engineering
 Application
Form

Education Details:

Qualification Institute Board/University Year of Grade

Passing / % of
marks

High School

Inter/+2

Graduation

Post Graduation

M. Ed / B. Ed / D.
Ed

Others

Language Proficiency:

Language (start with mother tongue) Speak Read Write

1.Hindi

2.English

3.Kannada

4.

Proficiency in Computers: Yes No

Do you have computer at home? Yes

Do you regularly work on a computer?

If yes, what software can you use proficiently?

Other Details:

Interests/Aspirations:

2
 Application
Form

Awards:

Research Work:

Sports / Co-curricular activities:

Work Experience:

Total Experience (Years):

Previous Experience Details:

Institute Position From To Job Description

References (Provide two references - Name, address and contact numbers):

3
 Application
Form

I hereby certify that information provided above is true to the best of my knowledge and
belief. If any information is found to be false/ incorrect, it will disqualify my continuation
in JGRVK.

Place:
Date:

Candidate Signature