BARODA HIGH SCHOOLS

Form No. :
&
BARODA LIONS SCHOOL
Managed by Baroda Lions Club Education Trust

Name of the School: ___________________________________ Bagikhana / ONGC / Alkapuri / Danteshwar

Reference: Advt : The Times of India / Gujarat Samachar / Sandesh / Divya Bhaskar

Post Applied for : ___________________________________ Subjects: ___________________

Section: K.G. Section / Prim. Section.

Name of the Applicant: _________________________________________________________

Surname Name Fathers / Husbands Name
Date of Birth: __________________ Age: _________ Sex: _________
Marital Status: Married / Unmarried
Nationality : _______________ Blood Group:_____________ Affix your
latest
Whether belonging : SC /ST (if other specify) _______________ Passport size
photo
Medium of instruction during the school education:
English / Hindi / Gujarati / (specify if any other)______________________________
No. of children :

Name Age School/college Std

1) _________________________ ___________ ______________________ _________

2) _________________________ ___________ _____________________ _________
Address for correspondence : ____________________________________________________
________________________________________________________________________________
Phone No. _______________________ Mobile: ______________________________________

Aadhar Card No. __________________________ Pan Card No. _______________________________

Email ID_____________________________________________________________________
Academic Qualification :
Medium of Subjects
Examination Year of Class Special Name of School /
Instruction
Passed Passing obtained Achievement University, City
(Language) Principal Subsidiary if any

S.S.C

H.S.C

P.T.C

B.A /B.Com
/B.Sc
M.A/M.Com/
M.Sc

ECCE

B.Ed

M.Ed.

Others
 : 2:
Any other Qualifications:

Area of achievement at
State/National level:

Experience in English Medium Schools (from present to previous) :

Sr. No. Name & Address of Subjects Std. Period Total
Institution Taught Yrs/Months
From To

Total
Experience
Mention the school activities in which you are proficient and can guide students:
_____________________________________________________________________________
_____________________________________________________________________________
If employed where, what capacity? _________________________________________________
Present Monthly salary / Expected salary? ` _________________ / `___________________
If selected, when can you join at the earliest? ____________________________________________
Have you ever appeared before the selection committee of our schools? If so, were you selected for
appointment? _____________________________________________________________________
Please attach recommendation letter of the institution where you have worked:_________________

References : (1) (2)

Name ____________________ ______________________
Address ____________________ ______________________
____________________ ______________________
Phone No. ____________________ ______________________
Mobile No. ____________________ ______________________

Preference of the school (1, 2, 3, 4)

BHS, Bagikhana BHS, ONGC BHS, Alkapuri BHS, Danteshwar

________________________
(Signature of the Applicant)