Phone&Fax: 05683 -283555

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E-mail ID: principaldav@g uil.com
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GAIL D.A.V. PIJBLIC SCHOOL

(An English Medium, Co-educational, Senior Secondary School, Affiliated to CBSE, New Delhi)
Affiliation No.2130336
GAIL Gaon, Dibiyapur, Auraiya (UP)-206244

APPLICATION FORM FOR THE POST OF P.G.T./T.G.T./CounselorlPr. T./Il.T./Receptionist/Part

Time Coaches
DAV schools should submit the application through proper channel)
(Employees of
Roll No. (To be given by Office):
Post applied for

Name

Father' s Name/Husband' s Name

Marital Status

Date of Birth Age( as on 0l .04.2019)_

Address for coffespondence

Permanent Address

Contact Details Phone No. : Mob. No E mail id

Educational Qualification :
Exam passed Year Board/University Obtained Total "hage Division Main Subject/(s)
marks Marks
a) Matric/Secondary

b) Hr. Sec. /Sr. Sec./Inter/PUC

c) B.A./B.Sc./B.Com

d) M.A.l M.Sc./M.Com

0 N.T.T.

g) CTET/TET

h) Any other Qualification

Contd ...2..
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Ex rlence:
Name of the Institution Affiliating Post held Period Total Class & Subject Reason for leaving job
with Address Board with Years & taught (for
Affiliation no., Months teaching posts
if any From To only)

Any other information related to the post applied for:

Publication if &ny, to your credit

(May attach separate sheet if required)

Experience of attending in-service Programmes as particip ant/ Resource Person:

Particulars of the programme In what capacity? Period Organi zed by Remarks if any
such as Seminars, Workshops etc. From To

Details of salary last drawn:

Name of Instt . I Organization Month Pay Scale Basic Allowance Gross Salary

Other interests (Physical/Co-curricular/Social, etc with achievements, if any):

a)

b)

Notice period required if selected:

I solemnly declare that the statements made by me are correct to the best of my knowledge and belief,

Date:

Place: Signature of the candidate

For Office Use only

Checked By: Verified By:

Name & Signature: Name & Signature: