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18, Institutional Area, Shaheed Jeet Singh Marg New Delhi - 110602 RECRUITMENT OF POST GRADUATE TEACHERS IN KVS FOR THE YEAR 2011-2012
Registration Number :
SUBJECT OPTED IN PGT
ENGLISH
11013110
DATE OF BIRTH
(DD/MM/YYYY) 2/7/1986 (Middle Name)
POST CODE
QUALIFICATION CODE
01 (First Name)
CATEGORY
(GENERAL/ SC/ST/OBC) OBC
GENDER
(Male/Female) FEMALE (Last Name)
YEAR
AGE AS ON
MONTH DAYS
11
24
28
VISHVAKARMA
if Yes, YES/NO
City Code 06
Code 00
5. Sub-Category
SUB-CATEGORY- I (Physically Challanged)
If Physically Challenged, please indicate whether Guide/Scribe is required at the Examination Centre (write : Yes/No)
SUB-CATEGORY-II
No
No
No
No
Are you able to teach through English & Hindi, both Yes
7. Candidate Address Name Father/Husband Address : : : SHEETAL PAWAN PRAKASH SHARMA SHEETAL VISHVAKARMA W/O MR. PAWAN PRAKASH SHARMA SHIVAJI NAGAR, CHANDPUR ROAD, BIJNOR (U.P.) BIJNOR
UTTAR PRADESH
VISHVAKARMA
City State
: :
246701
+91
pawan50600@rediffmail.com
Branch Code
Amount(Rs.)
9. Academic Qualification
Name of Examination Passed(write complete name of course passed as on 30.11.2010)
Registration Number:
Aggregate marks Year of passing Max. Marks Marks Obtained %age of marks Subjects Studied Duration of course (in months)
11013110
Name of Examination
Board / University
10+2
2002
500.0
266.0
53.20
COMMERCE SIDE
24
U.P.BOARD
B.A
2005
1200
788
65.60
36 24
M.A
2008
600
330
55.00
English
Other if any(specify)
Note of Column 9:
(a) If code/numeral are indicated in the mark sheet in place of subject(s) studied, please attach necessary details for such de-codification along with Computer Generated Application Form. (b) If grades are given in lieu of marks, write equal percentage of marks in the relevant columns and attach the gradation list along with Computer Generated Application Form.
10. Teaching Experience A Separate Experience sheet is attached in next page (in case of any experience). 11. Permanent address Name Father/Husband Address : : : SHEETAL PAWAN PRAKASH SHARMA SHEETAL VISHVAKARMA W/O MR. PAWAN PRAKASH SHARMA SHIVAJI NAGAR, CHANDPUR ROAD, BIJNOR (U.P.) VISHVAKARMA Please affix one recent passport size Photograph with attestation
City State
: BIJNOR :
UTTAR PRADESH
Pin Code
246701
Place : Date :
Signature of Candidate