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Application for Teaching and Non - Teaching Staff

Permanent Address*

Communication Address*

Academic / Professional Qualifications
(Starting with highest degree obtained – Examinations from secondary onwards)*Add Qualification

EXAMINATION PASSED (WRITE COMPLETE NAME OF COURSE PASSED) YEAR OF PASSING SUBJECTS OFFERED MEDIUM OF INSTRUCTION AGGREGATE MARKS DIVISION SCHOOL/COLLEGE BOARD/UNIVERSITY
MAX MARKS MARKS OBTAINED

For teachers post- teaching experience (In recognized schools only) & for vocational courses teaching/work experience
in an Organization (In chronological order starting with the most recent) Add Experience

NAME & ADDRESS OF
THE INSTITUTION		 DESIGNATION PERIOD CLASSES/SUBJECTS TAUGHT NATURE OF DUTIES
From TO

Details of administrative experience, if any:
(As class coordinator, activity coordinator, examination dept. head, CCE coordinator)Add Experience

NAME OF THE SCHOOL/BOARD RESPONSIBILITIES HELD FOR CLASSES NO. OF YEARS

Experience of non teaching staff (Administrative/Technical/Clerical/Office Staff/Drivers/Helpers etc.) Add Experience

NAME, ADDRESS & CONTACT NO. OF THE EMPLOYER PROFESSION/
BUSINESS		 DESIGNATION/
POST		 NATURE OF DUTIES PERIOD MONTHLY SALARY / INCOME
Form TO

First Reference

Second Reference

Dependent member(s) of family to stay with the candidate (Other than spouse & dependent children) Add Dependent Member

NAME Date of Birth / AGE Relationship OCCUPATION WITH
MONTHLY INCOME		 ECONOMICALLY OR
PHYSICALLY DEPENDENT OR
ANY OTHER JUSTIFICATION OF
THEIR STAY		 ANY CHRONIC ILLNESS
OR
PHYSICAL DISABILITY

Whether accommodation required (state number of family members)Add Accommodation

NAME Relation Will live in Dera(Yes/No) ANY CHRONIC ILLNESS OR
PHYSICAL DISABILITY

Specify, if spouse/parents/any other relative doing sewa in dera or is employee/sewadar in the school or hospital units of MJSMRS Add Member

NAME AGE ADDRESS Relation DEPARTMENT DATE OF JOINING H/P MONTHLY SALARY

Declaration By The Candidate

I HEREBY DECLARE THAT THE INFORMATION PROVIDED BY ME IN THE APPLICATION IS TRUE, COMPLETE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF AND THAT NOTHING HAS BEEN CONCEALED OR DISTORTED. IF AT ANY TIME, I AM FOUND TO HAVE CONCEALED/ DISTORTED ANY INFORMATION OR GIVEN ANY FALSE STATEMENT, MY APPLICATION/APPOINTMENT SHALL LIABLE TO BE SUMMARILY REJECTED/ TERMINATED WITHOUT NOTICE.

Note

1. DEGREES, TESTIMONIALS AND CERTIFICATES NEED TO BE PROVIDED WHEN ASKED.
2. ONLY SHORTLISTED APPLICATIONS WILL BE ACKNOWLEDGED.
3. APPLICANT CALLED FOR INTERVIEW TO COME AT HER/HIS OWN EXPENSE.
4. MEDICAL CHECK-UP WILL BE MANDATORY FOR ALL THE FAMILY MEMBERS AND DEPENDENT CHILDREN.