REG.

NO:

Indirapuram Public School

Note: - Please do not leave any column unfilled. PHOTOGRAPH

PHOTOGRAPH

BIO-DATA

1. Post applied for : _______________________________________________

2. Full Name (Capital letters) : _______________________________________________

3. Present Address & Mob No. : _______________________________________________

_______________________________________________
_______________________________________________
4. E-mail Address : _______________________________________________

5. Permanent address & Tel. No. : _______________________________________________

_______________________________________________
_______________________________________________

6. Date of Birth _____________________ Birth Place _______________

Age as on date of application _______ years _______ months

7. Married or Unmarried : ______________________________________________

8. If Married No. of children with their age: _______________________________________

9. Father's Name, Occupation: _______________________________________________
Designation, address / Tel No. _______________________________________________
_______________________________________________

10. Husband's / wife's Name, Occupation : ______________________________________

Designation, / address / Tel No. ______________________________________
_______________________________________
_______________________________________
………
Contd…

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 11. Identification Marks 1. _________________________________ 2. __________________
12. Languages known: 1. ___________________ Speak Read Write
(Please tick mark) 2. ___________________ Speak Read Write
3. ___________________ Speak Read Write
13. Personal abilities and achievements in field of:

a) Creative Activities _______________________________________________

b) Oratory _______________________________________________

c) Games/Sports _______________________________________________

d) Computer Proficiency_______________________________________________

e) Any other ______________________________________________________

14. Educational Qualification

Name of Name of Regular/ %age of

Exam Year of Main Subjects School / Board / Private / Aggrega
Passing College Universit Correspo te score
y ndence

High
School

Senior
Secondary

Graduation

Post
Graduation

B.Ed.

M.Ed.

N.T.T.

………
Contd…

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15. Total Work Experience (in years):

Teaching: __________ Administration: __________ Any other: _____________

Teaching Experience
Period
Name of the Classes Last pay
Post held
Institution and Place Taught drawn
From To

(Note: Attach extra sheet if required. Please enclose certified photocopies for the
qualifications & experience)
16. Mention the assignments/responsibilities which you have handled other than
teaching:

(a) ________________________________________________________________________

(b) ________________________________________________________________________

(c) ________________________________________________________________________

17. Remuneration expected : ________________________________________________

18. Your strengths (1) __________________________________________________________

(2) __________________________________________________________
19. Mention the areas, (To be filled in by those applying for teaching job) other than
academics, in which you can contribute to the growth of the school:

(a) _____________________________________________________________________

(b) _____________________________________________________________________

(c) _____________________________________________________________________

20. Write a few lines on your views on ‘Work Ethics’:

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

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21. Name two important references:

1. _______________________________________________________________________

________________________________________________________________________

2. _______________________________________________________________________

_______________________________________________________________________

DECLARATION

I hereby certify that all statements made and information given by me in this application form
are true, complete and correct to the best of my knowledge and belief. In the event of any
information or part of it being found false or incorrect before or after the interview or
appointment, action can be taken against me by the School and my candidature / appointment
shall automatically stand cancelled/ terminated.

Place: _____________

Date: ______________

(Full signature of the Applicant)

Name: __________________________

---------------------------------------------------------------------------------------------------------------------

FOR OFFICE USE ONLY

Shortlisted for interview on: _____________________________________________________

Remarks: _____________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

___________________ _____________________
Principal Manager
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