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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
CHEMISTRY
14006079
DATE OF BIRTH
(DD/MM/YYYY) 7/7/1983 (Middle Name)
POST CODE
QUALIFICATION CODE
04 (First Name)
CATEGORY
(GENERAL/ SC/ST/OBC) ST
GENDER
(Male/Female) MALE (Last Name)
YEAR
AGE AS ON
MONTH DAYS
14
27
23
RANGANATHA THIPPESWAMY G
if Yes, YES/NO
City Code 07
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
City State
: :
572143
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)
14006079
Name of Examination
Board / University
2001
500.0
298.0
59.60
12
C.B.S.E
2004
2200
1419
64.50
M.Sc.
2006
2200
1360
61.81
Bio-Chemistry
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 : : : RANGANATHA THIPPESWAMY G RANGANATHA T S/O THIPPESWAMY G NANJAYYANA KOTTIGE HIRIYUR TALUK T Please affix one recent passport size Photograph with attestation
City State
: HIRIYUR :
KARNATAKA
Pin Code
572143
Place : Date :
Signature of Candidate
Experience Sheet
Registration
14006079
Whether Recognized
: YES
Period of Service No. of Completed months Scale of pay and salary per month Subject and Classes taught
28-May-10
To 23-Nov-10
: CHEMISTRY, PHYSICS
Signature of Candidate