Dav Centenary Public School: (Part - A)

DAV CENTENARY PUBLIC SCHOOL
Jagjeetpur, Laksar Road, Kankhal, Hardwar – 249408

(Directly Managed by D.A.V. College Managing Committee, Chitra Gupta Road, New Delhi)
(Affiliated to CBSE, New Delhi up to +2)
Instructions for the candidates:

Paste your recent
1. Fill up the application form in your own handwriting.
passport size
2. Attach your credentials (mark-sheets, certificate, degrees etc.) with the
coloured
application form.
3. For your candidature to be considered, the information furnished by you photograph
must be correct / true.
4. Completed and recognized qualifications are to be filled up in the column of
academic qualifications.
5. Only shortlisted candidates will be called for the interviews.
6. Written test may be conducted before the interviews to test your General
awareness, Subject knowledge and English proficiency.
Application for the Post of ____________________________________ Category ____________
APPLICANT’S BIO DATA

PERSONAL INFORMATION
(PART – A)
Name
(In block letters)
Date of Birth:
Date Month Year
In Words: ______________________________________________________________
Age as on 1.4.2018 ______/ ______/ _____
Years / Months/ Days
Address: __________________________________________________________________________
__________________________________________________________________________
District _________________ State __________________ Pin ____________________

Contact No.(s) Landline (with STD code)___________________________ Mobile _____________________
Other Contact No. (if any) __________________________________________________________________
E-mail id: __________________________________________________________________________

(shortlisted candidates will be informed about the interviews through their e-mail id)
Place of Birth: (City / Village) _________________________ State _________________________
Nationality: Indian / Others _________________ Marital Status: _________________________
Parents & Spouse:
Name Age Occupation (Post with organization)

Father
Mother
Spouse
If Married (Children):
Name Gender Age in years
(PART – B)
Academic / Professional Qualifications
Name of Year of Private / School / College Board / Subjects Medium % of
Examination Passing Regular University of Study Marks
Passed
High School
(Matriculation)
Intermediate
Graduation
Post-
Graduation
B.Ed.
TET
Any Other
Scholarship / Prizes / Awards: __________________________________________
Publication, if any: __________________________________________
Co-curricular Activities: __________________________________________
Sports & Games: __________________________________________
NCC: __________________________________________
Social activity/ Environmental activity: __________________________________________
(PART – C)
Work Experience/ Teaching Experience
Name of institution Medium of From To Subjects & classes taught
teaching
Detail of the latest Job Done:
Name of the institution Contact No. Date of Joining Total Basic Salary Reason of
emoluments leaving the job
Other Information:
Seminar/ workshop/ courses attended:

Course / Seminar Duration Description
Name of two recently read books
Title ___________________________________ Author _______________________
Title ___________________________________ Author _______________________
Proficiency in language:
Language Read Write Speak
_____________________
_____________________
_____________________
Knowledge of computer operation:

• Do you have your own computer? Yes / No ____________
• Do you regularly work on computer? Yes / No ____________
• Detail of computer proficiency: _____________________________________________________
_____________________________________________________
Your Interests / Hobbies:
Co-curricular Activities Sports & Games

(Literary, Cultural & Others )
Have you ever been convicted by any court of Law?

Yes No
If yes, give the details:
________________________________________________________________________
________________________________________________________________________
Any two references:
Name & Address Contact No.

Is any member of your family employed in DAV Public School / College / Professional College Managed by
DAV College Managing Committee, Chitra Gupta Road, New Delhi.
If Yes (Give Details):
Name: _________________________________________________________________
Relationship: _______________________________________________________________
Location of DAV Public School / College ________________________________________
Declaration:
(i) I hereby certify and declare that all statements made and information given by me in this application
are true, complete and correct to the best of my knowledge and belief and nothing has been
concealed. 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 administration and in
such an eventuality I am aware that my candidature / appointment shall automatically stand
cancelled / terminated.
(ii) I further declare that I fulfill all the conditions of eligibility regarding age, educational, professional
qualifications etc. prescribed for the post for which I have applied. I possess the educational
certificates/ mark – sheets/ provisional certificate in respect of the essential qualification prescribed
for the post for which I am applying.
(iii) In case my application is not received by the school within the stipulated date due to postal delay or
otherwise, school will not be responsible for such delay.
Place:___________________ Date: ______________ Signature of the candidate: ______________
…………………………………………………………………………………………………………………….
For Office use only:

1. Qualified for interview: Yes / No
2. Testimonials checked by me:
Name of the employee: ______________________
Designation: ______________________
Date: ______________________
***

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DAV CENTENARY PUBLIC SCHOOL

Jagjeetpur, Laksar Road, Kankhal, Hardwar – 249408

Instructions for the candidates:

Application for the Post of ____________________________________ Category ____________

APPLICANT’S BIO DATA

District _________________ State __________________ Pin ____________________

Other Contact No. (if any) __________________________________________________________________

E-mail id: __________________________________________________________________________

Name Age Occupation (Post with organization)

Name Gender Age in years

Detail of the latest Job Done:

Seminar/ workshop/ courses attended:

Knowledge of computer operation:

Co-curricular Activities Sports & Games

Have you ever been convicted by any court of Law?

Any two references:

Name & Address Contact No.

Place:___________________ Date: ______________ Signature of the candidate: ______________

For Office use only:

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Application for the Post of ________________________ Category

District _ State Pin ______

Place:___ Date: Signature of the candidate: