/PM Shri Kendriya Vidyalaya Uttarkashi
आिेदन फॉर्म / Application Form-2023-24
पदनार्/Post Applied: __________________(संविदा आधाररत/Contractual Basis) Paste Your
क्या आप सी.टी.ई.टी./CTET में सफल घोषित किये गए है : हााँ/नहीीं YES/NO
Photograph
(यदि हााँ तो पी.आर.टी./टी.जी.टी. अथवा िोनों हे तु / If YES for PRT / TGT or Both)
1. नाम / Name :........................................................Cateogry: Gen/SC/ST/OBC(CL/NCL)
2. पत्राचार िा पता / Address for Communication : ..................................................................
3. फोन न./ Mob.No.:1. ..............................2...............................ई-मेल/E-mail ID:........................
जन्म-ततथथ/Date of Birth:................... आधार न./Aadhar No:-............................................
षपता/पतत िा नाम/ Father/Husband Name : ....................................................................
4. शैक्षिि/व्यवसातयि योग्यता/Academic/Professional Qualification (Commencing from class 10th:
फोटो िॉपी सींलग्न िरें / Attach Xerox copy(use extra sheet if required)
S.No. Name of Year of Total marks Agreegate Subjects % in Board/
Examination/ Passing obtained/ % marks offered concerned University
Degree Maximum subject
marks
1.
2.
3.
4.
5. अनुभव/Experience: फोटो िॉपी सींलग्न िरें /Attach Xerox copy of certificate(s) issued by the
Head of the Institution. (use extra sheet if required)
S.No. Post Held Name of the Period Number of Subject and
Institution From To Completed months Classes taught
1.
2.
3.
6. िोई षवशेि उपलब्धध /Any Special Achievements: ........................................................
7. क्या आपिा िोई नजिीिी ररश्तेिार िेंद्रीय षवद्यालय में िाययरत है ? यदि हााँ तो उनिा नाम, पिनाम एवीं षवद्यालय िा
नाम / Is your near relative (Father/Mother/Brother/Sister/Husband/Wife) is working in KV? If yes,
Name, Designation and KV of the relative.........................................................
8. I am fully aware of the fact that this interview is for fully temporary/contractual post and will not be
confirmed at any point of time. Further I know that this interview is for making a panel of contractual
teachers for academic session 2024-25 whose services may be utilized as per vacancy ( as and
when arise). Mere appearing in interview does not claim any right for appointment.
दिनाींि /Date :............... अभ्यथी िे हस्तािर / Signature of Candidate .....................
नोट:1)समस्त िस्तावेजों िी मूल प्रतत व स्वसत्याषपत प्रतत व मूल आवेिन प्रपत्र सािात्िार िे समय प्रस्तुत िरें
