TEACHER APPLICATION FORM

THIS PRAYER PROCLAIMS THE SEEKERS ADMISSION OF HIS SENSE OF LIMITEDNESS. IT IS NOT A PRAYER FOR THE THINGS OF THE WORLD - FOOD, SHELTER, HEALTH, PARTNERSHIP, RICHES, SUCCESS, FAME, GLORY OR EVEN FOR HEAVEN. ONE WHO RECITES THESE THREE MANTRAS HAS REALIZED THAT SUCH THINGS ARE FULL OF HOLES, AND EVEN IN ABUNDANCE, WILL FOREVER LEAVE HIM WANTING. THE ESSENCE OF EACH OF THESE THREE MANTRAS IS THE SAME: O, GURU, HELP ME FREE MYSELF FROM MY SUNDRY MISUNDERSTANDINGS REGARDING MYSELF, THE UNIVERSE AND GOD AND BLESS ME WITH TRUE KNOWLEDGE.

N.B. : 1. TO BE TYPED IN BLOCK LETTERS.2. PLEASE ATTACH DULY ATTESTED COPIES OF MARK SHEETS, CERTIFICATES,

TESTIMONIALS AND ONE ID PROOF.3. PLEASE ANSWER ALL QUESTIONS COMPLETELY.4. PRESS CTRL + S KEYS TOGETHER TO SAVE FILLED FORM. PRESS CTRL + P TO

PRINT THE FORM. PLEASE DONT PRINT THIS COVER PAGE.5. PRESS TAB KEY TO MOVE TO NEXT ENTRY WHILE FILLING THE FORM.6. IF NECESSARY, PLEASE ATTACH A SEPARATE SHEET AND ADD ANY ADDITIONAL

INFORMATION WHICH MAY BE RELEVANT.7. PLEASE SEND FILLED FORM TO: THE PRINCIPAL, R. D. RAJPAL SCHOOL, SECTOR-9,

DWARKA, NEW DELHI - 110077

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R. D. RAJPAL SCHOOL, SECTOR-9, DWARKA

DATE ________________

DD / MM / YYYY

POST APPLIED FOR _______________________________________________________________

1. CLASSES TAUGHT _______________________________________________________________

SUBJECTS / SPECIALIZATION _______________________________________________________

1. FIRST NAME MIDDLE NAME LAST NAME

___________________________________________________________________________________________________

2. ADDRESS FOR COMMUNICATION

___________________________________________________________________________________________________

_________________________________________________________ TEL NO. (R) ______________________________

E-MAIL _________________________________________________ MOBILE _________________________________

3. DATE OF BIRTH (DD / MM/ YY) ______________________ 4. AGE _________YEARS _________MONTHS

5. NATIONALITY _____________________________________ 6. RELIGION _____________________________

7. MARITAL STATUS __________________________________

8. FATHER HUSBAND

(I) FATHERS / HUSBANDS NAME ______________________________________________________________

(II) ORGANISATION ____________________________________________________________________________

(III) DESIGNATION _____________________________________________________________________________

(IV) OFFICE ADDRESS __________________________________________________________________________

(V) TEL. NO. (O) _______________________________ (VI) MOBILE __________________________

(VII) IS THE FATHERS/HUSBANDS JOB TRANSFERABLE? YES NO

IF YES, PLEASE MENTION THE NUMBER OF YEARS OF STAY IN DELHI. ________ YEARS

9. NUMBER OF CHILDREN ________________AGE GENDER SCHOOL / COLLEGE / COMPANY CLASS / DESIGNATION

10. HAVE YOU EVER BEEN CONVICTED OF ANY CRIMINAL OFFENCE? YES NO

11. PRESENT / LAST EMPLOYMENT

NAME AND ADDRESS OF SCHOOL / ORGANISATION __________________________________________________

___________________________________________________________________________________________________

IF SCHOOL, SPECIFY NO. OF: (A) TEACHERS _____________________ (B) STUDENTS______________________

DATE OF JOINING __________________ DESIGNATION ON JOINING ______________________________

PRESENT POST _____________________ DATE APPOINTED TO PRESENT POST_____________________

TEACHERAPPLICATIONFORMRECENT

PHOTOGRAPH TO BE PASTED HERE

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R. D. RAJPAL SCHOOL, SECTOR-9, DWARKA

12. ACADEMIC QUALIFICATIONS

EXAM PASSED SUBJECTS YEAR MEDIUM

DIV- ISION

PERCEN-TAGE

SCHOOL/ COLLEGE &

PLACE

BOARD/ UNIV.

MODE OF STUDY

13. TEACHING EXPERIENCE (INCLUDING YOUR PRESENT APPOINTMENT AND WORKING BACKWARD)

NAME OF THE SCHOOL (WITH

PLACE)

AFFILIA- TED TO (C.B.S.E. / I.C.S.E./ OTHER)

POST HELD

CLASSES TAUGHT

SUBJECTS TAUGHT

PERIOD SALARY DRAWN

REASON FOR

CHANGE FROM TO TOTAL

TOTAL TEACHING EXPERIENCE _______________ YEARS _____________ MONTHS

MM/YY MM/YY

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R. D. RAJPAL SCHOOL, SECTOR-9, DWARKA

14. PRESENT / LAST JOB'S RESPONSIBILITIES (IN BRIEF)

___________________________________________________________________________________________________

___________________________________________________________________________________________________

15. GIVE DETAILS OF SEMINARS/WORKSHOPS ATTENDED BY YOU IN THE LAST 3 YEARS.COURSE TITLE ORGANISATION / INSTITUTION DATE (DD/MM/YY)

16. GIVE DETAILS OF YOUR ADMINISTRATIVE EXPERIENCE OR ANY RESPONSIBILITY / DUTY EXECUTED ASINCHARGE

SCHOOL/COLLEGE POST TEAM/SOCIETY FROM (MM/YY) ACHIEVEMENT

17. LANGUAGES KNOWNSPEAK, READ & WRITE FLUENCY ENOUGH TO

TEACH SPEAK ONLY UNDERSTAND ONLY

18. PLEASE MARK THE ACTIVITIES IN WHICH YOU CAN TRAIN STUDENTSEXTRA CURRICULAR

GARDENING BOOK KEEPING WOOD-CRAFT CLAY-MODELLING PHOTOGRAPHY HOME SCIENCE BATIK TIE AND DYE POTTERY ELECTRONICS COMMERCIAL ART PAINTING YOGA EMBROIDERY COMPUTER SCIENCE SCHOOL BAND NURSING HANDICRAFTS FIRST AID N.C.C. SCOUTS & GUIDES MACRAME AERO-MODELLING DANCE VOCAL MUSIC INSTRUMENTAL MUSIC GRAPHIC DESIGNING ART AND CRAFT

LITERARY QUIZ RECITATION DEBATES DECLAMATION ELOCUTION CREATIVE WRITING SCHOOL MAGAZINE NEWSLETTER COMPERING.

ANY OTHER __________________________________________________________________________________________

HAVE YOU WON ANY CERTIFICATES / TAKEN TRAINING IN ABOVE ACTIVITIES? GIVE DETAILS

______________________________________________________________________________________________________

19. DETAILS OF ANY PAPER / ARTICLE / BOOK PUBLISHED

___________________________________________________________________________________________________

___________________________________________________________________________________________________

20. NAMES OF THE GAMES WHICH YOU CAN PLAY REGULARLY _________________________________________

WILL YOU BE ABLE TO PLAY THESE GAMES REGULARLY, IF REQUIRED TO DO SO? YES NO

TO (MM/YY)

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R. D. RAJPAL SCHOOL, SECTOR-9, DWARKA

21. ANY SPECIAL DISTINCTION ACHIEVED ( SCHOOL / COLLEGE / ZONAL / STATE / NATIONAL LEVEL )

___________________________________________________________________________________________________

22. PROFICIENCY IN COMPUTER APPLICATION / SOFTWARE _____________________________________________

FURNISH DETAILS OF ANY COURSE ATTENDED _____________________________________________________

___________________________________________________________________________________________________

23. GIVE TWO PROFESSIONAL REFERENCES (NOT RELATIVES) FROM WHOM CONFIDENTIAL REPORTSABOUT YOUR WORK, CHARACTER, AND PERSONALITY MAY BE OBTAINED. AT LEAST ONE OF THEMMUST BE H.O.D. / HEAD OF INSTITUTION IN WHICH YOU HAVE WORKED.

NAME DESIGNATION INSTITUTION ADDRESS TEL. NO. E-MAIL

24. STATE YOUR SALARY EXPECTATION FOR THE POST APPLIED FOR RS. ______________________________

25. IF SELECTED, STATE THE EXACT PERIOD AFTER WHICH YOU CAN JOIN _______________________________

26. IF SELECTED, HOW DO YOU PROPOSE TO CONTRIBUTE TO THE SCHOOLS GROWTH AND EXCELLENCE?

___________________________________________________________________________________________________

___________________________________________________________________________________________________

DECLARATION

I HEREBY CERTIFY THAT THE PARTICULARS FURNISHED ABOVE ARE CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. I HAVE NOT CONCEALED ANY INFORMATION LIKELY TO IMPAIR MY FITNESS FOR EMPLOYMENT. IF IT IS REVEALED LATER THAT I HAVE GIVEN

FALSE DETAILS OR CONCEALED INFORMATION, MY SERVICES SHALL BE LIABLE TO TERMINATION WITHOUT ANY NOTICE OR COMPENSATION.

IF SELECTED, I SHALL PRODUCE:- (a) MEDICAL CERTIFICATE FROM RECOGNISED MEDICAL PRACTITIONER AND

(b) EXPERIENCE CERTIFICATE FROM MY LAST EMPLOYER.

DATE

PLACE SIGNATURE OF APPLICANT

FOR OFFICE USE ONLY: CALL FOR INTERVIEW: __________________________

REMARKS CHECKING OF CERTIFICATES ( TO BE TICK MARKED) CERTIFICATE CHECKED ID PROOF (DOB & ADDRESS) ______________________________________________________________________

SECONDARY ______________________________________________________________________

SR. SECONDARY ______________________________________________________________________

GRADUATION ______________________________________________________________________

B. ED. ______________________________________________________________________

POST GRADUATION ______________________________________________________________________

EXP. CERTIFICATES ______________________________________________________________________

Page 4

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R. D. RAJPAL SCHOOL, SECTOR-9, DWARKA

PERSONAL FITNESS FORM

TO BE FILLED AND SIGNED BY THE APPLICANT AND SUBMITTED WITH THE APPLICATION FORM. IF SELECTED FOR THE POST, THEN APPLICANT NEEDS TO SUBMIT MEDICAL CERTIFICATE FROM A RECOGNISED MEDICAL PRACTITIONER.

1. NAME ___________________________________________________________________________________LAST FIRST MIDDLE

2. HEIGHT ___________________________CMS

3. WEIGHT ___________________________KGS

4. VISIONLEFT EYE _______________________ _____ RIGHT EYE _________________________________

5. HEARINGLEFT EAR ____________________________ RIGHT EAR _________________________________

6. BLOOD PRESSURE ________________________________ ON DATE ____________________________

7. DO YOU HAVE DIABETES? YES NO

8. PERSONAL IDENTIFICATION 1 _____________________________________________________________

PERSONAL IDENTIFICATION 2 _____________________________________________________________

9. MAJOR ILLNESS(ES) IN THE PAST OR PRESENT, IF ANY

__________________________________________________________________________________________

__________________________________________________________________________________________

DECLARATION

I HEREBY CERTIFY THAT THE PARTICULARS FURNISHED ABOVE ARE CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. I HAVE NOT CONCEALED ANY INFORMATION LIKELY TO IMPAIR MY FITNESS FOR EMPLOYMENT. IF IT IS REVEALED LATER THAT I HAVE GIVEN

FALSE DETAILS OR CONCEALED INFORMATION, MY SERVICES SHALL BE LIABLE TO TERMINATION WITHOUT ANY NOTICE OR COMPENSATION.

DATE

PLACE SIGNATURE OF APPLICANT

Page 5

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POST APPLIED FOR: CLASSES TAUGHT: SUBJECTS SPECIALIZATION: ADDRESS FOR COMMUNICATION 1: ADDRESS FOR COMMUNICATION 2: TEL NO R: EMAIL: MOBILE: DATE OF BIRTH DD MM YY: NATIONALITY: 6 RELIGION: ORGANISATION: DESIGNATION: OFFICE ADDRESS: TEL NO O: MOBILE_2: NUMBER OF CHILDREN: AGERow1: SCHOOL COLLEGE COMPANYRow1: CLASS DESIGNATIONRow1: AGERow2: SCHOOL COLLEGE COMPANYRow2: CLASS DESIGNATIONRow2: AGERow3: SCHOOL COLLEGE COMPANYRow3: CLASS DESIGNATIONRow3: NAME AND ADDRESS OF SCHOOL ORGANISATION 1: NAME AND ADDRESS OF SCHOOL ORGANISATION 2: IF SCHOOL SPECIFY NO OF A TEACHERS: B STUDENTS: DATE OF JOINING: DESIGNATION ON JOINING: PRESENT POST: DATE APPOINTED TO PRESENT POST: SUBJECTSRow1: YEARRow1: DIV ISIONRow1: PERCEN TAGERow1: SCHOOL COLLEGE PLACERow1: BOARD UNIVRow1: SUBJECTSRow2: YEARRow2: DIV ISIONRow2: PERCEN TAGERow2: SCHOOL COLLEGE PLACERow2: BOARD UNIVRow2: SUBJECTSRow3: YEARRow3: DIV ISIONRow3: PERCEN TAGERow3: SCHOOL COLLEGE PLACERow3: BOARD UNIVRow3: SUBJECTSRow4: YEARRow4: DIV ISIONRow4: PERCEN TAGERow4: SCHOOL COLLEGE PLACERow4: BOARD UNIVRow4: SUBJECTSRow5: YEARRow5: DIV ISIONRow5: PERCEN TAGERow5: SCHOOL COLLEGE PLACERow5: BOARD UNIVRow5: SUBJECTSRow6: YEARRow6: DIV ISIONRow6: PERCEN TAGERow6: SCHOOL COLLEGE PLACERow6: BOARD UNIVRow6: EXAM PASSEDRow7: SUBJECTSRow7: YEARRow7: MEDIUMRow7: DIV ISIONRow7: PERCEN TAGERow7: SCHOOL COLLEGE PLACERow7: BOARD UNIVRow7: MODE OF STUDYRow7: EXAM PASSEDRow8: SUBJECTSRow8: YEARRow8: MEDIUMRow8: DIV ISIONRow8: PERCEN TAGERow8: SCHOOL COLLEGE PLACERow8: BOARD UNIVRow8: MODE OF STUDYRow8: EXAM PASSEDRow9: SUBJECTSRow9: YEARRow9: MEDIUMRow9: DIV ISIONRow9: PERCEN TAGERow9: SCHOOL COLLEGE PLACERow9: BOARD UNIVRow9: MODE OF STUDYRow9: NAME OF THE SCHOOL WITH PLACERow1: TOTALRow1: SALARY DRAWNRow1: REASON FOR CHANGERow1: NAME OF THE SCHOOL WITH PLACERow2: TOTALRow2: SALARY DRAWNRow2: REASON FOR CHANGERow2: NAME OF THE SCHOOL WITH PLACERow3: `TOTALRow3: SALARY DRAWNRow3: REASON FOR CHANGERow3: NAME OF THE SCHOOL WITH PLACERow4: TOTALRow4: SALARY DRAWNRow4: REASON FOR CHANGERow4: NAME OF THE SCHOOL WITH PLACERow5: TOTALRow5: SALARY DRAWNRow5: REASON FOR CHANGERow5: NAME OF THE SCHOOL WITH PLACERow6: TOTALRow6: SALARY DRAWNRow6: REASON FOR CHANGERow6: YEARS_2: 14 PRESENT JOB RESPONSIBILITIES IN BRIEF 1: 14 PRESENT JOB RESPONSIBILITIES IN BRIEF 2: COURSE TITLERow1: ORGANISATION INSTITUTIONRow1: DATERow1: COURSE TITLERow2: ORGANISATION INSTITUTIONRow2: DATERow2: COURSE TITLERow3: ORGANISATION INSTITUTIONRow3: DATERow3: COURSE TITLERow4: ORGANISATION INSTITUTIONRow4: DATERow4: SCHOOLCOLLEGERow1: POSTRow1: TEAMSOCIETYRow1: FROMRow1: TORow1: ACHIEVEMENTRow1: SCHOOLCOLLEGERow2: POSTRow2: TEAMSOCIETYRow2: FROMRow2: TORow2: ACHIEVEMENTRow2: SCHOOLCOLLEGERow3: POSTRow3: TEAMSOCIETYRow3: FROMRow3: TORow3: ACHIEVEMENTRow3: SPEAK READ WRITERow1: FLUENCY ENOUGH TO TEACHRow1: SPEAK ONLYRow1: UNDERSTAND ONLYRow1: SPEAK READ WRITERow2: FLUENCY ENOUGH TO TEACHRow2: SPEAK ONLYRow2: UNDERSTAND ONLYRow2: SPEAK READ WRITERow3: FLUENCY ENOUGH TO TEACHRow3: SPEAK ONLYRow3: UNDERSTAND ONLYRow3: SCHOOL MAGAZINE: HAVE: 19 DETAILS OF ANY PAPER ARTICLE BOOK PUBLISHED 1: 19 DETAILS OF ANY PAPER ARTICLE BOOK PUBLISHED 2: 20 NAMES OF THE GAMES WHICH YOU CAN PLAY REGULARLY: 21 ANY SPECIAL DISTINCTION ACHIEVED SCHOOL COLLEGE ZONAL STATE NATIONAL LEVEL: undefined_11: 22 PROFICIENCY IN COMPUTER APPLICATION SOFTWARE: FURNISH DETAILS OF ANY COURSE ATTENDED: NAMERow1: DESIGNATIONRow1: INSTITUTIONRow1: ADDRESSRow1: TEL NORow1: EMAILRow1: NAMERow2: DESIGNATIONRow2: INSTITUTIONRow2: ADDRESSRow2: TEL NORow2: EMAILRow2: RS: ;LMCVXM26 IF SELECTED HOW DO YOU PROPOSE TO CONTRIBUTE TO THE SCHOOLS GROWTH AND EXCELLENCE 1: 26 IF SELECTED HOW DO YOU PROPOSE TO CONTRIBUTE TO THE SCHOOLS GROWTH AND EXCELLENCE 2: REMARKS 1: REMARKS 2: REMARKS 3: REMARKS 4: REMARKS 5: REMARKS 6: REMARKS 7: HEIGHT: WEIGHT: LEFT EYE: RIGHT EYE: LEFT EAR: RIGHT EAR: BLOOD PRESSURE: PERSONAL IDENTIFICATION 1: PERSONAL IDENTIFICATION 2: MAJOR ILLNESSES IN THE PAST OR PRESENT IF ANY 1: MAJOR ILLNESSES IN THE PAST OR PRESENT IF ANY 2: YEARS: MONTHS:

DELHISTAY: - JOB TRANSFERABLE: Choice1

GENDER02: - GENDER03: - GENDER01: - EXAM PASSES 01: SECONDARYEXAM PASSES 02: SR. SEC.EXAM PASSES 03: -EXAM PASSES 04: -EXAM PASSES 05: -EXAM PASSES 06: -MEDIUM 02: MEDIUM 03: MEDIUM 04: MEDIUM 05: - MEDIUM 06: - MEDIUM 01: MODE OF ST 01: REGULARMODE OF ST 03: -MODE OF ST 02: REGULARMODE OF ST 04: -MODE OF ST 05: -MODE OF ST 06: - AFFILIATION 01: POST HELD 01: AFFILIATION 02: AFFILIATION 03: AFFILIATION 04: AFFILIATION 05: AFFILIATION 06: POST HELD 02: POST HELD 03: POST HELD 04: POST HELD 05: POST HELD 06: CLASSES TAUGHT 01: CLASSES TAUGHT 02: CLASSES TAUGHT 03: CLASSES TAUGHT 04: CLASSES TAUGHT 05: CLASSES TAUGHT 06: SUBJECTS TAUGHT 01: SUBJECTS TAUGHT 02: SUBJECTS TAUGHT 03: SUBJECTS TAUGHT 04: SUBJECTS TAUGHT 05: SUBJECTS TAUGHT 06: FROM 02: FROM 03: FROM 04: FROM 05: FROM 06: FROM 01: TO 01: TO 02: TO 03: TO 04: TO 05: TO 06: EXTRACURRICULAR 04: EXTRACURRICULAR 05: EXTRACURRICULAR 06: EXTRACURRICULAR 07: EXTRACURRICULAR 08: EXTRACURRICULAR 09: EXTRACURRICULAR 10: EXTRACURRICULAR 11: EXTRACURRICULAR 12: EXTRACURRICULAR 13: EXTRACURRICULAR 14: EXTRACURRICULAR 15: EXTRACURRICULAR 16: EXTRACURRICULAR 17: EXTRACURRICULAR 18: EXTRACURRICULAR 19: EXTRACURRICULAR 20: EXTRACURRICULAR 21: EXTRACURRICULAR 22: EXTRACURRICULAR 23: EXTRACURRICULAR 24: EXTRACURRICULAR 25: EXTRACURRICULAR 26: EXTRACURRICULAR 27: EXTRACURRICULAR 01: EXTRACURRICULAR 02: EXTRACURRICULAR 03: LITERARY 01: LITERARY 02: LITERARY 03: LITERARY 04: LITERARY 05: LITERARY 06: LITERARY 07: LITERARY 08: LITERARY 09: GAMES PLAY:

PERIOD AFTER WHICH YOU CAN JOIN: DATE:

PLACE:

FIRST NAME:

MIDDLE NAME:

LAST NAME:

DIABETES:

FATHER: FATHER HUSBAND:

SAVE BUTTON: PRINT BUTTON: CRIMINAL:

MARITAL STATUS: _OFFICE CHECK:

CANDIDATE PHOTOGRAPH: