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NAVODAYA VIDYALAYA SAMITINAVODAYA VIDYALAYA SAMITINAVODAYA VIDYALAYA SAMITINAVODAYA VIDYALAYA SAMITI

(REGIONAL OFFICE), Bay No.26-27, Sector-31-A, CHANDIGARH

PART-I BIO-DATA

1 Application for the post of : ___________________________(on contract basis)

2. Tel.No. (with STD Code)/Mobile no.: ____________________________

3. Name : ____________________________

4. Father’s/Husband Name : ____________________________

5. Date of Birth (DD/MM/YYYY) : ____________________________

6. Full Address for : ____________________________

Communication

____________________________

7. Home District : ______________________________________

8. Preference of state for Positing : ______________________________________

(J&K, Punjab, HP State)

9. Category to which belong :- : ______________________________________

Gen/SC/ST/PH/OBC/Navodaya Spouse

10.In case of Navodaya Vidyalaya Spouse, give full details:

A. Name of spouse : ______________________________________

B. Post Held : ______________________________________

C. Place of Posting : ______________________________________

11. Educational Qualification:

S.

No.

Course of Study Max. Marks Marks

Obtained

% age of marks

1. 10th

2. 12th

3. Graduation (BA/B.Sc.)

(Others Please specify)

4. Post Graduation in the subject

(Mention subject)

5. B.Ed. (Theory & Practical)

6. CTET conducted by CBSE

(Kindly enclose proof in respect of conversion of grades into marks. P.T.O….2

Paste Latest

photograph

here

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:: 2 ::A. Only for TGT(Mathematics)

Ist year IInd year IIIrd year

Course

of

study

Subject

offered

%age

of

marks

obtaine

d

Subject

offered

%age of

marks

obtaine

d

Subject

offered

%age

of

marks

obtain

ed

Total

Marks

obtained

(all years

together)

Maximum

Marks

allowed

(all years

together)

B.Sc. 1 Maths Maths Maths

2 Physics Physics Physics

3 Chemistry Chemistry Chemistry

B. Only for TGT (Science)Ist year IInd year IIIrd year

Course

of

study

Subject

offered

%age of

marks

obtained

Subject

offered

%age of

marks

obtaine

d

Subject

offered

%age of

marks

obtaine

d

Total

Marks

obtained

(all years

together)

Maximum

Marks

allowed

(all years

together)

B.Sc. 1 Chemistr

y

Chemistry Chemistry

2 Botany Botany Botany

3 Zoology Zoology Zoology

C. Only for TGT (Social Studies)Ist year IInd year IIIrd year

Course

of

study

Subject

offered

%age of

marks

obtaine

d

Subject

offered

%age of

marks

obtaine

d

Subject

offered

%age

of

marks

obtain

ed

Total

Marks

obtained

(all years

together)

Maximum

Marks

allowed

(all years

together)

B.A. 1 History History History

2 Geography Geography Geography

3 Economics Economics Economics

4 Pol. science Pol. science Pol. science

D. Only for TGT(English) Ist year IInd

year

IIIrd

year

Course

of

study

Subject

%age of

marks

obtained

%age of

marks

obtained

%age of

marks

obtained

Total

Marks

obtained

(all years

together)

Maximum

Marks (all

years

together)

B.A. 1 Eng.

Elective

E. Only for TGT(Hindi)Ist year IInd

year

IIIrd

year

Course

of

study

Subject

%age of

marks

obtained

%age of

marks

obtained

%age of

marks

obtained

Total

Marks

obtained

(all years

together)

Maximum

Marks (all

years

together)

B.A. 1 Hindi

Elective

F. Only for TGT(Urdu)Ist year IInd

year

IIIrd

year

Course

of

study

Subject

%age of

marks

obtained

%age of

marks

obtained

%age of

marks

obtained

Total

Marks

obtained

(all years

together)

Maximum

Marks (all

years

together)

B.A. 1 Urdu

Elective

P.T.O….3

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::- 3 -::

14. Experience in Govt. recognized/ Duration Period

CBSE/ICSE Affiliated Schools From To From To

i) Day School ______ _______ ______ _____

ii) Residential School ______ _______ ______ _____

15. Participation in sports :

National / Yes/No. _________

State / University Yes/No. _________

I solemnly undertake that in the event of my appointment on contractual basis in

the Samiti, my services are liable to be terminated without notice if any of the foregoing

information furnished by me in my application form is found to be wrong or suppressed. I

further understand that this appointment is purely on contract and does not confer the

right for regularization.

Dated: SIGNATURE OF CANDIDATE

PART – II CERTIFICATE (For office use)

Certified that I have scrutinized personally the information in Part – I above with

originals and found it to be in order. Candidate is eligible for the post.

SIGNATURE OF THE DEALING ASSISTANT