1 Grade Applied for Subject Applied for PRT General BIODATA (Year..) PRT TGT PGT Others (Please tick in the appropriate box) Paste a Passport size Coloured photograph here Instructions for Candidate: 1. Fill this application form in your own handwriting. 2. Please do attach self attested certificates (marksheets and certificates / degrees) with this application form. 3. Submission of any false information will make you liable for rejection at the time of interview or, if appointed, termination without notice. 4. In the column for academic information, please fill-in only recognized and completed qualifications. 5. Only short listed candidates will be called for written test / Interview. 6. Written tests on English Proficiency, General Awareness and Subject Knowledge. 7. Please sign on each page with date. PERSONAL INFORMATION Ms. /Mrs. /Mr. /Dr. PART A RÉSUMÉ Date of Birth Name in BLOCK letters Date Month Year In words Gender Male Female Age. /. /. /. /. /. /. (on the date of application) Year Months Days Contact Address. Telephone No(s) Mobile No(s) E-mail Email address is a must. Short listed candidates will be informed about the interview date through their personal email id only. AADHAR Number PAN Number Place of Birth State Nationality Marital Status Children, if any Name Gender Age in Years 1.. 2.. Father s Details Name Post & Office address Mobile Number Landline number..
2 Mother s Details Name.. Post & Office address.. Mobile Number Mobile Number Spouse s Details Name.. Post & Office address Mobile Number Mobile Number ACADEMIC / PROFESSIONAL QUALIFICATIONS Qualification Private / Regular Medium of Study School / College Board / University Subject(s) Year of Passing % of Marks High School Inter / +2 Graduation... Post Graduation B. Ed.. CTET Any other... Scholarship / Awards / Prizes Publication Co-curricular Activities Sports / Games / Outdoor Activities
3 WORK EXPERIENCE Name of institution Medium of teaching From To Subjects & class taught Total Experience.. (In Years) (Teaching) Any Other. (please specify) PARTICULARS OF LATEST JOB DONE Name and full address of the school.. OTHER INFORMATION Contact Numbers. Designation held... Date of Joining Place of Posting. Total Emolument in `.. Basic salary drawn. Allowance in `...... Other Benefits Reason for leaving the job... Foreign Travel Detail Destination Year...... Seminars and Seminar / Course Date Description Courses attended...... Name of three books recently read with names of authors Title.. Author.. Title.. Author.. Title.. Author.. Proficiency in Language Language Read Write Speak Write Mother Tongue at # 1) 1... 2... 3...
4 Proficiency in computer Do you have computer at home? Yes No Do you regularly work on a computer? Yes No If yes, what software can you use proficiently? MS WORD MS EXCEL MS POWERPOINT INTERNET EMAIL DATA TRANSFER DATABASE LIBRARY SOFTWARE Any Other... How frequently do you access your email?.. INTERESTS CO-CURRICULAR ACTIVITIES SPORTS ACTIVITIES.. Do you suffer from any major ailment / medical problem? Yes No If yes, give details..... Have you ever been convicted by any court of law or is any disciplinary proceeding/enquiry pending against you or has any penalty been imposed on you? Yes No If yes, give details........ Give details of two references (other than your relatives in the field of education) I II Name Occupation/Designation Address (official) Telephone Is any member of your family employed in any Delhi Public School? Yes No If yes, give details I II Name Relationship Location of DPS branch I hereby certify that information provided above is true to the best of my knowledge and belief. If any information is found to be false / incorrect, it will disqualify my continuation in Delhi Public School.... Signature of Candidate. Date. Place
5 PART B GETTING TO KNOW YOU WRITE YOUR STRENGTHS AND WEAKNESS. HOW WILL YOU CHECK YOUR WEAKNESS? YOUR ROLE MODELS / IDEALS.... Signature of Candidate. Place. Date