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First Name *

Last Name *

Father's Name *

Gender *

Marital Status *

Phone no *

DOB *

Email Id *

Address *

Other professional qualifications:

Total Teaching Experience

CURRENT POST :

School & Location where now employed:

Name and address of the present employer:

Nature of present post:

CO-CURRICULAR ACTIVITIES :

Which subjects can you teach and up to what class?

In what fields would you be willing to assist?

Co-curricular Activities or Games?

Salary: (Basic salary last drawn)

Allowances:

Total:

EDUCATIONAL BACKGROUND & DEGREES

Year	Exam Passed	Division	Board / University	Specialized Subjects






(Starting with the High or Higher Secondary School)
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