Staff Recruitment Form

Personal Information
Qualification & Experience
Complete

Note: All '*' marked fields are mandatory. Please mention 'NA' if not applicable.
(Application should be complete in all respects. Incomplete applications will not be considered)

Job Information:

Step 1 / 3

Post Applied For *

Subjects *

Have you applied for a post at Delhi Public School Visakhapatnam earlier, if so, for what post and when *

Personal Information:

Salutation *

Name *

Date of Birth *

Religion *

Aadhaar No

Contact Details:

Mailing Address:

Address *

Pin Code *

Mobile No. *

Email Id *

Permanent Address (Check this box if Mailing Address & Permanent Address are the same.):

Permanent Address *

Pin Code *

Family Information (Children Information) :

Children and other dependents :

Name

Relationship

Age

Name

Relationship

Age

Name

Relationship

Age

Father’s / Guardian’s Name *

Physical Data :

Height (cm)

Weight (Kg)

Eye sight (wearing spectacles)

If yes, power

Blood group

Have you had any operation / illness during the past 3 years?

If so, details

Are you a handicap by any means :

If Yes :

If yes, kindly provide details with regard to the extent it has hampered your normal working.

Sight

Hearing

Feet

Hand

Academic/Professional Qualification :

Step 2 / 3

Qualification	Medium	Period Attended		School/College	Board/University	Subject/s	Class/Rank/Percentage	Mode of Study (Regular/Private)
Qualification	Medium	From	To	School/College	Board/University	Subject/s	Class/Rank/Percentage	Mode of Study (Regular/Private)
X *								Mode of Study
XII *								Mode of Study
Graduation								Mode of Study
Post Graduation								Mode of Study
M Phil.								Mode of Study
Ph.D.								Mode of Study
B.Ed.								Mode of Study
M.Ed.								Mode of Study
CTET								Mode of Study
Any Other								Mode of Study

Kindly furnish details of scholarship / special merit awards

Kindly provide details on your extra-curricular activities / hobbies / field of interest during your college days including awards received / knowledge of music.

DETAILS OF THE IN-SERVICE TRAINING PROGRAMMES ATTENDED (Enclose copies of Certificates):

Organization	No of in-service programmes attended	Total No of hrs of training	Remark

PREVIOUS TEACHING /WORKING EXPERIENCE (Enclose copies of Certificates) :

I Am Fresher:

Name of the Institute & Place	From	To	Designation held	Subject & Classes taught / Nature of Work	Reasons for leaving

Total Experience :

In Completed Years

Teaching

Administrative

Salary Structure (Your present salary structure or last pay drawn (last pay certificate may be produced at the time of interview)) :

Pay Band

Grade Pay

Basic	Dearness Allowance	Additional D.A.	H.R.A.	Transport Allowance	Any other	Total salary per month

General Information :

Research Experience

Publications (Kindly furnish list of papers / articles published by you. (Use additional sheets, if necessary))

Have you traveled abroad for training / studies?

Do you: smoke

Do you: Consume alcohol

Do you: Use tobacco products

If offered the post, time required to join

Give details of any / all Social Networking Sites of which you are a member

Languages which you are proficient with:

Language

Read

Write

Speak

Language

Read

Write

Speak

Language

Read

Write

Speak

Please give the names of two acquainted with your attainments. If related give details of relationship :

Name

Address

Name

Address

Briefly describe in about one hundred words why you chose or desire to choose teaching as a Profession, detailing your strengths and weaknesses as a teacher: (You may attach a separate sheet of paper)*

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File size should not be more than 1 MB.

Documents:

Upload passport size Photograph (JPG/PNG)*

Choose File

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Upload Digital Signature (JPG/PNG)

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File size should not be more than 1 MB.

Declaration:

I, the applicant, state that all information given above is true and correct.

I understand that submission of the Application Form is a preliminary step in the selection of candidature at DELHI PUBLIC SCHOOL, VISAKHAPATNAM and does not guarantee a job.

I agree to abide by all decisions taken by the DELHI PUBLIC SCHOOL, VISAKHAPATNAM.

I Agree