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

Position *

Subjects *

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

Personal Information:

Salutation *

Name *

Email Id *

Date of Birth *

Aadhar No

Gender *

Birth Place *

Religion *

Category *

Nationality

Marital Status *

Date and Year of Marriage

Communication Address:

Address *

Mobile No. *

Residence Telephone No. *

State *

City *

Pin Code *

STD Code. *

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

Address *

State *

City *

Pin Code *

Family Information (Children Information) :

Name

Relationship

Age

Name

Relationship

Age

Name

Relationship

Age

Father's / Guardian's Name *

Occupation *

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 :
Please mention 'NA' if not applicable.

Step 2 / 3

State whether part time (P) Full Time (F) Correspondence (C.)

Qualification	Main Subjects	School/College	Board/University	Year of Passing From	Year of Passing To	Class/Rank/ Percentage	Kind of Study
High School / 10th*
Inter/+2*
Graduation*
Post Graduation
M Phil.
Ph.D.
B.Ed.
M.Ed.
CTET
Any Other

Proficiency In Languages :

Read

Write

Speak

Read

Write

Speak

Read

Write

Speak

Proficiency In Computers

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 Working Experience (Enclose copies of certificates) :

I Am Fresher:

Name of the Institute & Place	From	To	Designation	Reason for Leaving

Previous Teaching Experience (Enclose copies of certificates) :

Name of the Institute & Place	From	To	Designation	Reason for Leaving

Total Experience :

In Completed Years

Teaching

Industry

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 :

Have you traveled abroad for training / studies?

Do you: smoke

Consume alcohol

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

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.

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

Research Experience

Are you a member of any Professional Body / Institute / Society?

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)*

Choose File

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File size should not be more than 1 MB.

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

Name

Address

Name

Address

Documents:

Upload passport size Photograph (JPG/PNG)*

Choose File

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File size should not be more than 1 MB.

Upload Digital Signature (JPG/PNG)

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File size should not be more than 1 MB.

Declaration:

I hereby declare that the particulars furnished by me in this application form are true to the best of my knowledge and belief. In case any information is found to be incorrect at any stage, my candidature shall liable to be rejected

I Agree