Staff Recruitment Form

DELHI PUBLIC SCHOOL VISAKHAPATNAM

Steel Plant, Sector VIII, Ukkunagarm, Visakhapatnam

0891-2510686 | dpsvisakhapatnam@gmail.com

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)

☞ Proceed for Payment If Application form Already Filled.

Job Information

Position / Platform:*

Subject:*

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

Personal Information

Salutation:

First Name:*

Middle Name:

Last Name:

Email:*

Date of Birth:*

Gender:*

Place of Birth:

Religion:*

Category:*

Nationality:

Marital Status:

Communication Address

Address:

City:*

State:

PIN:

Mobile No. :*

Residence Telephone No.

STD Code. :

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

Address:

City:

State:

PIN:

Residence Telephone No.

STD 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) :

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

Academic/Profesional Qualification
Please mention 'NA' if not applicable.

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

Previous Working Experience (Enclose copies of certificates) I'm Fresher

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

Previous Teaching Experience (Enclose copies of certificates)

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

Total Experience

In Completed Years:

Teaching:

Industry:

UG:

PG:

Proficiency In Languages

Read

Write

Speak

Read

Write

Speak

Read

Write

Speak

Proficiency In Computers:

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

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)

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

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

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

Name :

Address :

Name :

Address :

Upload Documents

Upload passport size photograph(JPG/PNG):*

(file size not more than 500 KB)

Upload Digital Signature (JPG/PNG):

(file size not more than 200 KB)

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

Job Information

Personal Information

Communication Address

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

Family Information (Children Information)

Physical Data

Are you a handicap by any means If Yes

Academic/Profesional QualificationPlease mention 'NA' if not applicable.

Previous Working Experience (Enclose copies of certificates) I'm Fresher

Previous Teaching Experience (Enclose copies of certificates)

Total Experience

Proficiency In Languages

General Information

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

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

Upload Documents

DECLARATION

I Agree

Academic/Profesional Qualification
Please mention 'NA' if not applicable.