Post Applied for :

Name :

Date of Birth :

Nationality :

Religion :

Marital Status :

No. of Children :

Husband’s / Father’s Name & Occupation :

Address with Telephone No. (if any) :

Permanent Home Address :

Email Address :

Salary and Allowance last drawn : Salary Rs

Details of Foreign Travel (if any) :

Knowledge of Hindi, English and Foreign Language (if any)(details should be supplied) :

Spoken :

Written :

Games :

a) Names of games which you can play regularly

b) Will you be able to play these games regularly with the children, if required to do so ?

c) N.C.C training (if any)

Knowledge of Computer :

Any other information :

Name and Address of two references : a)

b)

Number of duly attested testimonials / certificates attached :

The exact period after which you can join, if selected :

Other Remarks :

Date :