BIODATA-CUM APPLICATION FORM

Post Applied: * --Select Your Post-- COMPUTER OPERATOR PGT ENGLISH PGT HINDI PGT MATHEMATICS PGT COMMERCE PGT CHEMISTRY PGT PHYSICS TGT ENGLISH TGT HINDI TGT MATHEMATICS TGT SCIENCE TGT SOCIAL STUDIES PRIMARY TEACHER PRE-PRIMARY TEACHER RECEPTIONIST OTHER VICE PRINCIPAL PRINCIPAL COMPUTER TEACHER CLERK ACCOUNTANT PGT BIOLOGY D.P.E. PRE-PRIMARY INCHARGE
(A)PERSONAL INFORMATION
Name(In Block Letters): *
Father’s/ Husband’s Name:*
Date of Birth (in figures) : *
Religion: *		Caste: *
Present Address: *		PIN: *
Permanent Address: *		PIN:*
Telephone/Mobile No:*		Email-ID:*
Residence(landline with std code):
Place of Birth :*		Nationality :*
Marital Status:*		No. of Children:
Language spoken at home:	1.*    2.   3.

I. Do You Suffer From Any Major Ailment /Medical Problem? (Yes/ No) If Yes, Give Details:*

II. Please Write About Yourself Based On Your Childhood*

III. Give Details of Two References (Other Than Relatives):

Name(i)*   Ph(i)* Name(ii)*   Ph(ii)*

Indicate the areas in which you have interests or any special achievements

I. ACADEMIC:*
II. CO - CURRICULAR:*
III. GAMES & SPORTS:*

I. Name and full address of present organization with contact numbers :*
II. Present Designation*
III Date of Joining*
IV Present Place of Posting*
Basic Salary*
Total Salary*
VI Are You Under Service Bond? (Give Details):*
VII Exact Period, You Can Join If Selected :*
VIII Salary Expected :*
* I hereby certify that the information provided above is true to the best of my knowledge and belief. If any information is found to be false/ incorrect, it will disqualify me for employment in Punjab Convent School.