(Recent Passport Size Photograph) : Atomic Energy Central School - 1, Hyderabad

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ATOMIC ENERGY CENTRAL SCHOOL – 1, HYDERABAD

(Recent
Application form for the Post of ______________________
passport
(on contractual basis/hourly basis)
size
Subject: …………… Photograph
Application No: _________
)
=======================================================

1. Name (block letters): ____________________________________

2. Father’s Name (block letters) __________________________________

3. Spouse Name (block letters):___________________________________

4. Date of birth (use format Day/Month/Year) ____________________


Age (as on 1st July, 2020): __________________

Gender: Male / Female

5. Caste(Whether SC/ST/OBC/BC/Others): ________________________

6. Address for Correspondence: _________________________

_________________________

_________________________

7. Telephone No: Mobile No: 1) _________________________

2) _________________________

Land line No: _________________________

8. E-mail I.D. _________________________

9. Do you have working knowledge of computer (put √ Mark in the box &
enclose certificate, if any)

Yes No
10. Education Qualifications: _____________________________________

S. Education/ Subjects Name of the Year of Percentage


No Teaching Board/University Passing of marks
qualifications

11. Teaching Qualifications : _____________________________

_____________________________

12. Teaching Experience:

Teaching Experience in State / Teaching Experience in Private


Central Govt. Schools Schools (Name of the School)
(Enclose Certificates) (Enclose Certificates)

Declaration:

(i) I hereby declare that the information given above is true to


the best of my knowledge and belief.

(ii) I am aware that my application is liable to be rejected if the


information given above is incomplete or incorrect.

Signature of the Candidate

Name: ________________________

Date: _______________ Address: ______________________

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