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Application - Form PGT - TGT

The document is an application form for various posts at the Regional Institute of Education, Bhopal, requiring candidates to provide personal information, educational qualifications, and work experience. It includes sections for the applicant's name, address, date of birth, specialization, and a declaration of eligibility. Candidates must also attach relevant testimonials and sign the form to confirm the accuracy of the information provided.

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abhijeetpandey9109
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53 views3 pages

Application - Form PGT - TGT

The document is an application form for various posts at the Regional Institute of Education, Bhopal, requiring candidates to provide personal information, educational qualifications, and work experience. It includes sections for the applicant's name, address, date of birth, specialization, and a declaration of eligibility. Candidates must also attach relevant testimonials and sign the form to confirm the accuracy of the information provided.

Uploaded by

abhijeetpandey9109
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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REGIONAL INSTITUTE OF EDUCATION, BHOPAL

(A Constituent Unit of NCERT)


Shyamla Hills, Bhopal – 462002 (M.P.)

Application form for the Various Posts


Note: Before filling the form, please read the detailed advertisement carefully.

1. Post Applied For & Subject 2. Category 3. Gender 4. Nationality


(UR/SC/ST/OBC)

5. Candidates Name (In capital letters) (for Sl. No. 5, 6 & 7 keep one box blank between name and
surname)

6. Mother’s Name (In capital letters)

7. Father’s/Husband’s Name (In capital letters)

8. Address for communication

Name

Father/Husband’s
Name
Affix Photograph here
Address:

State
Pin
Mobile Number

E- Mail id
9. Date of Birth 10. Age as on date (01-04-2022)

D D M M Y Y Y Y Y Y M M D D

11. Area of Specialization ______________________________________________________

Educational / Professional Qualifications (Starting from Class XII onwards)

Examination Discipline/Specialization/ Board/ Year of Duration % of Division


Passed Subject University Passing of marks
Course

12. Experience

(a) in NCERT, if any Total experience:____ Years______Months

Name and address Designation Scale of Length of service Total Nature of work,
of Employer pay/salary experience in brief
From To
per annum in months
(b) in other places, if any Total experience:____ Years______Months

Name and address of Designation Scale of Length of Service Total Nature of work,
Employer pay/Salary Experience in brief
From To
(Also indicate per annum in Years
whether Central
Govt./State
Govt./Autonomous
Bodies/Private
Sector)

13. Any other information/Qualifications :-

14. Declaration to be signed by the Candidate


I hereby certify and declare that (1) I am an Indian National, (II) I have read the provision
given the Advertisement, (iii) All statement made and information given by me in this
application are true, complete and correct to the best of my knowledge and belief. In the event
of any information or part of it being found false or incorrect at any stage action can be taken
against me and my candidature/ engagement shall automatically stand cancelled / terminated,
(iv) I further declare that I fulfill all the conditions of eligibility regarding age, educational,
professional qualification, etc. prescribed for the post applied for.

Place: ………………………………

Date: ……………………………… (Signature of the Applicant)

Enclosed : Xerox copy of all relevant Testimonials.

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