Job Bio-data Form - odisha sishu mandir

Z.O : Venus Royal Hyda, Plot No.: 66, Block – C/423, Rasulgarh, Bhubaneswar-10,
Khordha, Odisha, www.odishasishumandir.org, Mob : 0674 – 6555502
Please affix
recent passport
size photograph
here (Do not
staple)
FOR OFFICE USE ONLY
Form No.:
Area :
Date of form submission :
Application form for the post :
A. PERSONAL INFORMATION
1. Name (in capital) :
2. Father / Husband Name :
3. Address :
MEDIUM : ODIA
4. Date of Birth :
B. ACADEMIC/PROFESSIONAL QUALIFICATION
Examination Medium of Year
Marks (%)
Study
School/College
Attended
ENGLISH
5. Nationality :
6. Mob :
7. Gender : M
Board/University
F
Subject
C. DETAILS OF TECHING EXPERIENCE IN RECOGNISED SCHOOLS ONLY (start with recent one)
Name of the institution From
To
No. of years Subject(s) & classes taught
with complete address
Month and year
Month and year
DECALRATION : Certified that details given above true and correct to the best of my knowledge
Place : _________________________ Date ____________________
Signature of the Applicant
Enclosures :
Demand Draft :
Passport Photo :
Note :
(a) Please confirm if you have your present employer’s consent to apply for this post if yes, please attach
No. objection certificate.
(b) In case you are applying in strict confidence, do state if you will be able to submit No objection
Certificate from your current employer, in case you are selected.
(c) Please produce original and attested copies of testimonial and certificates at the time of interview.
For office use only :
Mr./ Ms. / Mrs. ________________________________ has been selected / rejected after interview / demo
dated ______________ for the post of _______________. He / she shall join his / her duties from____________.
He/ She shall be paid basic salary @ Rs. ______________ p.m in the scale of _____________________________.
OR He/She shall be paid Gross Salary of Rs. ________________________________________ p.m.
Signature of the Principal
Member 1
Member 2
Remarks of the Chairman : Approved/Not Approved Signature : __________________________