(C.B.S.E AFFILIATED ENGLISH MEDIUM SCHOOL)
Address : Vasundhara Enclave, Delhi 110096
Phone: 011- 43034711 Email: somervilleve@gmail.com
https://somervillevasundhara.in
Registration form for Online Application (Staff Recruitment)
(USE BLOCK LETTERS ONLY)
REGISTRATION / DATE:
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APPLICANT DETAILS
Name of the candidate (in block letters)
First Name
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Middle Name
Last Name
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Date of Birth
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Father's Name
Father's Occupation
Mother's Name
Mother's Occupation
Blood Group
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Mobile No.
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Email Id
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Marital Status
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Spouse's Name
Category
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Language known
Please mention (in order of proficiency)
Sr. No.
Read
Write
Speak
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2.
3.
No. of Children, Age, Class & School
Sr. No.
Name
Age
Class
School
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2.
3.
4.
Have you any relatives working in Somerville School? If YES, give details including name, designation & relationship
Have you any relatives working for any other public school? If YES, give details including name, designation & relationship
ACADEMIC ACHIEVEMENTS (HIGH SCHOOL ONWARDS)
Sr. No.
Exam Passed
Per %
Name Of Board/university
Regular / Correspondence
Studied From
Studied UpTo
Medium
Main Subjects
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TRAINING (PROFESSIONAL / VOCATIONAL)
Training
Sr. No.
Name of Institution / Organisation
Nature of Training
From Date
UpTo Date
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2.
3.
4.
Details of publications , thesis, if any
Extra Curricular activities
EXPERIENCE
Present / Last Experience
Name of Organisation / Institution
Brief description of
position held
From Date
UpTo Date
EMOLUMENTS
MONTHLY
ANNUALLY
Basic
D.A.
HRA / Lease Amount
Conveyance
Others - Specify
MONTHLY SALARY Rs.
Provident Fund
L.T.A
Medical
Bonus /Performance Incentive
Superannauation
others - specify
ANNUAL SALARY
RS.
PREVIOUS ASSIGNMENTS
Sr. No.
Name of Institution / Organisation
Position held and
brief description of work
Period
salary
From Date
UpTo Date
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2.
3.
4.
REFERENCES OTHER THAN RELATIVES
Sr.No.
Name
Occupation
Address(Official)
Tel.No
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2.
Any additional information you wish to provide
DECLARATION / UNDERTAKING
I hereby declare the particulars as given above are true and any false statement contained in the application shall automatically rescind the contract of employment.
SUBMIT