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DELHI PUBLIC SCHOOL BHAGALPUR - Creating Global Citizens
DELHI PUBLIC SCHOOL
BHAGALPUR
Deekshapuram Sabour Bhagalpur 813210
Phones No.
0641-2452503/603/703/803 Email:
NAME ____________________________________________________
SUBJECT APPLIED FOR_____________________________________
GRADE SPECIALIST TEACHER PRT TGT PGT
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DELHI PUBLIC SCHOOL BHAGALPUR - Creating Global Citizens
GGGGrade rade rade rade AAAApplied pplied pplied pplied fffforororor SPECIALIST TEACHER PRT TGT PGT (Please tick the appropriate grade)
SSSSubject ubject ubject ubject AAAApplied pplied pplied pplied fffforororor _______________________________________
� PPPPERSONAL ERSONAL ERSONAL ERSONAL DDDDETAILSETAILSETAILSETAILS
PPPPARTARTARTART A A A A –––– RRRRESUMEESUMEESUMEESUME
Ms/Mr.Ms/Mr.Ms/Mr.Ms/Mr. ___________________________________________________________ Name in BLOCK letters
Date of BirthDate of BirthDate of BirthDate of Birth _______ / _______ / _______ / _______ / _______ / _______ (ddmmyy)
Contact AddressContact AddressContact AddressContact Address (For Correspondence) (For Correspondence) (For Correspondence) (For Correspondence) _______________________________________________________________________________
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Telephone No(s)Telephone No(s)Telephone No(s)Telephone No(s)_________________________ Mobile Mobile Mobile Mobile ______________EEEE----mail ________________________________mail ________________________________mail ________________________________mail ________________________________ PPPPlace of Birthlace of Birthlace of Birthlace of Birth _____________________________________State State State State __________________________________________ NationalityNationalityNationalityNationality _____________________________________Marital Status Marital Status Marital Status Marital Status ___________________________________ ChildrenChildrenChildrenChildren NameNameNameName SexSexSexSex Age in yearsAge in yearsAge in yearsAge in years 1. ________________________________ ________________ ____________________________ 2. ________________________________ ________________ ____________________________ 3. ________________________________ ________________ ____________________________
Spouse / PSpouse / PSpouse / PSpouse / Parents Detailsarents Detailsarents Detailsarents Details NameNameNameName _____________________________________________________________________________________ Profession Profession Profession Profession _____________________________________________________________________________________ Native PlaceNative PlaceNative PlaceNative Place _____________________________________________________________________________________ Family Profile in 100 Words:Family Profile in 100 Words:Family Profile in 100 Words:Family Profile in 100 Words: ____________________________________________________________________________________________________
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Paste a passport size
colour photograph here
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DELHI PUBLIC SCHOOL BHAGALPUR - Creating Global Citizens
OccupationOccupationOccupationOccupation (Descending Order)
Father
Occupation
Mother
Occupation
Spouse
Occupation
Office Address & Office Address & Office Address & Office Address & Telephone No(s)Telephone No(s)Telephone No(s)Telephone No(s)
Father
Tel
Mother
Occupation
Spouse
Occupation
� AAAAcademiccademiccademiccademic / / / / PPPProfessional rofessional rofessional rofessional QQQQualificationsualificationsualificationsualifications
Qualification Discipline/Subject School/College Board/University Year of Passing
Percentage of Marks
Division
High School
Inter/ +2
Graduation
Post Graduation
B.Ed
Any Other
� Write in about 200 words your opinion on Indian Family System and ValuesWrite in about 200 words your opinion on Indian Family System and ValuesWrite in about 200 words your opinion on Indian Family System and ValuesWrite in about 200 words your opinion on Indian Family System and Values....
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DELHI PUBLIC SCHOOL BHAGALPUR - Creating Global Citizens
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� AAAAchievementschievementschievementschievements Scholarship/ Scholarship/ Scholarship/ Scholarship/ Awards/HonoursAwards/HonoursAwards/HonoursAwards/Honours
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Research Work/ Research Work/ Research Work/ Research Work/ PublicationPublicationPublicationPublication
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CoCoCoCo----curricular curricular curricular curricular ActivitiesActivitiesActivitiesActivities
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Sport/Games/Sport/Games/Sport/Games/Sport/Games/ Outdoor ActivitiesOutdoor ActivitiesOutdoor ActivitiesOutdoor Activities
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__________________________________________________________________________ Proficiency in Proficiency in Proficiency in Proficiency in LanguageLanguageLanguageLanguage
LanguageLanguageLanguageLanguage ReadReadReadRead WriteWriteWriteWrite SpeakSpeakSpeakSpeak
1. Mother Tongue: 1. Mother Tongue: 1. Mother Tongue: 1. Mother Tongue: ____________
2. 2. 2. 2. __________________________
3. 3. 3. 3. __________________________
4. 4. 4. 4. __________________________
Knowledge of Knowledge of Knowledge of Knowledge of ComputerComputerComputerComputer
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� IIIInterestsnterestsnterestsnterests From the following indicate the areas of our interests, in order of preference From the following indicate the areas of our interests, in order of preference From the following indicate the areas of our interests, in order of preference From the following indicate the areas of our interests, in order of preference
AcademicsAcademicsAcademicsAcademics CoCoCoCo----curricular Activitiescurricular Activitiescurricular Activitiescurricular Activities Sports ActivitiesSports ActivitiesSports ActivitiesSports Activities
Ancient Civilisation Advertising Athletics Anthropology Archaeology Badminton Art/History Art Galleries Basket Ball Calligraphy Clay Modeling Boxing Computer Science Choreography Carom Debate Dance Chess
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DELHI PUBLIC SCHOOL BHAGALPUR - Creating Global Citizens
Declaration
Dramatics
Cricket
Economics Film/TV/Journalism Darts Eloquation Gardening Gymnastics Environmental Studies Interior Designing Handball International Relations International Organisation Hockey Languages Literary Activities Judo Literature Monologue Karate Mathematical Science Museums Lawn Tennis Natural Science Music Skating Poetry NCC/Scouts/Guides Swimming Social Science Numismatics Table Tennis Philanthropy Volley Ball Philately Photography Physical Fitness Red Cross Story Telling Story Writing 1. __________________ 1. __________________ 1. ___________________
2. __________________ 2. __________________ 3. ___________________
3. __________________ 3. __________________ 3. ___________________
Describe in brief, what you have gained from your interests ________________________________________________________________________
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� PPPProfessional rofessional rofessional rofessional EEEExxxxperienceperienceperienceperience Experience
Name of Institution
From
To
Positions held
Subjects and class taught
Duties
Assignment
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______________ _________ _______ _______ _____________ _________ ____________
ExperienceExperienceExperienceExperience __________________ TeachingTeachingTeachingTeaching ____________________ AdministrationAdministrationAdministrationAdministration __________________ (in Years) Any other __________________________________________________________________________________________________________________________________________________________________________________________________________________________________ (Please Specify)
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DELHI PUBLIC SCHOOL BHAGALPUR - Creating Global Citizens
Particular of Particular of Particular of Particular of Previous JobPrevious JobPrevious JobPrevious Job
Name and full address of present/last organization________________________________________________________________ _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________
Contact Numbers __________________Previous/Present Designation _____________________
Date of Joining ___________________ Place of posting ______________________________
Total emolument __________________ Basic ________________________________________
Allowance ________________________ Other Benefits ________________________________
Date of last increment/Promotion __________________________________________________
Were you under service bond(if yes, give details) _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________
� AAAAdvantage dvantage dvantage dvantage IIIInformationnformationnformationnformation
Foreign Foreign Foreign Foreign travel detail travel detail travel detail travel detail (If any)
Destination __________________________________________________________
Year _________________________________________
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Seminars Seminars Seminars Seminars and Course and Course and Course and Course AttendedAttendedAttendedAttended
Seminar/Course __________________________________________________________
Date __________________
Description ____________________
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PPPPapers apers apers apers SSSSubmitted / ubmitted / ubmitted / ubmitted / PPPPuuuublished blished blished blished
_____________________________________________________________________________________________ Name of JournalName of JournalName of JournalName of Journal _____________________________________________________________________________________________ Name of three books Name of three books Name of three books Name of three books recently read with narecently read with narecently read with narecently read with names of mes of mes of mes of authorsauthorsauthorsauthors
Title Author(s)
1111. ____________________________________ __________________________________________
2. 2. 2. 2. ____________________________ ________________________________
3. 3. 3. 3. ____________________________ ________________________________
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DELHI PUBLIC SCHOOL BHAGALPUR - Creating Global Citizens
Do you suffer fromDo you suffer fromDo you suffer fromDo you suffer from Any major ailment/medical problem?Any major ailment/medical problem?Any major ailment/medical problem?Any major ailment/medical problem? If yes, give detailsIf yes, give detailsIf yes, give detailsIf yes, give details _________________________________________________________________
_________________________________________________________________ _________________________________________________________________ Have you ever been convicted by any court of law or is any disciplinary proceeding/enquiry pending against Have you ever been convicted by any court of law or is any disciplinary proceeding/enquiry pending against Have you ever been convicted by any court of law or is any disciplinary proceeding/enquiry pending against Have you ever been convicted by any court of law or is any disciplinary proceeding/enquiry pending against you or has any penalty been imposed on you?you or has any penalty been imposed on you?you or has any penalty been imposed on you?you or has any penalty been imposed on you?
If yes,If yes,If yes,If yes, give details give details give details give details
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_________________________________________________________________ _________________________________________________________________ Give details of twGive details of twGive details of twGive details of two references (other than relatives in the field education).o references (other than relatives in the field education).o references (other than relatives in the field education).o references (other than relatives in the field education). Name Name Name Name __________________________________ _______________________________ Occupation/Designation Occupation/Designation Occupation/Designation Occupation/Designation __________________________________ _______________________________ Address (Official Address (Official Address (Official Address (Official)))) __________________________________ _______________________________ Telephone Telephone Telephone Telephone __________________________________ _______________________________ Is any member of your family employed in any Delhi Public School?Is any member of your family employed in any Delhi Public School?Is any member of your family employed in any Delhi Public School?Is any member of your family employed in any Delhi Public School? If yes, give detailsIf yes, give detailsIf yes, give detailsIf yes, give details Name Name Name Name _________________________________ ________________________________ Relationship Relationship Relationship Relationship _________________________________ ________________________________ Location of DPS branch Location of DPS branch Location of DPS branch Location of DPS branch _________________________________ ________________________________ I hereby certify that 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 my continuation in Delhi Public School. _____________________________________ ___________________________ _______________________________
SiSiSiSignature of the Candidategnature of the Candidategnature of the Candidategnature of the Candidate DDDDate ate ate ate PPPPlacelacelacelace
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DELHI PUBLIC SCHOOL BHAGALPUR - Creating Global Citizens
PPPPERSONALITYERSONALITYERSONALITYERSONALITY TTTTRAITRAITRAITRAIT
PPPPARTARTARTART BBBB Describe yourself as a person, in 150 words: ____________________________________________________________________________________________________
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To us Teaching is the best profession; write what Teaching means to you in 250 words with advantages and
disadvantages:
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DELHI PUBLIC SCHOOL BHAGALPUR - Creating Global Citizens
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How do you relate your life with success, society and country in 250 words?
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DELHI PUBLIC SCHOOL BHAGALPUR - Creating Global Citizens
Have you ever adopted a non-traditional approach to manage or handle a situation- child related? Describe your
approach and the outcome:
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Briefly tell us of any situation or event where your potential as a teacher has been exhibited:
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Where do you desire to be in next five years?
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DELHI PUBLIC SCHOOL BHAGALPUR - Creating Global Citizens
You idolize people who are they? Why?
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You, as a child, as a teenage, as an adult:
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� IIIInstructionsnstructionsnstructionsnstructions
1. You are requested to fill in this application form in your own hand writing.
2. Do not attach any original certificate with this application form.
3. Submission of any false information will make you liable for summary rejection at the time of
interview, or if appointed, termination without notice.
4. In the column for academic information, please fill in only recognized and completed qualifications.
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DELHI PUBLIC SCHOOL BHAGALPUR - Creating Global Citizens
� FFFFOR OR OR OR OOOOFFICE FFICE FFICE FFICE UUUUSE SE SE SE OOOONLYNLYNLYNLY
Written testWritten testWritten testWritten test Date Marks
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Remarks: ______________________________________________________________
Preliminary InterPreliminary InterPreliminary InterPreliminary Interviewviewviewview Date Members
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Selected Rejected Signed by: ______________________________
DemoDemoDemoDemo Date Members
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Selected Rejected Signed by: ______________________________
Final InterviewFinal InterviewFinal InterviewFinal Interview Date Inchair
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Selected Rejected Signed by: ______________________________
May join with effect from
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Grade Salary
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Approved byApproved byApproved byApproved by ________________________________ ____________________________________
Pro Vice-Chairman Principal
Checking of CertificatesChecking of CertificatesChecking of CertificatesChecking of Certificates
(To be tick marked) Certificate Checked
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School leaving (Verify d.o.b)
Intermediate/+2
Graduation
B.Ed.
Post Graduation
Experience Certificate(s)
Any other
Blood Group
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Signature and stamp of checking authority Date