RMbv_ wekwe`vjq

XvKv-1100
(wkK wbqvMi Rb Ave`b dig)
........................ ZvwiLi wew bs ....................................................Gi cwZ

cvmcvU mvBRi
mZvwqZ Qwe-3 Kwc

...................................................... wefvMi ............................................... c`i Rb Ave`b

1|

cv_xi c~Y bvg (vi) t (K) evsjvq t ............................................................................................................

(L) BsiwRZ (eo Ai) t ........................................................................................

2|

wcZvi bvg

t ............................................................................................................................

3|

gvZvi bvg

t ............................................................................................................................

4|

^vgxi bvg (chvR )

t ............................................................................................................................

5|

(K) Rb ZvwiL (GmGmwm Abyhvqx) t ............................................................ (L) Rbvb t ..................................

6|

vqx wVKvbv t

Mvg t ..................................................... WvKNi t ................................................................

_vbv/DcRjv t ..................................................... Rjv t ......................................................

7|

eZgvb/hvMvhvMi wVKvbv t .............................................................................................................................

..................................................................................................................................................................
gvevBj b^i t ............................................................ B-gBj AvBwW t ...........................................................

8|

wkvMZ hvMZv (GmGmwm/mggvb nZ DPZi wWMx ch) t

wkv cwZvbi evW/wekwe`vjq wkvel
cixvi bvg
bvg
(mkb)
GmGmwm/mggvb (................)

wWMx cv wefvM/wRwcG/
vb
AaxZ welq
cvwi mb kYx /wmwRwcG (gwiU cwRkb)*

GBPGmwm/mggvb (...............)
mvZK (mvb)/mggvb (..........)
mvZKvi/mggvb (............)
Ggwdj/GgGm/mggvb (...........)
wc-GBP.wW
mswk- wekl cvVg (hw`
_vK)
* vb (gwiU cwRkb)-Gi cgvY^ic wkv cwZvbi cZqbc mshy KiZ ne|

9|

10|

DPZi wWMxi Rb-w_wmmi wkivbvg I h t

wkK/Z`viKKvixi Aaxb Aaqb Kiv nqQ Zuv`i
bvg Ges wevwiZ wVKvbv
MelYvg~jK ce/cKvkbvi ZvwjKv (cei wkivbvg, t
Rvbvji bvg, cKvkbv cwZvbi bvg I wVKvbv, Rvbvji msLv
I cKvki ZvwiL Ges cv bs BZvw` Dj- L KiZ ne Ges
cZK ce/cKvkbvi Kwc mshy KiZ ne| ce/cKvkbvi
Kvb Kwc diZ `qv ne bv)

11|
wkKZv I MelYvi AwfZvi weeiY (mekl nZ) t
c`i bvg, eZb j I
cwZvbi bvg
g~j eZb

C:\Users\Jnu IT\Desktop\Upload circular\Application Form teacher - 2.doc 1

mgqKvj
nZ

gvU AwfZv
ch

megvU AwfZv=
Pjgvb cv-2
cv-2

12|

h me kYxZ I welq wkKZv Kiv nqQ Zvi weeiY t

mvZK Kvmi bvg

mvZKvi Kvmi bvg

13|

cwiwPZ wK vwZ ev eevwnK mK hy bq I huvnv`i wbKU Avcbvi GKvWwgK I Abvb welq mK Rvbv hZ cvi
Ggb `yBRb ewi bvg I wVKvbv (dvb b^imn) t
(K)
(L)

14|

Kvb wekwe`vjqi Qv/Qvx`i mvgwMK wkv I t

wkv AvbylwK KgKv cwiPvjbvq Z_v Qv/Qvx`i
h_ MVbg~jK KvhKjvc Dbqbi AwfZv (hw` _vK)

15|

evsK WvdU/c-AWvi b^i ............................................................................. ZvwiL t ......................................

UvKvi cwigvY t .............................. evsKi bvg t ........................................ kvLv t ..........................................

ZvwiL t .....................................

(cv_xi ^vi)

`e t
1.
2.

3.
4.

Ave`b dig-Gi mv_ mshy msw weeiYx digwU h_vh_fve c~iYc~eK Ave`b mUi mv_ vcwjs bv Ki (GK Kwc) Rgv w`Z ne|
wbqvM wew Abyhvqx Ave`bci mv_ cqvRbxq mvwUwdKU, gvKkxUmn Abvb mb`, Qwe, c-AWvi/evsK WvdU, chvR h_vh_ KZci gvag
Ave`b Kivi cgvYcmn AavcK I mnhvMx AavcK c`i Rb 11 mU, mnKvix AavcK I cfvlK c`i Rb 08 mU Ave`bc iwRvi, RMbv_
wekwe`vjq, XvKv-1100 eivei wewZ Dj- wLZ ZvwiLi ga (mvvwnK I miKvwi QzwUi w`b ewZZ) Awdm PjvKvjxb mgq ch WvKhvM/Kzwiqvi
mvwfm-Gi gvag/mivmwi cQvZ ne|
cqvRbeva cv_x AwZwi KvMR eenvi Ki Ave`bi m hy KiZ cvieb|
Am~Y/AmZ Z_ m^wjZ Ave`b Kvb KviY `kvbv ewZiK evwZj ej MY ne|

C:\Users\Jnu IT\Desktop\Upload circular\Application Form teacher - 2.doc 2

C:\Users\Jnu IT\Desktop\Upload circular\Application Form teacher - 2.doc 3