APPLICATION FORM

Post Applied For: PGT

(Contractual basis)

Subject: Biotechnology

Name

Prabhati Kalita

Date of Birth

28/2/1992

Educational / Professional qualification:

Exam passed

Year

Board/

Subjects

University
High school /

2007

CBSE

AISSE

Science, Maths,

Marks

% of

obtained

marks

337

67.4

313

62.6

Hindi Social
science, English

Intermediate/

2009

CBSE

AISSCE

Biology, Physics,
Chemistry,
English, Hindi

B.Sc

2013

Gauhati

Biotechnology

1699

70.79

Biotechnology

1443

72.15

University
M.Sc

2015

University of
Science &
Technology
Meghalaya

B.Ed/BTC/B.P.Ed
CTET ( Class I to V)
CTET(Class VI to
VIII)
BCA/MCA/M.P.Ed/
PGDCA
M.B.B.S
Diploma in Nursing

Diploma in Yoga
Certificate/
Degree/Diploma in
counselor

Experience:

Six months teaching experience in an Assamese private School.

Fathers Name:
Address

Sarat Kalita
: Vill. Parakuchi,

P.O. Maniari Tiniali,

Pin: 781125

Kamrup rural, Assam

Contact

: 8402991329

Email I.D.

:prabhatikalita6@gmail.com

Date

: 12/2/2016

Place

: Guwahati

Signature of Candidate

Encl.
1.
2.
3.
4.
5.
6.
7.

10th mark sheet

10th pass certificate
12th mark sheet
12th pass certificate
B.Sc. mark sheet
B.Sc. pass certificate
M.Sc. mark sheet

8. M.sc. pass certificate