Adarsh Bal Niketan

Senior Secondary School

IIT Roorkee, Roorkee 247667, Uttarakhand

APPLICATION FORM for TEACHING position

APPLICATION FOR THE POST OF: ____________________________________________

In response to ABN School Advertisement No. _______________________________

1.

Name of the applicant: ______________________________

3.

Date of Birth (DD/MM/YY) :_________________________

2.
4.
5.
6.
7.

Sex (Male/Female) :______________

Age as on 01.03.2016:____________________________

(Affix recent
passport size
photograph)

Category: _____________________

Marital Status: ______________________________

Family member details: __________________________________________________

_____________________________________________________________________

7.

Have you been found guilty of any offence during your professional service? ________

8.

Demand Draft Details: ___________________________________________________

9.

If yes, specify:__________________________________________________________

Address for:
(i)

Correspondence________________________________________
_____________________________________________________

(ii)

(iii)

(iv)

_____________________________________________________

Permanent address:_____________________________________
_____________________________________________________
_____________________________________________________
Mobile no.:____________________________________________

Email ID: _____________________________________________

10.

Present Employer: ____________________________________________

Position held: ________________________________________________

Nature of responsibilities: ______________________________________________

11.

___________________________________________________________________
Have you qualified CTET: _________ Year:______ Score: ______________

12.

Educational Qualifications (in chronological order from Class-X onwards).

13.

Work Experience (in chronological order):

Sl. No.

S.
No.

12.
13.

Examination Year of
passed
passing

Post
held

Organization

Board / University

Duration

From

To

Subjects taken

Length of
service

Pay scale
with its
break-up

% marks
obtained

Nature of
duties

Are you proficient in use of MS office? Excellent/ Good/ Average/ Poor

Have you organized NCC / Cultural / Sports activities: __________________________

____________________________________________________________________

______________________________________________________________________

14.

Special Programs/ Workshops Organized or Attended: _________________________

_____________________________________________________________________
_____________________________________________________________________

______________________________________________________________________

15:

Your reason for applying to ABN School: ____________________________________

______________________________________________________________________
______________________________________________________________________

16.

Two References with contact address/ Email ID/ Mobile No.

(i)

_______________________________________________________________

(ii)

_______________________________________________________________

_____________________________________________________________________
______________________________________________________________________

DECLAR ATION

I solemnly declare that the statements and details given above and attached as
enclosures with this application form are correct to be best of my knowledge and belief.
In case any if the details are found false at a later stage, I am aware that my
candidature / appointment may be cancelled / withdrawn.
Date & Place:____________________

CHECK LIST
o
o
o
o
o
o
o

(Signature of the candidate)

This application form complete in all respects

Self-attested copies of Certificates/ Mark sheets/ Awards from class X
Copy of recent salary slip (if you wish to protect your salary).
Demand Draft in the name of Manager, ABN School
A copy of your CV
One page vision document sharing your vision as a teacher
Two testimonials from educationalists who have known you