Phone No Mobile No: Pin Details of fee paid Chalan No. Date Treasury
1. Percentage of marks B.A/B.Sc.(Part III)/M.com
2. Nativity
3. Degree from University of Calicut
4. Weightage of marks for M.A./M.Sc. in the same subject
5. Teaching Experience
6. N. C. C.
Total for 1 to 6
7. Number of chances (01, 02 etc.)
8. Marks secured for Post graduation in the same subject
OR Grade secured for Post graduation in the same subject
9.. Nationality/Religion/Caste/Community
10. Quotas under which applications are to be considered (enter code(s))
11. Whether the candidate is a Permanent Teacher in an Aided/Govt.School. : Yes / No
12. Teaching Experience (as on date of notification)
13. Whether you belong to the District under the Yes / No University of Calicut jurisdiction.
14. Whether you have graduated from Yes / No University of Calicut
15. Whether claiming weightage for PG in the Yes / No same subject.
16. If Double/Tripple Main, maximum marks/grade obtained in the main subject applying now. Yes / No
17. Annual Family Income Rs.
18.. Do you belong to SC/ST/ETB/Muslim/OBH/LC/SIUC/OEC if so, state the community and attach attested copies of Community and Income Certificates.
19. Name of the District to which you belong (Attach Nativity Certificate for claiming Nativity weightage) Residential Certificate is not acceptable.
20. Whether applying for the quota of Ex-Service men/Dependant of Ex- service men/Dependants of Serving personnel. (Attested copies of certificates stating relationship with the personnel should be produced.)
21. Specify whether applying for Teachers/ Linguistic/ Minority/Lakshadweep/Sports/Handicapped (Visually/ Orthopeadically). Attested copies of certificates should be attached.
22. Teaching experience in Govt. School/Aided School (In case of candidates applying under Teachers quota and those applying under general merit claiming weightage for teaching experience, certificate countersigned by the A.E.O./D.E.O./R.D.D should be produced in the form IV of KER)
23
Whether claiming weightage for NCC (If so, attach copy of the certificate from the competent authority)
Secured Percentage
Gen.Merit Teacher
Ex-service/Serving Personnel Handicapped Native of Lakshadweep Linguistic Minority
Sports Years Months Days
24. Educational Qualification (Self attested copies of mark lists/consolidated grade cards should be enclosed) Details of qualifying examinations University Subject Reg. No. Year of passing Marks Class obtained with % of marks Chances taken Awarded Maximum BA/ B.Sc Part III Main and Sub.
Double Main /Triple Main Main-I Main-II Main-III
MA/M.Sc/ M.Com
GRADING SYSTEM
Grade
CGPA secured % of marks
BA/ B.Sc Core Course or Main-I
Complementary Course-I or Main-II
Complementary Course-II or Main-III
MA/M.Sc/ M.Com
List of enclosures
1. 2. 3. 4. 5. 6. 7. 8.
DECLARATION I do hereby declare that the details given above are true and correct and that I will obey all the rules and regulations of the University and the Teacher Education Centre.