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APPLICATION FOR THE POST OF CLUSTER RESOURCE PERSONS (CRPs)

1. Name of the Candidate : 2. Fathers Name 3. Date of Birth 4. Religion 5. Caste : : : : Category :
Affix Passport size Photo duly attested by the Controlling Officer / any Gazetted Officer

6. Physically Handicapped : Y/N .. Category : .... Percentage . 7. Educational Qualifications : Academic SSC Inter Degree 8. Professional Qualifications : Academic TTC/D.Ed/B.Ed Marks obtained Max. Marks Percentage Marks obtained Max. Marks Percentage

9. Experience in Non Formal Education : Previously worked in the Mandal Designation of previous work Period of working

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10. Postal Address

: .. ...

11. Permanent Address : .. ... 12. Contact Phone Number : 13. E-mail :

Signature of the Candidate Attested Certificates / Copies to be enclosed : 1. Experience in NFE (Non-Formal Education) 2. 10th/Inter/Degree/TTC/D.Ed/B.Ed Pass & Marks lists 3. Date of Birth Certificate 4. Caste Certificate 5. Additional Photograph 6. 2 Self addressed envelope with 5 Rs. Stamp.

Kadapateachers

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