RAJIV VIDYA MISSION (SSA) INCLUSIVE EDUCATION for Children with Special Needs

Application Form for placement of Inclusive Itinerant Teacher on contract basis-2012

(Candidates who have passed D.Ed with Perspectives of Pre-Primary Education and Inclusive Education as IV paper are only eligible to apply for the above post)

Passport size Photo attested by Gazetted Officer Application without photo will be rejected 2 x 2

___________________District
Fill the application in BLOCK LETTERS

1 2 3 4 5 6 7 8 9 10 a

Surname Name Name of Father/Mother Date of Birth (dd/mm/yyyy) Gender (Male/Female) Category
(SC/ST/BC/Gen/Minorities/PH)

Nativity Particulars Complete Postal Address for Communication Mobile/ Telephone No: Qualifications Academic Intermediate or Equalent Professional

Mandal:

District:

Month and year of pass

Subjects taken

Name of the institution

Name of the Board/Organi zation

Max. Marks

No of Marks secured

% of marks obtained

Diploma in Education (2009-11)

Month and year of pass

Subjects taken

Name of the institution

Name of the Board/Organi zation

Max. Marks

No of Marks secured

% of marks obtained

1st Year 2nd Year Total marks obtained in D.Ed

*Note: - Applicant shall enclose photocopies of the following documents duly attested by any Gezetted Officer. The candidate cant claim any reservation/benefit if
he/she fails to enclose the relevant document along with the application
o o o o Marks memorandum of SSC (proof for date of birth). Marks memorandum of Board of Intermediate Education. D.Ed Marks memo (1st & 2nd Year) Nativity /study Certificate 4th to 10th class (candidate can submit the nativity /study certificate at the time of counseling, if presently not available) o o o Two recent passport size color photos Caste certificate, Disability certificate issued by the Dist. Medical Board (if applicable)

Signature of the Applicant

Declaration
I do here by declare that, the above information furnished by me is true to the best of my knowledge and I understand that, if the

above information is found false, I will forgo my right for selection as Inclusive Itinerant Teacher and I shall not canvas or bear influence in any manner for my selection/ candidature. Signature of the Applicant

Instruction to the candidates who are applying for Inclusive Itinerant Teachers: The candidates who have passed D.Ed (2009-11) with Perspectives of Pre-Primary Education and Inclusive Education as IV paper in the 1st year of D.Ed are only eligible. One candidate can apply only one application. Candidates shall submit the completely filled-in application on or before 20th January, 2012 in their respective District Project Office (RVM) before 5 p.m. Photo copies of all the following certificates shall be enclosed to the application duly attested by the Gezetted Officer. Marks memorandum of SSC (proof for date of birth). Marks memorandum of Board of Intermediate Education. D.Ed Provisional Certificate (1st & 2nd Year)

.

Nativity Certificate / Study Certificate 4th to 10th class (candidate can submit the nativity / study certificate at the time of counseling, if presently not available)

Photo, Caste certificate, Disability certificate issued by the District Medical Board (if applicable) and such other documents as may required by the candidate.

*At the time of counseling, the candidate shall bring all the relevant original certificates as mentioned above along with nativity certificate for verification purpose.

Placement of Inclusive Itinerant Teachers will be done through counseling system based on the merit list. Merit list will be prepared basing on the marks secured by the candidates in Intermediate and D.Ed(2009-11). The applicants can submit their objections, if any, with regard to merit - list within two days from the display of merit list to the PO, RVM (SSA). Merit list will be displayed on 25th January,2012 at the O/o DPO, RVM(SSA). The tenure of the Inclusive Itinerant Teachers is limited for a period of 10 months and is purely temporary and on contract basis. All applicants need to attend to the counseling on 1st February, 2012 from 10.30am onwards along with their original documents for verification purpose. Counseling for selection of candidates will be done basing on the merit list. Placement orders will be issued to the selected candidates on the same day. No TA and DA will be paid to the candidates who are attending to the counseling. The selected candidates should have to work on full time basis with the RVM (SSA). Candidates selected to work as Inclusive Itinerant Teachers shall have to undergo all such trainings, which will be arranged by Rajiv Vidya Mission (SSA), Andhra Pradesh. The State Project Director reserves the right to cancel/postpone the entire recruitment process at any time. Detailed job chart will be communicated after their selection. Candidate shall submit his/her application in the same format prescribed by the Rajiv Vidya Mission (SSA). Last date for joining in the post by the selected candidate is 10th February, 2012. If the candidate dont join by 10th February, 2012 they will be treated as not interested and the vacancy will be filled by another eligible candidate from the same merit list.