APPLICATION FOR THE POST OF ELECTRICIAN /WIREMAN AT JAWAHAR NAVODAYA VIDYALAYA, H. KANTAPALI, JHARSUGUDA DIST. JHARSUGUDA, (ORISSA)

BIO – DATA

01.Name of the applicant: ______

02.Father’s Name: ______

03.Date of Birth: ______

Day Month Year

04.Category (SC/ST/OBC/Gen) :

05.Educational & technical qualifications from 10th class onwards:

S.No. / Class studied / Name & Address of the School / Total Marks secured / Aggregate Percentage (%) of marks
1
2
3
4

06.Work experience in the relevant :______

post/grade

07.Employment Registration No.:______

08.Native District:______

09.Complete postal address:______

for communication with

telephone/mobile no.

Date:______

Place:(Signature of the Applicant)

Enclose the following attested copy of certificates with the bio-data:

1. Date of birth certificate

2. Educational qualifications certificate.

3. Technical Qualification certificate.

4. Experience certificate if any

5. Employment registration card.

6. Nativity certificate from the competent authority

7. Caste certificate from the competent authority

8. Apprentice ship certificate

10. Two Self addressed stamped envelope for Rs.25/-

APPLICATION FOR THE POST OF Mess Helper AT JAWAHAR NAVODAYA VIDYALAYA, H. Kantapali, Dist. Jharsuguda, (ORISSA)

BIO – DATA

02.Name of the applicant: ______

02.Father’s Name: ______

03.Date of Birth: ______

Day Month Year

04.Category (SC/ST/OBC/GEN):

05.Educational Qualifications from Vth class onwards:

S.No. / Class studied / Name & Address of the School / Total Marks secured / Aggregate Percentage (%) of marks
1
2
3

06.Work experience in the relevant :______

post/grade

07.Employment Registration No.:______

08.Native District:______

09.Complete postal address:______

for communication with

telephone/mobile no.

Date:______

Place:(Signature of the Applicant)

Enclose the following attested copy of certificates with the bio-data:

1. Date of birth certificate

2. Educational qualifications certificate.

3. V th class Marks sheet duly countersigned by the S.I. of Schools concerned.

4. Experience certificate if any

5. Employment registration card.

6. Nativity certificate from the competent authority

7. Caste certificate from the competent authority

8. Two Self addressed stamped envelope for Rs.25/-

APPLICATION FOR THE POST OF MATRON (ON CONTRACT)AT JAWAHAR NAVODAYA VIDYALAYA, H.KANTAPALI, DIST.JHARSUGUDA (ODISHA)

BIO – DATA

01.Name of the applicant: ______

02.Father’s/Husband’s Name: ______

03.Date of Birth: ______

Day Month Year

: Age as on 31.10.2014______

04.Category (SC/ST/OBC/GEN):

05.Educational Qualifications :

S.No. / Class studied / Name & Address of the School / Total Marks secured / Aggregate Percentage (%) of marks
1
2
3

06.Work experience in the relevant

post/grade ( certificate should be enclosed):______

07.Employment Registration card No.:______

08.Native District:______

09.Complete postal address:______

for communication with

telephone/mobile no.

Date:______

Place:(Signature of the Applicant)

Enclose the following attested copy of certificates with the bio-data:

1. Date of birth certificate

2. Educational qualifications certificate.

3. Experience certificate

4. Employment/Sainik Board registration card

5. Nativity certificate from the competent authority

6. Caste certificate from the competent authority