Delhi Public School, Karnal
Near KarnaLake, N.H.1, Karnal -132 001 (Haryana)
Tel: 0184-2268342-43, 8295911342-43 Fax 0184-2268344
e-mail: website :
APPLICATION FORM FOR TEACHERS
Post Applied for ………………………
PERSONAL INFORMATION
1.Name in block letters
Miss/Mrs./Mr …………………………………………………………………………………………………………………
- Date of birth (in figures)………………………………………………………………………………
Inwords)………………………………………………………………………………………………….. 3. Contact address with telephone numbers (s) .………..…………………………………………………
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4. Place of birth…………………………………………………5. Nationality …………………
6. Marital Status………………………………………………..7. Number of Children…………..
8. Languages spoken at home …………………….2…………………..……….3………………..………
9. Name of father/mother/spouse……………………………………………………………………………..
10. Occupation father/mother/spouse………………………………………………………………………….
Address and telephone No…………………………………………………………………………………
11. Details of foreign ravel……………………………………………….Year………………………………..
- ACADEMIC INFORMATION
S. No. / Qualifications / Discipline/Subjects / Name of School/ College/University / Year of Passing / % of
Marks / Division
Professional Qualifications
DETAILS OF SCHOLARSHIPS/AWARDS/HONOURS
DETAILS OF RESEARCH WORK/PUBLICATIONS
PROFICIENCY IN LANGUAGES (WRITE MOTHER TONGUE AT S. NO. 1.)
S. No. / Language / Read / Write / SpeakINTERESTS
From the following list indicate the area in which you have an interest, in order to preference.
ACADEMICS
Accountancy
Art History
Anthropology
Ancient Civilizations
Business Administration
Computer Science
Economics
Environmental Studies
International relations
Literature
Languages
Mathematical Sciences
Natural Sciences
Physical/Applied Sciences
Social Sciences
Undecided
1……………………
2…………………....
3……………………
E EXTRA- CURRICULAR
Advertising
Art galleries
Archeology
Banking
Dramatics
Film TV Journalism
Fine Arts
Gardening
International Organizations
Interior Designing
Literary Activities
Music and Dance
Museums
NCC/Scouts/Guides
Photography
Social Service
1………………….
2………………….
3………………….
S SPORTS ACTIVITIES
Athletics
Basket Ball
Badminton
Cricket
Football
Gymnastics
Horse Riding
Hockey
Judo
Karate
Lawn Tennis
Shooting
Table Tennis
Volley Ball
Physical Fitness
Any other
1………………….
2………………….
3………………….
DETAILS OF WORK EXPERIENCE
S.No. / Name of Institution / From / To / Position held / Subjects and Classes taughtTotal Experience (in years)……………………………….
Teaching……………………………………………..
Administration……………………………………………
Any other…………………………………………………
PARTICULARS OF PRESENT JOB
1. Name and full address of present organization with contact numbers:-
2.Present designation………………………………………………………………….
3.Date of Joining………………………………………………………………………
4.Present place of posting……………………………………………………………..
5.Total emoluments……………………… Salary details: Basic……………………..
Allowances…………………..…………
Other benefits…………… …………….
6.Are you under Service Bond…………………………………………………………...
(If yes, give details)…………………………………………………………………….
………………………………………………………………………………………….
- Exact period after which you can join if selected…………………………………………….
………………………………………………………………………………………………...
OTHER INFORMATION
(i)Seminars and Courses attended
S. No. / Seminar/Course / Duration / Date / Description(ii)Names of three books recently read with names of authors
S. No. / Title / Authors(ii) Do you suffer from any major ailments/medical problems? Yes/No
If yes, Give details
(iii)Have you ever been convicted by any court of law or any disciplinary proceeding/enquiry is against you or any penalty has been imposed upon you? Yes/No.
If yes, Give details
(iv)Give details of two references (other than relatives) in the field of education, or from member Delhi Public School Society.
Name / Occupation / Address (Official) / Tele. Nos.I, thereby certify that the information provided above is true to the best of my knowledge/belief.
If any information is found to be false/incorrect, it will disqualify me for employment in any of the schools of the Delhi Public School Society.
Date Signature of the Candidate