DELHI PUBLIC SCHOOL
SECTOR – 14, ROURKELA, PIN – 769009
PH: 0661-2603251 / 2601351
EMAIL:
[email protected], WEBSITE: www.dpsrkl.in
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BIODATA
Post applied for : Primary Teacher (PRT) Subject: __________________________
Name : _______________________________________________________________
Father’s Name : _______________________________________________________________
Spouse’s Name : _______________________________________________________________
(If married)
Date of Birth : ___________________ Age as on dt.30/04/2023 : ____________________
Gender : _____________ Religion: ___________ Category : ___________
Marital Status : _______________ Nationality: _________ Blood Group : ________
Languages Known: ________________________________________________________________
Academic Qualifications
Year of Percentage
Board/University Subjects
passing of Marks*
H.S.C.
10+2
(Arts/ Science/
Commerce)
Core:
Graduation
(Hons.) Agg:
B.Ed.
CTET/OSSTET
Post Graduation
* Write equivalent percentage if grade/grade point was awarded
Work Experience: Total Experience (in years) : ________________________________________
Organization Designation Year No. of years
From To
*The candidate has to furnish the experience certificate from all the schools and no objection certificate from the
present employer / Principal in the format enclosed.
Co-curricular Activities:
Any other information you would like to provide: _____________________________________
__________________________________________________________________________________
Address for Communication : ___________________________________________________
__________________________________________________________________________________
Phone/Mobile : _________________________________________________________________
Email id : _________________________________________________________________
DECLARATION
I do hereby declare that, the information given above are true to the best of my knowledge and belief.
Signature of the Applicant