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2025021028

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PM SHRI KENDRIYA VIDYALAYA No.

3
Bhopal
APPLICATION FORM FOR PART TIME CONTRACTUAL TEACHERS SESSION 2025-26 PGT/TGT/ PRIMARY
TEACHER/ BALVATIKA TEACHER/COMPUTER-INSTRUCTOR/ MUSIC COACH/DANCE COACH /SPECIAL
EDUCATOR/ ART & CRAFT COACH/SPORTS COACH/YOGA INSTRUCTOR/DOCTOR/ NURSE(FEMALE ONLY)

Important Notes:-
1: All Entries should be made in Capital Letters.
2: One form should be used for one post.
3: Enclose attested copies of testimonial with each form (If applied for more than one post).
PLEASE AFFIX ONE
1: POST APPLIED FOR:
RECENT
PHOTOGRAPH
WITHOUT
SUBJECT APPLIED FOR
ATTESTATION
(IN CASE OF PGT/TGT)

(SIGNATURE OF CANDIDATE)
2: CANDIDATE’S NAME (IN CAPITAL LETTERS) (Please keep one blank between First, Middle and last Name)

3: FATHER’S NAME /HUSBAND NAME (in Capital Letters) FATHER: HUSBAND:

D D M M Y Y Y Y
4: DATE OF BIRTH:

5: GENDER: MALE FEMALE 5: (A) CATEGORY


(GEN / SC /ST/ OBC)

6: AGE AS ON: 31/03/2025 Years Months Days

7: CANDIDATE ADDRESS WITH CONTACT NO:

PAN NO (Enclose copy of PAN )Card):


EMAIL ID:
Aadhar Card No. (Enclose copy of Aadhar)

Mobile No.(Please mention at least 02 numbers)


8: Academic Qualification (Starting from High School level):
Please give information as applicable (Attach self-attested copies of Mark sheets and Certificates)
Name Of Examination Write Subject/
(With Complete Name Name Of Specialization Duration
Of Course Passed) Examination Year Of Marks Of Course Board/
Passed. Passing Max. Mark Obtained % Of In Month University
Marks

High School(Class X)

Intermediate
(Class XII)

Graduation (Name Of
Course)

Post- Graduation
(Name Of Course)

Other's If Any
(Specify)

9: Professional Qualification (Attach attested copies of mark sheets and Certificates:


Name Of Examination Write Subject/
(With Complete Name Of Specialization Duration
Name Of Course Examination Passed. Year Of Marks Of Course Board/
Passed) Passing Max. Marks Obtained % Of In Month University
Marks

CTET
(I To V)
Qualified

CTET
(VI To VIII)
Qualified

B.Ed. (Theory)

B.Ed. (Practical)

BE/B.Tech(CS)/
MBBS Degree/
Diploma in
Nursing/Counseling/
Yoga/Special Educator
Others -If Any
(Specify)
10: Experience in Similar post only- with Minimum completed 6 months in an academic year
(Attach self-attested certificates, if experience is in KV/JNV/CBSE Affiliated School/Other recognized schools.
Attach separate sheet, if rows are insufficient)
No. Of Subject
Name Of Period Of Service Completed Taught Scale Of
Post Held Class Pay and
Institution with Board (if Years and
Applicable) Taught Salary
months
From to Per
Month

11: Are you able to teach through English and Hindi, both?
(Please mark () tick in the appropriate box) for teaching posts YES NO
12: Do you have knowledge of Computer Application?
(Please mark () tick in the appropriate box) for teaching posts YES NO

13: Are you family member of KVS Employees?


(Please mark () tick in the appropriate box) YES NO

UNDERTAKING

I hereby certify that all the information given above is true and correct to best of my knowledge. I have attached
attested copies of my testimonials in support of the entries made above. I also agree that mere eligibility does no confer
right to be called for interview/ selection. My candidature may be cancelled in case any information is found to be
incorrect on verification.
PLACE………………………………………………
DATE………………………………………………… Signature

FOR OFFICE USE ONLY (to be filled by checkers)

REMARK(about eligibility for the post applied ):


……………………………………………………………………………………………………………
……………………………………………………………………………………………………………
Verified By
Name, Designation & Sign of Checker

1…………………………………………………………………………………………………………………..

2. ……………………………………………………………………………………………………………………

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