PM SHRI KENDRIYA VIDYALAYA O.F.
KHAMARIA JABALPUR
APPLICATION FORM FOR PART TIME CONTRACTUAL TEACHERS/PRE-PRIMARY
TEACHER/INSTRUCTORS/COACHES EXPERTS//DOCTOR/NURSE/AAYA, ETC.
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 testimonials with each form. (If applied for more than one)
1. POST APPLIED FOR SUBJECT APPLIED FOR
(BALWATIKA/PRT/TGT/OTHER’S (In case of PGT/TGT)
2. Candidate’s Name (in capital letters) (Please keep one box blank between First name, Middle name & Last name)
3. Father’s /Husband’s Name (in capital letters) Father Husband
(Please keep one box blank between First name, middle name & Last name)
5. Gender M F
4. Date of Birth:
(Please Tick)
DAY MONTH YEAR
6. Age as on 31.03.2025 Year Month Days
7. Candidate Address (in Please letters)
capitals affix one recent
Photograph without attestation
Name ……………………………………………….
Father/Husband’s Name: ……………………………………………………………..
Address
…………………………………………………………………….
……………………………………………………………….
City/Town PIN
……………………………
Ph/Mobile No. ……………………………………………………………………….
(Mandatory)
Signature of Candidate
8. Academic Qualification (Starting from High School level)
(Please give information as applicable. (Attach attested copies of Mark sheets and Certificates)
Name of Examination Write name Year of AGGREGATE MARKS Subjects Duration Board/
(with complete name of of passing Max. Marks %age of /Specialization of course University
course passed) Examination Marks obtained marks (in months)
passed
High School (Class X)
Intermediate (Class XII)
Graduation
(Name of Course)
Post Graduation
(Name of Course)
Others if any
(Specify)
Note: - Please provide information for the qualification completed by February 2025 as per kvs
norms(https://kvsangathan.nic.in/recruitment-rules/ ) only.
9. Professional Qualification (Attach attested copies of mark sheets & certificates)
Name of Examination Write name Year of AGGREGATE MARKS Subjects Duration Board/
(with complete name of of passing Max. Marks %age of /Specialization of course University
course passed) Examination Marks obtained marks (in
passed months)
CTET (I to V)
Qualified
CTET (VI to VIII)
Qualified
Theory
B.ED
Practical
MBBS Degree
/Diploma in Nursing
/ Counseling/Yoga
Other if any
(specify)
10. Experience (Attach certificates if experience is in the recognized Schools) – priority will be given.
Post Name of Period of service No. of Class Subjects taught Scale of pay
held Institution From To completed taught and salary
years & months 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? YES NO
(Please mark (√) tick in the appropriate box) For teaching posts
13. Are you a 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 the 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 not 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
Contact No.
Name
