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Pasport size Photograph here Government. ofthe Punjab oN scvtoo1 zDUcaTION DEPARTMENT 1s [APPLICATION FORM FOR EDUCATORS (2016-17) Paste one SS WS Diary No. Dated: Name ofthe Post Applied Application Submited to: Aopld apsinstquots: [Tp atnoriy [posable C-aosicasio Ja.nutoxza []s.open meri PERSONAL INFORMATION CHIC Number: ET] Aopicant Name Father's Name: ote of ih [Gender(Ger Swale LJ 2 Female L] Talon ated [_Jenonvwusim (rea [Joel lvartastous: ase] 2>mariew E] susbond's Name foppabe: loom of apptcant: Disrit UCN: village Joomisteot her Husband apeiabl) Distr vce: Vilage lc oF Her husband E ‘Adres as per Domicile Mailing Adres: [ACADEMIC QUALIFICATION are ena] Set! [rimestcenney] ctrcsatdateron | asa | ronne | ate | rat |... lowsowendi] —aper eres | bee rionss.vnttie | stew | "vo | oct | wore cos | necrtiment ole 201637 DOCUMENTARY PROOF [Docoments tobe attachod wit the Appcavon Form, ek he Teen oH] [hrcniccony LJ2aomiciecoey — [_Jositahnamacopy [}susands bomie []s-certcate/eares Fsostoinycerteate — ]rservee Record incase ofinserice employes) ]8-DeparmentaPemision (NOC) Fany [psenicerecotincaseothule17e —— [ioceicotertustors [I] atrermisson caries inca afemployee Thzuistot, schools forthe post of, [APPLICANT DECLARATION Teartfy Ba the information mentaned Tr WH appTEaON TOT Te and correct to best of my knowledge and bel. understand that statements found Signature: tobe fatse/incorret shall dsqualfy me fromthe recrultment process and would _O>y___ Month Yaar make me able for criminal action under Criminal Procedure Code/Patetan Penal TTT. code. Downloaded From| Tip Tian Tappan Torn for eduentor recliner 2036) Ust oF scHoots FoR went sy RECRUITMENT OF EDUCATORS (2016-17) Date SSS Se APPLICATION FOR THE POST OF Application Submited to Applied agsint quote: Ji. inorty — z.oisabie [amuies7a Ja. open tert CNC Number: pate ofits Applicant Name Father's Name Husbands Name if applcable Tore. ofchak apts Teh Unie or OFicaT ee — ee matin tn 38 lewscodet| seainone [vag] Situron FE Mats |e] tou! “we

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