Delhi Public School, Karnal

Near Karna Lake, N.H.1, Karnal -132 001 (Haryana)

Tel: 0184-2268342-43, 3204090-91 Fax 0184-2268344
e-mail: info@dpskarnal.com website : www.dpskarnal.com

APPLICATION FORM FOR TEACHERS

PASTE
PASSPORT SIZE
PHOTOGRAPH

Post Applied for ………………………

PERSONAL INFORMATION

1. Name in block letters

Miss/Mrs./Mr

………………………………………………………………………………………………………………………

2. Date of birth (in figures)…………………………………………………………………………………………..

(In words)…………………………………………………………………………………………………………..

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 1………………………….2…………………..……….3………………..………

9. Name of father/mother/spouse…………………………………………………………………………………..

10. Occupation father/mother/spouse……………………………………………………………………………….

 Address and telephone No……………………………………………………………………………………….

11. Details of foreign travel…………………………………………………….Year………………………………..

12. ACADEMIC INFORMATION

S. No. Qualifications Discipline/Subjects Name of School/ Year of % of Division

College/University Passing Marks

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 Speak

INTERESTS
From the following list indicate the area in which you have an interest, in order to preference.
ACADEMICS E EXTRA- CURRICULAR S SPORTS ACTIVITIES
Accountancy Advertising Athletics
Art History Art galleries Basket Ball
Anthropology Archeology Badminton
Ancient Civilizations Banking Cricket
Business Administration Dramatics Football
Computer Science Film TV Journalism Gymnastics
Economics Fine Arts Horse Riding
Environmental Studies Gardening Hockey
International relations International Organizations Judo
Literature Interior Designing Karate
Languages Literary Activities Lawn Tennis
Mathematical Sciences Music and Dance Shooting
Natural Sciences Museums Table Tennis
Physical/Applied Sciences NCC/Scouts/Guides Volley Ball
Social Sciences Photography Physical Fitness
Undecided Social Service Any other

1…………………… 1…………………. 1………………….

2………………….... 2…………………. 2………………….
3…………………… 3…………………. 3………………….
DETAILS OF WORK EXPERIENCE

S.No. Name of Institution From To Position held Subjects and

Classes taught
Total 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)…………………………………………………………………….
………………………………………………………………………………………….

7. 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