KENDRIYA VIDYALAYA SANGATHAN

18, Institutional Area, Shaheed Jeet Singh Marg

New Delhi –
110602

RECRTUIMENT OF TRAINED GRADUATE TEACHERS, MISCLLAENOUS TEACHING POSTS

AND PRIMARY TEACHERS IN K.V.S. FOR THE YEAR 2011-2012

Important Notes: (i) Before filling this Form, read the instructions carefully. (ii) All entries should be made in
capital letters

POST APPLIED POST CATEGORY DATE OF BIRTH GENDER AGE AS ON 30.11.2010

SUBJECT OPTED
(TGT/LIB/PRT) CODE (GEN/SC/ST/OBC DAY MONTH YEAR (Male/Female) DAYS MONTH YEAR
)

1. Candidate's Name (in capital letters) (please keep one box blank between name, middle name & sur name)

2. Father's/Husband's Name (in capital letters) (Please tick mark (√ ) in the appropriate box) Father Husband

3. Choice of Examination City 4. Area Code (For remote Area and Abroad)
st nd
1 Preference 2 Preference if
YES/NO
Name of City City Code Name of City City Code Name ofYes,
Area Code

5. Sub-Category (please tick mark () in the appropriate box)

SUB–CATEGORY – I (Physically If Physically
IfChallenged)
Physically Challenged, mark the appropriate Challenged,
column
Locomotor/ please indicate
Visually Hearing whether
Orthopadecally
Challenged Challenged Guide/Scribe is required
Challenged
at SUB CATEGORY – II (please tick mark ( ) )
the Examination KVS In Govt. Resident of
Centre Regular Regular State Woman
(write: Employee Service of J&K (Domiciled
Yes/No) During 1.1.80 to
Ex-Serviceman 31.12.89)
(please tick mark ())
Self Dependent

To be filled only if candidate

himself/herself 6. Pos Subject Post Qualification
t Opted Code Code
is Ex-
Joining Date Retirement Total Service (TGT/LIB/PRT)
Date

7. Details of fee paid through Electronic Transfer

UTR No./ Journal No. Dat Name of Bank Branch Address Branch Code Amount
(Rs.)
e

(Candidates should attach copy of the Pay-in- Slip/Challan in Original received from the Bank)

8. Candidate Address (in capital letters)

NAME :
FATHER/HUSBAND NAME:
ADDRESS : Please affix one recent
: Photograph w ithout
attestation
TOWN/CITY :
DISTRICT :
STATE : PIN

Contact Details: STD Code: Tel. No. :

Email ID: Mobile No:
Signature of Candidate 
 -2-
9. Academic Qualification (starting from class
th
10 )
(Please give information as applicable. Attach separate sheet if columns are insufficient)
Name of Name of Examination Year of AGGREGATE MARKS % age in Subjects/ Duratio Board/
Examination Passed (write complete Passing Max. Marks %age of subject Qualification n University
name of course passed Marks Obtained marks applied (Code) of
as on 30.11.2010) course
Matriculation
(Class X)

Senior
Secondary
(Class XII)

Graduation/
Diploma

Post
Graduation

Other if any,
(Specify)

10. Professional Qualification

Name of Name of AGGREGATE MARKS

Year of Subjects Duration of Board
Examination Examination Max. Marks %age of course
Passed (write complete Passing Marks Obtained marks
Studied (in months)
/
name of course passed University
JBT/ B.El.Ed.

B.Ed

M.Ed/Ph.D.
/ M.Phil

Others if any
(Specify)
11. Candidates applying for TGT-Mathematics, TGT-Science or TGT-Social Studies must have studied subject
combinations
as per essential qualification in Graduation/Degree Course. The details of subject combinations studied and
percentage of marks obtained must be filled in the following columns. In case the details are not provided, the
application will be summarily rejected.

Ist IInd year IIIrd year IVth year Total Maxi

Post Course of year marks mum
Applied study subjects % age of obtaine Marks
Subjects %age of Subjects %age of Subjects % age of studied Marks d allowed
Studied Marks Studied Marks Studied Marks obtained
obtained obtained obtained