KENDRIYA VIDYALAYA SANGATHAN

18, Institutional Area, Shaheed Jeet Singh Marg

New Delhi - 110602
RECRUITMENT OF POST GRADUATE TEACHERS IN KVS FOR THE YEAR 2011-2012

Registration Number : 21001639

SUBJECT OPTED IN POST CODE QUALIFICATION CATEGORY DATE OF BIRTH GENDER AGE AS ON
PGT CODE (GENERAL/
(DD/MM/YYYY) (Male/Female) YEAR MONTH DAYS
SC/ST/OBC)

COMPUTER SCIENCE 21 11 GENERAL 14/9/1988 FEMALE 22 2 16

(First Name) (Middle Name) (Last Name)
1 . Candidate Name PRAGATI TAYAL
2 . Father's/Husband's Name SATISH CHAND TAYAL

3. Choice of Examination City 4. Area Code (For remote area and Abroad)

I Preferrence II Preferrence if Yes,

YES/NO
Name of City City Code Name of City City Code Name of Area Code

DELHI 09 DEHARADUN 08 No NOTAPPLICABLE 00

5. Sub-Category
SUB-CATEGORY- I (Physically Challanged) If Physically Challenged, please SUB-CATEGORY-II
indicate whether Guide/Scribe is
Visually Hearing required at the Examination In Govt. Resident of State Of J&K
Locomotor/Orthopaedically KVS Regular
Challenged Challenged
challenged Centre (write : Yes/No) Regular (Domiciled During 1.1.80
Employee
Service to 31.12.89)
No No No No No No No

Ex-servicemen To be filled only if candidate himsellf/herself is Ex-Servicemen 6. Are you able to teach
through English & Hindi, both
Self Dependent Joining Date Retirement Date Total Service

No No ------ ------ ------ Yes

7. Candidate Address

Name : PRAGATI TAYAL

Father/Husband : SATISH CHAND TAYAL

Address : 339, PRAGAYA KUNJ, DAYANAND NAGAR, SHAMLI, DISTT-
MUZAFFARNAGAR (UP) Please affix one recent
photograph

City : SHAMLI

State : UTTAR PRADESH Pin Code : 247776

Contact Details : STD Code +91 Tel. No. 7503868988

Email ID. pragati14098872@gmail.com Mobile No. 9027641443
Signature of Candidate

8. Details of fee paid through Electronic Transfer

UTR No./Journal No. Date Name Of Bank Branch Address Branch Code Amount(Rs.)

0
 Registration Number: 21001639
9. Academic Qualification

Name of Aggregate marks

Examination Duration of
Name of Passed(write Year of
complete name of
Subjects Studied course (in Board / University
Examination passing Max. Marks Marks %age of
course passed as on months)
Obtained marks
30.11.2010)

Senior INTERMEDIATE 2004 500.0 306.0 61.20 HINDI,ENGLISH,HOME 12 ALLAHABAD

Secondary SCIENCE,ECONOMICS, UNIVERSITY UP BOARD
DRAWING
(Class-XII)
Graduation/ B.TECH 2010 4500 3168 70.40 Comp.Sc./IT UPTU
Diploma 36

Post
Graduation

Other if POLYTECHNIC 2007 2402 1081 78.30 COMPUTER SCIENCE 36 BTEUP

any(specify)

Note of Column 9:
(a) If code/numeral are indicated in the mark sheet in place of subject(s) studied, please attach necessary details for such de-codification along with Computer
Generated Application Form.

(b) If grades are given in lieu of marks, write equal percentage of marks in the relevant columns and attach the gradation list along with Computer Generated
Application Form.

10. Teaching Experience

A Separate Experience sheet is attached in next page (in case of any experience).
11. Permanent address

Name : PRAGATI TAYAL

Father/Husband : SATISH CHAND TAYAL Please affix one recent

Address : 339, PRAGAYA KUNJ, DAYANAND NAGAR, SHAMLI, DISTT- passport size
MUZAFFARNAGAR (UP) Photograph with
attestation

City : SHAMLI
State : UTTAR PRADESH Pin Code : 247776
*********************************************************************************************
DECLARATION TO BE SIGNED BY THE CANDIDATE
I hereby certify and declare that (i) I am an Indian National, (ii) I have read the provisions given in the Advertisement,(iii) All
statements made and information given by me in this application are true, complete and correct to the best of my knowledge and
belief. In the event of any information or part of it being found false or incorrect before or after the exam./interview or appointment,
action can be taken against me by the KVS and my candidature/appointment shall automatically stand cancelled/terminated, (iv) I
further declare that I fulfil all the conditions of eligibility regarding age,educational, professional qualifications, etc. prescribed for
the post applied for as on 30.11.2010. The essential qualifications prescribed are possessed by me, the proofs of which have been
enclosed, (v) In case my application is not received by KVS within the stipulated date due to postal delay or otherwise, KVS will not
be responsible for such delay, (vi) I will not lay any claim for refund of non-refundable application fee from KVS under any
circumstances.

Place :

Date : Signature of Candidate