Instructions

1. You are requested to fill in this application form containing Page 2-5 clearly in your own handwriting.
2. Do not attach any certificate with this application form.
3. Submission of any false information will make you liable for summary rejection at the time of interview or if
appointed, termination of service without notice.
4. In the column for academic information , please fill in only recognised and completed qualifications.
 DELHI PUBLIC SCHOOL MRPL MANGALORE

DELHI PUBLIC SCHOOL Affix a recent

passport size

MRPL MANGALORE photograph in

this space

1. Application for the Post of : TGT PRT Adm. Staff

2. Subjects sought to be taught : ____________________________________________________

3. Name ( in block letters) : Ms/ Mr _______________________________________________________

4. Date of birth(dd/mm/yy) : _______________( in words) ___________________________________

5. SC/ST/OBC/Gen/ Any other : __________________________________________________________

6. Marital status : ______________________ 7. Number of children : ___________________

8. Address:

Permanent : __________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

Correspondence :______________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

9. Mobile Number : ___________________________ Email : ___________________________________

10. Father’s/ Husband’s Name: ____________________________________________________________

Occupation: ______________________________ Tel : ________________________

2|Page TEACHERS APPLICATION FORM

 DELHI PUBLIC SCHOOL MRPL MANGALORE

11. Academic Qualification:

Year of % of
Qualification Board/University Subjects Division
Passing Marks

Class X
(or equivalent)
PUC/Class XII
(or equivalent)

Degree

Prof.Qualification
(B.Ed./______)

Post Graduation

Any Other

12. Details of Work Experience:

Name of the Institution From To Position held Subjects &

Classes taught

______________________ _________ _________ _____________ __________________

______________________ _________ _________ _____________ __________________
______________________ _________ _________ _____________ __________________
______________________ _________ _________ _____________ __________________
______________________ _________ _________ _____________ __________________
______________________ _________ _________ _____________ __________________

Total Experience ( in years) : ____________________________________________________________

Particulars of Present/last job

Name of the organization: __________________________________________________________________
Address: __________________________________________________________________________________
Telephone: _____________________________ Email _____________________________________________
Designation: ___________________________ Date of joining: ____________________________________
Total emolument: _______________________Breakup of emolument: Basic:_____________________
Allowance:____________________
Other benefit: ___________________

3|Page TEACHERS APPLICATION FORM

DELHI PUBLIC SCHOOL MRPL MANGALORE

13. Additional Responsibilities Held

______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

14.Seminars and Courses Attended

Seminar/Course Date Description

_____________________________ _________ _________________________________________

_____________________________ _________ _________________________________________

_____________________________ _________ _________________________________________

_____________________________ _________ _________________________________________

15. Proficiency in languages

Language Read Write Speak

____________________ _____________ _____________ _____________

____________________ _____________ _____________ _____________

____________________ _____________ _____________ _____________

____________________ _____________ _____________ _____________

16. Achievements : Co-Curricular/ Sports/ Games/ Outdoor Activities

________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________

17. Names of recently read books

Title Author(s)

1. __________________________________ __________________________________

2. __________________________________ __________________________________

4|Page TEACHERS APPLICATION FORM

DELHI PUBLIC SCHOOL MRPL MANGALORE

18. Do you suffer from any major ailment/medical problem? Yes/No

If yes, give details:_________________________________________________________________
__________________________________________________________________________________

19. Have you ever been convicted by any court of law or any disciplinary proceeding
/enquiry is pending against you or any penalty been imposed on you? Yes/No

If yes, give details:__________________________________________________________________

____________________________________________________________________________________

20. Give details of two references ( other than relatives) in the field of education

Name Designation Address ( official) Phone

________________ ________________ ______________________________________

________________ ________________ ______________________________________

21. Write a paragraph about Yourself. You may include your life experiences that have
shaped your life, your hobbies and future goals.
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________

I hereby certify that the information provided above is true and to the best to my
knowledge and belief. If any information is found to be false/incorrect it will disqualify
my continuation in Delhi Public School, MRPL, Mangalore.

Signature of Candidate Date

Place

5|Page TEACHERS APPLICATION FORM