ANNIE BESANT SCHOOL (Affiliated to C. B. S. E. New Delhi) F-BLOCK, SHASTRI NAGAR, MEERUT APPLICATION FORM (Prescribed for the Recruitment of Staff) POST APPLIED FOR……………………………..…………….. NAME (IN BLOCK LETTERS)…………………………………………………………………………….. Date of Birth……………..…………………….. Father’s/Husband’s Name and Profession………………………………………………………………….. Office Address………………………………………………………………………………………………… Permanent Address (Resi.)…………………………………..………………………………………………. ……………………………………………………..………….Phone……………………..………………….. Local Address ………………………………………………………………………………………………… …………………………………………………………..…….Phone ……………..………………………… Nationality………………………………………. Marital Status……………..…………………… PERSONAL DETAILS : Name of the Head of the Family…………………………………….Occupation……………….……… Number of dependents of the candidate……………………….………………………………………… Give details of your family for which you are responsible : Sl. Name of the No. family Members 1. Age Occupation Relationship Educational Details Any-thing Extra 2. 3. 4. 5. 6. EDUCATIONAL QUALIFICATIONS Name of the Exam Board/ University High School Intermediate B.A./B.Sc./B.Com M.A./M.Sc./M.Com B.Ed./Nursery Training M.Ed. Any Other Qualifications Details of Co-curricular Activities1. 2. 3. 4. Year of Passing Division & Percentage Subjects DETAILS OF PROFESSIONAL EXPERIENCE Name of Institute Period of Stay Class/ Subjects Taught Reasons of Leaving 1. 2. 3. 4. Any special thing which you want to mentionGive name and address/phone of two references who are not your blood-relations:1. ………………………………………... ………………………………………..……… 2. ….……………………………………. ……………………………………………….. _____________________________ Signature of the Applicant DECLARATION : I declare that details mentioned above by me are true and genuine, if found false, I shall hold the responsibility. __________________________ Signature of the Applicant Note : Please attach the attested copies of the required documents. FOR OFFICE USE