Application Lect 20032015

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GOVERNMENT OF PUDUCHERRY
DIRECTORATE OF SCHOOL EDUCATION
Perunthalaivar Kamarajar Centenary Educational Complex, 100 Feet Road, Anna Nagar, Puducherry – 605 005

APPLICATION FOR THE POST OF LECTURER IN
GOVERNMENT HIGHER SECONDARY SCHOOLS - 2015
Note :
i) Read instructions before filling in the application
ii) To be filled in by the Candidate in BLOCK LETTERS
iii) Put √ mark against the relevant box wherever necessary iv) Self attested Copies of relevant certificates should be enclosed

DISCIPLINE APPLIED:
PUDUCHERRY & KARAIKAL
REGIONS
TAMIL

Affix a recent
passport size
photograph
attested by a
Gazetted Officer

MAHE REGION
COMMERCE
ECONOMICS

ENGLISH
HINDI
FRENCH
MATHS
PHYSICS
CHEMISTRY
BOTANY
ZOOLOGY
COMMERCE
HISTORY
ECONOMICS

1. Name of the Applicant

2. Father’s / Husband’s Name

3. Date of Birth

:

DD/MM/YY

..2/-

-2-

4. Age as on 20.04..2015 :
5. Sex

:

Years

Months

Male

Days

Female

6. Educational / Professional Qualifications :
Sl.
No.

Qualification

1.

Bachelor’s
Degree

2.

Post
Graduate
Degree

3.

B.Ed or B.T.

Month
& Year
of
passing

Name of
the
University

Total of
maximum
marks in
all
subjects

7. Main Subject in Bachelor’s Degree

:

8. Main Subject in Post Graduate Degree

:

Total
marks
obtained
in all
subjects

Number
of
attempt(s)

Percentage
of marks

9. Language Studied upto Secondary Level :
(S.S.L.C./ Matric)
10. Employment Registration Code No :

11. Date of Registration

:

D

D

M M

Y

Y

BACHELOR’S DEGREE :
POST GRADUATE DEGREE :
B.Ed/B.T :
Date of Last Renewal :

:

OTHERS

13. Whether Native / Resident of U.T.of Puducherry:

YES

12. Nationality

INDIAN

NO

..3/-

-3-

14. Religion

:

HINDU

MUSLIM

CHRISTIAN

OTHERS

15. Community /Category :

GEN

OBC

SC

PH

16. Address for Communication:

Pincode
Phone No
Mobile No....
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