Application Lect 20032015
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.
DECLARATION
I have carefully read the instructions contained in the prospectus. I hereby declare that the information furnished above by me is true and correct to the best of my knowledge and I
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.
DECLARATION
I have carefully read the instructions contained in the prospectus. I hereby declare that the information furnished above by me is true and correct to the best of my knowledge and I