Submission Date :

* = Mandatory Fields TGT = Trained Graduate Teacher PGT = Post Graduate Teacher

Personal Details:

Post applied for*	Supervisor Receptionist TGT PGT Primary Pre-Primary Special Educator Music Teacher Games Teacher Lab Assistant Librarian Accountant HR Assistant Office Assistant House Keeping	Did you apply for a job earlier in MCKV?*	No Yes
Subject to be taught		Class to be taught
First Name *		Middle Name		Last Name
Father First Name*		Middle Name		Last Name
Date of birth*		Age*
Sex	Male Female	Marital Status	Unmarried Married Widow Divorce	Marriage Date
Religion	Hinduism Islam Jainism Sikhism Buddhism Christianity	Blood Group	A+ A- B+ B- AB+ AB- O+ O-	Nationality

Spouse Detail:
Spouse First Name		Middle Name		Last Name
Qualification		Occupation		Phone No.
Work Address				How long working there
Details of Children:
Sl.	Name	Age	Gender	School / College (If Studying)
1.			Select Male Female
2.			Select Male Female
3.			Select Male Female
4.			Select Male Female

Present Address

Address Line1*
Address Line2
City / District*		Zip*		State:		Country:

Present address is same as Permanent address

Permanent Address

Address Line1*
Address Line2
City / District*		Zip*		State:		Country:

Mobile*

Email*

Phone(O)

Phone(R)

What other subjects can you teach:

Upto Class 4	Upto Class 8	Upto Class 10	Upto Class 12

Academic Qualification

B.Ed	Select One Yes No
Institution	College/university	Year	Subject	Marks(%)	Remarks

MONTESSORI/T.T.C	Select One Yes No
Institution	College/university	Year	Subject	Marks(%)	Remarks

Post Graduation	Select One Yes No
Degree	Institution	College/university	Year	Subject	Marks(%)	Remarks

Graduation	Select One Yes No
Degree	Institution	College/university	Year	Subject	Marks(%)	Remarks

Class XII	Select One Yes No
Stream	Institution	Board	Year	Subject	Marks(%)	Remarks
Science Commerce Arts

Class X	Select One Yes No
Institution	Board	Year	Subject	Marks(%)	Remarks

Others Qualification (Start from latest)

Sl No.	Degree/ Certificates	University/ Board/ institution	Subject	Marks(%)	Year	Remarks
1
2
3

Work Experience (Start from latest)

Total Work Experience in years:			Teaching		Administration			Any Other

Sl No	School/Institution	Address	Designation	Class Taught	Subject Taught	Work profile	From (dd/mm/yyyy)	To (dd/mm/yyyy)	Salary Drawn
1
2
3

Special Achivements

References (other than your relatives, If any)

Sl No	Name	Organisation	Designation	Phone	Mobile	Email
1
2

Declaration

I hereby declare that all statements made in this application are true, complete and correct to the best of my knowledge and belief. I understand that in the event of any information being found untrue or incorrect at any stage, my candidature is liable to be cancelled.

SUBMIT