Application Form

Application Sr. No:
(Not to be filled by applicant)
NOIDA & GREATER NOIDA EDUCATIION SOCIETY
Administrative Office, Sector-6, New Okhla Industrial Development Authority,
Gautam Budh Nagar U.P. 201301
Please affix on
recent Photograph
without attestation
Application form for the post of Principal/Education Officer
Post Applied for:________________________________
CATEGORY
(UR/SC/ST/OBC)
DATE OF BIRTH
DAY
MONTH
GENDER
(MALE/FEMALE)
MARITAL
STATUS
YEAR
AGE AS ON 01.04.2015
DAY
MONTH
1. Candidate’s Name (Please keep one box blank between name, middle name & surname)
2. Father’s /Husband’s name (Please tick in the appropriate box) Father:
3. Candidate Present Address (Correspondence)
S
P
T A T E
I N C O D E
4. Candidate Permanent Address
S T A T E
P I N C O D E
Mobile No:
Email id:
Signature of Candidate:
Husband:
YEAR
5. Academic Qualification (Starting from class 10th)
Name of exam
Year of
passing
Aggregate Marks
Max.
Marks
Marks
Obtained
subject/
specialization
Duration of
course
Name of
Board/ Univ.
%age of
marks
Matriculation
(Class X)
Senior Secondary
(Class- XII)
Graduation
#
Post Graduation
Other if any
(Specify)
Note: # Not to be filled.
6. Professional Qualifications:
Name of exam
Year of
passing
Aggregate Marks
Max.
Marks
Marks
Obtained
%age of
marks
Subject
/specialization
Duration of
Course
Name of
Board/Univ
1. If code/numerical are indicated in the marks sheet In place of subject(s) studies, please attach
necessary details for such de codification.
2. If grades are given in lieu of marks, attach the gradation list with your mark sheet.
7. Experience (attach separate sheet, if required)
Post Held
Organization
Govt./
Govt.
Funded/
Private
Period of Service
From
To
Duration of
service
No. of No. of
year
Months
Signature of Candidate:
Pay
Scale
Grade
Pay
Total gross
Salary
DECLARATION TO BE SIGNED BY THE CANDIDATE
I hereby certify and declare that all the statements made and information given by me in
this application is true, complete and correct to the best of my knowledge and belief. In the event
of any information or part of it being found false or incorrect before or after the interview or
appointment, action can be taken against me by the competent authority and my
candidature/appointment shall automatically stand cancelled /repatriated/terminated.
(Signature of Candidate)
Place:
Date: