Only asterisk (*) fields are mendatory |
| Institution * |
|
| Employee Id (If any) | |
| Designation * |
|
| Department * |
|
| Subject * |
|
| Salutation * |
|
| Name * | |
| Date of Joining (dd-mm-yyyy) | |
| Nature of Appointment |
|
| Teaching Experience as on 01/03/2024 (Months) | |
| Availability Status * |
|
| Gender * |
|
| Father Name | |
| Mother Name | |
| Primary Mobile * | |
| Secondary Mobile | |
| WhatsApp | |
| Emergency number for Contact | |
| Primary Email * | |
| Secondary Email | |
| Institutional Email | |
| Caste/Category |
|
| Caste Certficate No. | |
| Blood Group |
|
| Date of Birth (dd-mm-yyyy) | |
| Adhaar | |
| Nationality |
|
| Religion |
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| P.W.D. |
|
| P.W.D. Level |
|
| Marital Status |
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| Name of Spouse | |
| PAN Card Number | |
| Voter Card Number | |
| Ex-Service Man |
|
| Past Service |
|
| Heighest Qualification |
|
| Professional Qualification | |
| Specialization | |
| Date of Superannuation (dd-mm-yyyy) | |
| Rationalized Pay | |
| Academic Level |
|
| Whether Exempted Category |
|
| Bank Account Details |
| Bank Name | |
| Account No. | |
| IFSC Code | |
| Branch Name | |
| Address |
| Permanent Pin | |
| Permanent House No. | |
| Permanent Street Name | |
| Permanent Town Village | |
| Permanent Post Office | |
| Permanent District | |
| Permanent State | |
| Present Address Same as Permanent Address |
| Present Pin | |
| Present House No. | |
| Present Street Name | |
| Present Town Village | |
| Present Post Office | |
| Present District | |
| Present State | |
| Upload Documents |
| Photo | |  |
| Signature | | |
| Caste Certificate | | |
| P.W.D. Certificate | | |
| Photo of Spouse | | |
| Signature of Spouse | | |
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