Scheme Of National Award To Teachers - New Delhi Department Of School Education And Literacy Page 15
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1911. Permanent address with Pin code No.:
_____________________________________
12. Whether the school is Primary/
_____________________________________
Secondary/Sr. Secondary:
13. Academic Qualification:
Examination
University
Year
% of marks
Subjects
Passed
Board/
obtained
Department
14. Total Service with date
:
Total Service
of joining as teacher
________years__________months
Date of joining as teacher_____________
SERVICE RECORD
Name of the
Level:
Total
Period of
Subject(s)
Classes
Results at
Any other
Institution(s)
Primary/
enrolment
service with
taught
taught
Public
respos-
Second-
designation
or
ibility
ary/Sr.
(Exact dates
Annual
dischar-ged
Sec.
to be
Examin-
Etc.
indicated)
aion(s)
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
15. Total experience (mention teaching
Period
Experience of recognized schools
From
To
Only.
Teaching:
Administrative:
Other:
____________________________________Total:___________________________________
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