ANNEXURE-A-I NAVODAYA VIDYALAYAA SAMITI (BHOPAL REGION ) (AN AUTONOMOUS ORGANIZATION UNDER MINISTRY OF HUMAN RESOURCE DEVELOPMENT) DEPT. OF SCHOOL EDUCATION & LITERACY, GOVT. OF INDIA. A-1351-A, ALAKAPURI, GATE NO.02 BHOPAL 4620244 (M.P.) APPOINTMENT OF TEACHERS ON CONTRACT BASIS Application are invited from eligible candidates for empanelment of teachers on contractual basis for the academic session 2017-18 against purely temporary vacancies of Post Graduate Teachers (PGT s), Trained Graduate Teachers (TGTs) and Faculty-cum- of the States of System-Administrator (FCSA) at the Jawahar Navodaya Vidyalayas Madhya Pradesh, Chhatisgarh & Odisha. Last date of submission of application 15.06.2017. Application formats alongwith all other relevant details are available on the website of Navodaya Vidyalaya Samiti, Regional Office, Bhopal www.nvsrobhopal.com and on the websitee of Jawahar Navodaya Vidyalaya of the concerned vidyalaya (District website addressess and postal addresses of JNVs are available on the website of RO www.nvsrobhopal.com.) For furtherr details visit Navodaya Vidyalaya Samiti, Regional Office, Bhopal website nvsrobhopal.com. Sd/- DEPUTY COMMISSIONER I/c
ANNEXURE-D-1 JAWAHAR NAVODAYA VIDYALAYA Distt. APPLICATION FORMAT FOR PGTs & TGTs FOR EMPANELMENT OF TEACHERS PURELY ON CONTRACT BASIS FOR THE SESSION 2017-18 PART-I Application for the post of (on contract basis) Name Date of Birth : : Age as on 30.06.2017: Father/Husband s Name : Latest Passport size photo affix Full Correspondence Address: Vill; P.O. Teh. Distt. Pin code No. Contact Phone No. STD Code. Phone Nos. Mobile No. Category to which belong : : (Gen./SC/ST/PH/OBC/Navodaya Spouse) In case of Navodaya Vidyalaya Spouse, given full details : A. Name of spouse : B. Post Held & Place of Posting : C. EDUCATIONAL QUALIFICATION Sl.No. Qualifications Maximum secured % of marks obtained Weightage Whether the copy of marksheet & certificate produced 1. High School (Class 10 th ) Yes No 2. Intermediate +2 (Class 12 th ) Yes No 3. Graduation-B.A./B.Sc./B.Com./B.C.A./ B.E.) (Others please specify) 4. Post Graduation in the subject ( Mention subject) 5. B.Ed. ( Theory & Practical) Yes No 6. CTET conducted by CBSE Yes No 7. M.Ed./M.Phil./Ph.D. Yes No 8. Additional Qualifications, if any (Kindly enclose proof in respect of conversion of grades into marks.) Yes Yes No No
::2:: B. Non-Scholastic achievement : Sl.No. Activities 01 Representing National/SGFI in Sports and Games Attach copy of certificate 02 Representing State/University/Region in Sports and Games Attach copy of certificate 03 Representing Distt. In Sports and Games Attach copy of certificate 04 NCC C / B / A Certificate Attach copy of certificate 05 NCC Attach copy of certificate 06 Scout & Guide President award/government Award/Tritiya Attach copy of certificate Sopan 07 Certificate of performance awarded by Govt. Institution in Attach copy of certificate Art/Music/Literature at National Level 08 Certificate of performance awarded by Govt. Institution in Attach copy of certificate Art/Music/Literature at State Level 09 Teaching experience in day school/residential Attach copy of certificate C. SUBJECT COMBINATION AT GRADUATION (only for TGTs) Course of study Subject Studied Ist Year IInd Year IIIrd Year Total %age of obtained Subject Studied %age of obtained Subject Studied %age of obtained obtained (all year together) Maximum allowed (all year together) Remarks 1 Attach copy of mark sheet 2 of B.Sc./B.A.- I, II & III 3 D. TEACHING EXPERIENCE: S.No. Name of organization (School/College) Whether Govt. or Govt. aided school Whether Residential or day school Class(es) taught Pay scale or consolidated remuneration Nature of appointment regular/contract /part time Period of Experience Possessed From To Completed Year (s) of experience
::3:: UNDERTAKING (i) (ii) Certified that the information given above is correct and true. If any discrepancy is found, my candidature may be rejected and I shall have no claim for selection. I am willing to accept the offer of appointment in any of JNVs of Bhopal Region (MP/CG/Orissa). Date : Signature of the candidate with name Place : For office use Verified the Original documents and found in Order / *Shortcomings observed if any. Sl.No. Nature of Shortcoming Remarks Signature of verifying officer with name & designation Signature of the Member Secretary of the Selection Committee with name & designation ANNEXURE-D-2
JAWAHAR NAVODAYA VIDYALAYA Distt. APPLICATION FORMAT FOR FCSAs FOR EMPANELMENT OF TEACHERS PURELY ON CONTRACT BASIS FOR THE SESSION 2017-18 Application for the post of (on contract basis) PART-I Name Date of Birth : : Age as on 30.06.2017: Father/Husband s Name : Latest Passport size photo affix Full Correspondence Address: Vill; P.O. The. Distt. Pin code No. Contact Phone No. STD Code. Phone Nos. Mobile No. Category to which belong : : (Gen./SC/ST/PH/OBC/Navodaya Spouse) In case of Navodaya Vidyalaya Spouse, given full details : A. Name of spouse : B. Post Held & Place of Posting : C. EDUCATIONAL QUALIFICATION Sl. Qualifications No. Maximum secured % of marks obtained Weightage Whether the copy of marksheet & certificate produced 1. High School (Class 10 th ) Yes No 2. Intermediate +2 (Class 12 th ) Yes No 3. Graduation-DCA with Graduation B.C.A./B.Tech./B.E./B.Sc(Com.Sc.) Graduation with PGDCA* 4. Post Graduation in Computer related subject ( Mention subject)---------------------------------- 7. Additional Qualifications, if any Grad.- PGDCA- Total 1.Kindly enclose proof in respect of conversion of grades into marks. Grad.- PGDCA- Total Grad.- PGDCA- Total 2. * weightage is to be calculated after adding the marks secured in Graduation & pgdca Yes Yes Yes No NO No B. Non-Scholastic achievement : ::2::
Sl.No. Activities 01 Representing National/SGFI in Sports and Games Attach copy of certificate 02 Representing State/University/Region in Sports and Games Attach copy of certificate 03 Representing Distt. In Sports and Games Attach copy of certificate 04 NCC C / B / A Certificate Attach copy of certificate 05 NCC Attach copy of certificate 06 Scout & Guide President award/government Award/Tritiya Attach copy of certificate Sopan 07 Certificate of performance awarded by Govt. Institution in Attach copy of certificate Art/Music/Literature at National Level 08 Certificate of performance awarded by Govt. Institution in Attach copy of certificate Art/Music/Literature at State Level 09 Teaching experience in day school/residential Attach copy of certificate C. TEACHING EXPERIENCE: S.No. Name of organization (School/College) Whether Govt. or Govt. aided school Whether Residential or day school Class(es) taught Pay scale or consolidated remuneration Nature of appointment regular/contract /part time Period of Experience Possessed From To Completed Year (s) of experience UNDERTAKING (j) (ii) Certified that the information given above is correct and true. If any discrepancy is found, my candidature may be rejected and I shall have no claim for selection. I am willing to accept the offer of appointment in any of JNVs of Bhopal Region (MP/CG/Orissa). Date : Signature of the candidate with name Place : For office use Verified the Original documents and found in Order / *Shortcomings observed if any. Sl.No. Nature of Shortcoming Remarks Signature of verifying officer with name & designation Signature of the Member Secretary of the Selection Committee with name & designation