BRANCH
POST               
SUBJECT
 
    JABALPUR DIOCESAN EDUCATIONAL SOCIETY   
    1, Shakti Marg, Cantt, Jabalpur  
    PHONE: 0761-2620093, EMAIL:principalstaloysius@ymail.com  
  www.staloysiusjabalpur.edu.in  
  Registration form for Online Application  
  (Staff Recruitment)  
  (USE BLOCK LETTERS ONLY)  
 

 
      

    
     
   Please
    affix recent
    coloured passport
    size photograph
                  
     
This form duly filled should be submitted in the school office on or before 04/02/2023. A formal application is to be submitted with the photo copies of the Original documents alongwith this application form.    
     
First Name Middle Name Last Name
Father's/Husband's Name
Father's/Husband's Occupation
Date of Birth MM/DD/YYYY        Gender           
Address(in full)                                  
Contact No.                       Mobile No.
Email Id Religion
Languages Known Category
Marital Status     
No.of Children,Age,Class &School     
QUALIFICATIONS  (Secondary onwards)
 
EXAM
PASSED

% NAME OF
BOARD/UNIVERSITY
REGULAR/
CORRESPONDENCE
YEAR OF
PASSING
MEDIUM MAIN
SUBJECTS
         
           
           
COMPUTER LITERACY  
SR.NO. Course Name of Institute Recognised by Duration(in Months) Year of Passing
         
           
EXPERIENCE DETAILS
Name of Institution/Organisation Nature of Duties Duration(in Months)
     
EXPERIENCE SUMMARY (in years)
as P.R.T. as T.G.T. as P.G.T. TOTAL
PARTICULARS OF PRESENT JOB
 
i)Name of Organization
ii)Full Address
iii)Contact No.
iv)Designation
v)Salary
vi)Day & Date of Joining
vii)Reason for Leaving

Additional Information(if any)

i) Qualifications
ii) Training
iii) Experience
iv) Research
v) Publications
--HOW MUCH  NOTICE PERIOD WOULD YOU REQUIRE TO JOIN ?                              
--PRESENT SALARY DRAWN
--EXPECTED SALARY
--HOW WOULD YOU LIKE TO CONTRIBUTE TOWARDS THE DEVELOPMENT OF THE SCHOOL?Give your views.
TWO REFERENCES  
Name                                                 Occupation                                       Address(Official)                             Tel.No.                                           
EXTRA CURRICULAR ACTIVITIES :
                 I solemnly declare that the statements made by me in this form are correct to the best of my knowledge and belief.
  Date :     -----------------------------
( Signature of Applicant )
     
      ~~~IMPORTANT INFORMATIONs~~~