Jhalaria, Bypass Road, Indore - 452016, Madhya Pradesh, India

Ph: 9111104781 / 82, 9644733315 / 16, Email: info@shishukunjindore.in, www.shishukunj.in
CBSE Affiliation No. 1030239
Educator form number: EAF/00025

Educators Application Form

Classes Applied for
Click to Add Class and Subject (Max 4)

Father's Details

Spouse's Details


Information About Children

Name Age School / College Class / Year City

Educational Qualification

Senior Secondary/Higher Secondary

Examination Year Subject Grade / Percentage School / College City






College or University

Degree Year Subjects Grade / Percentage College / University City






Professional Qualification

Qualification Name of Institution City From To

Professional Details

Professional Experience

Institution/ Organization City Subject Taught Grades/ Classes Curriculum From To

Present Employment


If you have held your present appointment for less than one year please describe your previous appointment in as much details as possible on a Word Document and upload.

Name the relevant game below the level played at:

Intra School Inter School District Level State Level National Level International Level

Details of honours and scholarships during educational career:

Details of honours in sports/extracurricular activities, during school college:

Details of practical training undergone during educational career:

Organisation Training Tenure Training Details

Details of any original papers / thesis presented by you:

Membership of professional institutes / associations:

Name of Associations Date (from) Nature of Membership

Details of short term training undergone in area of professional activity (During last 3 years)

Course Title Organisation / Institution Date

Present Pay Scale

Basics:
+DA:
+Perks:
=Total:

References (Mandatory)

Give below name of referees not related to you whom we may contact. At least one should be holding a responsible position in your line of occupation. If fresh from college, give name of your Principal/ Professor.

Particulars of Referee Referee 1 Referee 2 Referee 3
Name
Designation
Occupation
Mobile No.
Landline No.
Email id.
Name of Organisation
Address Line 1
Address Line 2
City & State
Pin Code

Undertaking

I hereby certify that the particulars furnished above are correct to the best of my knowledge. All information provided is authentic and if proven to be false or concealed; my service is liable for termination without any notice or compensation.

I shall furbish the following if selected

1) Attested copies of Degrees Certificates / Testimonials (Original to be brought for verification during interview)

2) Medical Certificate from a Registered Medical Practitioner

3) Experience certificate from the last employer

Travel Expenses to be borne by me uniess intimated & specified otherwise by the school in written.