APPLICATION FORM FOR FACULTY

(KOTA, JAIPUR AND AJMER)

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Subject Applied For Physics/ Mathematics/ Organic

(Tick as Applicable) : / Inorganic/ Physical
Name :

Gender : Male/Female

Date of Birth(dd/mm/yyyy) :
Father’s Name/ Husband’s Name :
Marital Status : Married/Single
Address :

City :
State :
PIN :
Residence Tel. No. (with STD code) :
Mobile No. (If any) :
E-mail :

Academic Performance:
Name of Year of University/Board Degree/Certificat Discipline %age CGPA
Institution Passing e
PG
UG
XII
X
Other(Pl.
specify)

Teaching Experience (Starting from Present Job):

Name of Institution From To Post Held Avg. Medium Salary
(MM/YYYY) (MM/YYYY) Batch Drawn
per day

2-K-15, Vigyan Nagar, KOTA – 324005 (Raj.) INDIA. Tel.: (0744) 2421097, 2423738 Fax: 2436779
Email: admin@bansaliitjee.com Website : www.bansaliitjee.com
Expected Salary (P.A.): ________________________

DECLARATION

I hereby declare that the above given information is true to the best of my knowledge.

Date : __________

Place : _________ Signature : _____________

Mailing Address:
BANSAL CLASSES PVT. LTD., 2-K-15, Vigyan Nagar , KOTA, Rajasthan – 324005
Tel : 0744 – 2421097, 0744 – 2423738, Fax : 0744 – 2436779
Website : www.bansaliitjee.com, E-mail : admin@bansaliitjee.com

2-K-15, Vigyan Nagar, KOTA – 324005 (Raj.) INDIA. Tel.: (0744) 2421097, 2423738 Fax: 2436779
Email: admin@bansaliitjee.com Website : www.bansaliitjee.com