DELHI PUBLIC SCHOOL
G. T .Road Jalandhar Cantt 144010
Ph No. 0181-2413436, 2413437
E- mail : info@dpsjalandhar.in
www.dpsjalandhar.in








               S.No.:-  0894

            Date:- 27 September 2020
 
ONLINE APPLICATION FORM
 
Post Applied For
PERSONAL INFORMATION
 
Name in block letters
Miss/ Mrs/ Mr 
Vacancy Photo



(size should be 3.5 cm * 4.5 cm in .jpeg,.jpg,.png format)
Date of Birth (In Figures)
Date of Birth (In Words)
Age (in years/ months/ days)
Contact Address with telephone number(s)
(including city code)
E–Mail Mobile
Place Of Birth Nationality
Marital Status
Details of Children
NAME SCHOOL AGE CLASS
Languages spoken at home
Name of father/ mother/ spouse
Address and telephone no.
Details of foreign travel Year
ACADEMIC INFORMATION
S.
NO.
QUALIFICATION DISCIPLINE/
SUBJECTS
NAME OF SCHOOL/
COLLEGE
NAME OF BOARD/
UNIVERSITY
YEAR OF PASSING % OF MARKS DIVISION
1
2
3
4
5
PROFESSIONAL QUALIFICATIONS
1
2
3
4
DETAILS OF SCHOLARSHIPS / AWARDS / HONOURS
DETAILS OF RESEARCH WORK / PUBLICATIONS
PROFICIENCY IN LANGUAGES (WRITE MOTHER TONGUE AT SERIAL NO. 1)
S.No LANGUAGE READ WRITE SPEAK
1
2
3
4
5
INTEREST
From the following list indicate the area in which you have an interest, in order of preference:-
ACADEMICS EXTRA CURRICULAR EXTRA CURRICULAR
Accountancy Advertising Athletics
Art History Art Galleries Basket Ball
Anthropology Archeology Badminton
Ancient Civilisations Banking Cricket
Business Administration Dramatics Football
Computer Science Film, TV, Journalism Gymnastic
Economics Fine Arts Horse Riding
Environmental Studies Gardening Hockey
International Relations International Organisations Judo
Literature Interior Designing Karate
Languages Literary Activities Lawn Tennis
Mathematical Science Music and Dance Shooting
Natural Sciences Museums Table Tennis
Physical/Applied Science NCC/Scouts/Guides Volley Ball
Social Studies Photography Physical Fitness
Undecided Social Service Any Other Recognised Game
1. 1. 1.
2. 2. 2.
3. 3. 3.
DETAILS OF WORK EXPERIENCE
S.NO. NAME OF INSTITUTION FROM TO POSITION HELD SUBJECTS & CLASS TAUGHT REASON FOR LEAVING
1
2
3
4
5
6
 
Total Experience (in years)
Teaching
Administration
Any Other
PARTICULARS OF PRESENT JOB
Name and Full Address of Present Organisation with Contact Numbers
 
Present Designation
Date of Joining
Present Place of Posting
Total Emoluments Salary Details : Basic
  Allowance
  Other Benefits
Are You under Service Bond
(If yes, give details)
Exact period after which you can join, if selected
 
OTHER INFORMATION
Seminars, Courses and Workshops attended
S.NO. SEMINAR / COURSE / WORKSHOP DURATION DATE DESCRIPTION
1
2
3
4
5
Name of three books recently read with Name of Authors
S.No. Name of Book. AUTHORS
1
2
3
Do you suffer from any major ailment / medical problems?
If yes, give details.
Have you ever been convicted by any court of Law or any Desciplinary proceeding /
Enquiry is pending against you or any penalty has been imposed upon you?
If yes, give details.
Give details of two references (other than relatives) in the field of education, or from members of the Delhi Public School Society.
NAME OCCUPATION ADDRESS (OFFICIAL) TEL. NO.
 
PERSONAL STATEMENT
Please write a two page account of yourself, your experiences and your interests, based on the following guidelines:Childhood Experiences,
Home Life, Educational and Professional Experiences, People who have influenced you, Hobbies and Future Goals.
Date: ................... Signature of Candidate .............
SELECTION COMMITTEE
 
MEMBERS
  1 2 3 4 5
Personality
Communication Skills
Subject Knowledge
Class Demo
Experience
Attitude
Remarks
Authorised Signatory....