TEACHER REGISTRATION


PERSONAL DETAILS

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  Name : *
  Father's Name :*  
  Mother's Name :*  
 Gender :*  
  Date of Birth (DD/MM/YYYY) :*  
Phone No. (with STD code) :  
  Mobile No. :*  
  Email ID :*    
  Residential Address :*
(District and Pin Code)		  
  Aadhar Number :*  
  PAN Number :*  
  Bank Name :*  
  Bank Branch Name :*  
  Bank A/C Number :*  
  IFSC Code :*  
       
  HighSchool Roll No:*    
  HighSchool Year:*    
  NET/Ph.D/ M.Ed/M.P.Ed/M.Phil/
MD/MS/MBA/MCA Roll No.:* :		 (necessary qualification at the time of appointment)  
  NET/Ph.D/ M.Ed/M.P.Ed/M.Phil/
MD/MS/MBA/MCA Year:*		    
 
INSTITUTIONAL DETAILS
  Name of the University :*   Faculty :*
    Name of college (District) :*   Department :* 
 
  Nature of College :*  
  Post Held :*    
  Nature of Appointment :*    
  Date of Appointment :*
  Appointment from the College (Letter No.):*
  Appointment from the College (Date):*
   
  Experience of Teaching UG Classes :* (in Years)
  Experience of Teaching PG Classes :* (in Years)
 
Experience
     
Designation    
College/Institute    
From     (DD/MM/YYYY)
To      (DD/MM/YYYY)
   
   
 
ATTACHMENTS
  Note : Upload Image (size below 1 MB) Only (.jpg |.jpeg|.png .gif)
   
Latest Photograph :*    
Signature :*    
Copy of Aadhar Card :*    
Copy of PAN Card :*    
PASS Book :*    
Affidavit :*      
Teacher Appointment Letter issued by College :*    
HighSchool Certificate :*      
NET/Ph.D/ M.Ed/M.P.Ed/M.Phil/
MD/MS/DM/Mch/MBA/MCA Certificate  :*  		    
   
   
    
Confirmation:
  Note: * Fields are Mandatory  

 
   


Jananayak Chandrashekhar University, Ballia, U.P.