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.