HIMACHAL PRADESH BOARD OF SCHOOL EDUCATION DHARAMSHALA-176213 FORM OF APPLICATION FOR APPOINTMENT AS SUPERINTENDENT/ DY.SUPERINTENDENT FOR VARIOUS BOARD EXAMINATIONS. BIO - DATA 1. Name:________________________________________________________________ 2. Designation(i.e. Lecturer/TGT/C&V:________________________________________ 3. Academic Qualification:__________________________________________________ 4. Name of the present School:_______________________________________________ With Pin code No., Telephone No. Teh.___________ Pin Code No.________ & Teh. Telephone No. ______________________ (With Code) 5. Permanent Home Address:_________________________________________________ _________________________________________________ 6. Date of Birth :___________________________________________________________ 7. Name of previous schools__________________________________________________ if transferred within _______________________________________________________ previous three years Date of Regular Teaching Experience Appointment 8. Teaching Experience:(as Lect/TGT/C&V) 1. As Lecturer:-__________ _________________ 2. As TGT __________ _________________ 3. As C&V ___________ __________________ Total Experience: _______________________ 9. Whether you have performed Centre the duty of Centre Supdt./ Supdt. 1. Centre_____________ Year ______ Deputy Supdt. at your own or School or other Centre in the Dy. Supdt. 2.Centre ____________ Year ______ Previous year, if so mention the Name of Centre and year. 10. Choice of Centre. 1.______________________2._______________________ (Centre Supdt/Dy.Supdt. 3._____________________ 4._______________________ 5.______________________ 11. If any relative appearing ___________________________________________________ then indicate relationship, __________________________________________________ name of Examination and Centre. 12. Centre of Examination, where the candidates____________________________________ of your school appearing: I declare that the particulars given above are correct. COUNTERSIGNED ( Signature of the Applicant) Principal/ Headmaster Dated:________________ (with official stamp) Downloaded from http://hpeducationboard.nic.in Page 1 of 1
