Only asterisk (*) fields are mendatory

Institution *
Employee Id (If any)
Designation *
Department *
Subject *
Salutation *
Name *
Date of Joining (dd-mm-yyyy)
Nature of Appointment
Teaching Experience as on 01/03/2024 (Months)
Availability Status *
Gender *
Father Name
Mother Name
Primary Mobile *
Secondary Mobile
WhatsApp
Emergency number for Contact
Primary Email *
Secondary Email
Institutional Email
Caste/Category
Caste Certficate No.
Blood Group
Date of Birth (dd-mm-yyyy)
Adhaar
Nationality
Religion
P.W.D.
P.W.D. Level
Marital Status
Name of Spouse
PAN Card Number
Voter Card Number
Ex-Service Man
Past Service
Heighest Qualification
Professional Qualification
Specialization
Date of Superannuation (dd-mm-yyyy)
Rationalized Pay
Academic Level
Whether Exempted Category
Bank Account Details
Bank Name
Account No.
IFSC Code
Branch Name
Address
Permanent Pin
Permanent House No.
Permanent Street Name
Permanent Town Village
Permanent Post Office
Permanent District
Permanent State
Present Address Same as Permanent Address
Present Pin
Present House No.
Present Street Name
Present Town Village
Present Post Office
Present District
Present State
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Caste Certificate
P.W.D. Certificate
Photo of Spouse
Signature of Spouse