Application Form For Faculty

APPLICATION FORM FOR FACULTY (KOTA, JAIPUR AND AJMER)

Affix latest Colored Passport size photograph

ALL ENTRIES MUST BE IN CAPITAL LETTERS Subject Applied For Physics/ Mathematics/ Organic (Tick as Applicable) : / Inorganic/ Physical Name : Gender : Male/Female Date of Birth(dd/mm/yyyy) : Father’s Name/ Husband’s Name : Marital Status : Married/Single Address : City : State : PIN : Residence Tel. No. (with STD code) : Mobile No. (If any) : E-mail : Academic Performance: Name of Year of University/Board Institution Passing PG UG XII X Other(Pl.

Degree/Certificat e

Discipline %age

CGPA

specify)

Teaching Experience (Starting from Present Job): Name of Institution From To (MM/YYYY)

(MM/YYYY)

Post Held

Avg. Batch per day

Medium

2-K-15, Vigyan Nagar, KOTA – 324005 (Raj.) INDIA. Tel.: (0744) 2421097, 2423738 Fax: 2436779 Email: [email protected] Website : www.bansaliitjee.com

Salary Drawn

Expected Salary (P.A.): ________________________ DECLARATION I hereby declare that the above given information is true to the best of my knowledge. Date : __________ Place : _________

Signature : _____________

Mailing Address: BANSAL CLASSES PVT. LTD., 2-K-15, Vigyan Nagar , KOTA, Rajasthan – 324005 Tel : 0744 – 2421097, 0744 – 2423738, Fax : 0744 – 2436779 Website : www.bansaliitjee.com, E-mail : [email protected]

2-K-15, Vigyan Nagar, KOTA – 324005 (Raj.) INDIA. Tel.: (0744) 2421097, 2423738 Fax: 2436779 Email: [email protected] Website : www.bansaliitjee.com