BCM SCHOOL
A Senior Secondary School, Affiliated to CBSE, New Delhi
AFFILIATION NO. 1630149
SECTOR 32-A, URBAN ESTATE, CHANDIGARH ROAD, LUDHIANA.
SCHOOL CODE PHONE : 0161 – 2225133, 3231871
NO . 04712 FAX : 0161 – 2681033
APPLICATION FORM
INSTRUCTIONS GRADE APPLIED FOR
(Please tick the appropriate)
You are requested to fill in this application form in your PRT TGT
handwriting. Paste a
Do not attach any certificate with this application form. PGT OTHER passport size
Submission of any false information will make your colour
liable for summary rejection at the time of interview, or photograph here
if appointed, termination without notice. SUBJECT APPLIED FOR
In the column for academic information, please fill in
only recognized and complete qualifications. ____________________
PART – A : RESUME
PERSONAL INFORMATION
Name In BLOCK Letters
Ms./Mr
Date of Birth
_______________________________________________________________________________
In Word
Age ____ Years____ Months ____ Days Aadhaar No. : _______________________________
On the date of application
Contact Address _______________________________________________________________________________
_______________________________________________________________________________
Telephone No(s) E-mail ________________________________________
Place of Birth _______________________________ State _________________________________________
Nationality _______________________________ Marital Status __________________________________
Children Name Gender Age in Years
i. ____________________________________ ________ ____________
ii. ____________________________________ ________ ____________
iii. ____________________________________ ________ ____________
Name & Occupation Name Occupation
Father _______________________________ _______________________________
Mother _______________________________ _______________________________
Spouse _______________________________ _______________________________
Specify whether spouse
Yes No
Job is transferrable
Office Address &
Telephone No.(s)
Father __________________________________________________ Tel _________________________
Mother __________________________________________________ Tel _________________________
Spouse __________________________________________________ Tel _________________________
ACADEMIC/PROFESSION QUALIFICATIONS
Qualification Discipline/ School/ Board/ Year of Percentage Division Regular/
Subject College University Passing of Marks Correspondence
High School/
10th
Inter/ +2
Graduation
Post
Graduation
B.Ed.
CTET/ TET
Any Other
CTET TET
DETAILS
Scholarship/Awards/ Honours
_______________________________________________________________________________
Research Work/ Publication
_______________________________________________________________________________
Co-curricular Activities
_______________________________________________________________________________
Sports/Games/ Outdoor Activities
_______________________________________________________________________________
Proficiency in Language Language Read Write Speak
i. ____________________________________
ii. ____________________________________
iii. ____________________________________
Proficiency in Computer Do you have internet connection at home? Yes No
Do you regularly work on a computer? Yes No
If yes, what software can you use proficiently?
________________________________________________________________________
How frequently do you access your email? _____________________________________
WORK EXPERIENCE
Name of Institution From To Subject Taught Class Taught
Total Experience Year ______ Month ________ Teaching Year ______ Month ________
Administration Year ______ Month ________
PARTICULAR OF PREVIOUS JOB
Name and full address of present/ last organization
___________________________________________________________________________________________
Contact Numbers _____________________________ Previous/ Present Designation _____________
Date of Joining _____________________________ Place of Posting _________________________
Total Emoluments _____________________________ Basic __________________________________
Allowance _____________________________ Other Benefits ___________________________
Were you under service bond? (if yes, give details)
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
OTHER INFORMATION
Foreign Travel details Destination _____________________________________ Year ______________
Seminars and courses attended _____________________________________ ___________________
Name of three books recently read with names of authors
Title Author(s)
i. _____________________________________ ___________________
ii. _____________________________________ ___________________
iii. _____________________________________ ___________________
Do you suffer from any major ailment/ medical problem? Yes No
If yes, give details ___________________________________________________________
___________________________________________________________
Have You ever been convicted by any court of law or is
may disciplinary proceeding/ enquiry pending against Yes No
you or has penalty been imposed on you?
If yes, give details ___________________________________________________________
___________________________________________________________
Give details of two references (other than relatives in the field of education)
Name ______________________________ __________________________
Occupation/Designation ______________________________ __________________________
Address (Official) ______________________________ __________________________
Email ______________________________ __________________________
Telephone ______________________________ __________________________
Is any member of your family employed in any BCM? Yes No
If yes, give details
Name ______________________________ __________________________
Relation ______________________________ __________________________
Location of branch ______________________________ __________________________
How did you come to know about job opening in BCM (tick appropriate)
Newspaper BCM Teacher Parents of BCM Website Others
If other, please specify __________________________________________________________________
PART – B GETTING TO KNOW YOU
Describe yourself as a person, what are your strengths and weaknesses?
_________________________________________________________________________________________________
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Given a chance, what would you like to work upon – your strength or weakness?
_________________________________________________________________________________________________
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Describe briefly how your achievements (already explained by you) have made you a better person.
_________________________________________________________________________________________________
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Have you ever adopted a non-traditional approach to manage or handle a situation (child related)? Describe your
approach and the outcome?
_________________________________________________________________________________________________
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_________________________________________________________________________________________________
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Briefly tell us of any one situation or event where your potential as a teacher has been exhibited?
_________________________________________________________________________________________________
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Five year down the line you see yourself as:
_________________________________________________________________________________________________
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You idolize people who….
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You, as a child, a teenager, an adult
_________________________________________________________________________________________________
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_________________________________________________________________________________________________
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_________________________________________________________________________________________________
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I hereby certify that information provided above is true to the best of my knowledge and belief. If, as any
time, any information is found to be false/incorrect, it will disqualify me from teaching in BCM, and my
services may be terminated without any notice ……
Signature of the candidate ________________________________
Date _____/____/___________
Place _________________________________
FOR OFFICE USE ONLY
Written Test Date _____________________ Marks _______________________
Selected Rejected
Preliminary Interview Date _____________________ Chaired by ___________________
Selected Rejected Signed by ______________
Demo Date _____________________ Chaired by ___________________
Selected Rejected Signed by ______________
Final Interview Date _____________________ Chaired by ___________________
Selected Rejected Signed by ______________
May join with effect from ____________________________________
Grade _____________________ Salary ______________________
CHECKING OF CERTIFICATES
To be tick marked Certificate Checked
School Leaving (Verify DOB)
Intermediate/ +2
Graduation
B.Ed.
CTET
Post Graduation
Experience Certificate(s)
Any Other
PRINCIPAL
