S. No.

Name with Date of Birth

Age

Attested photograph of the appointed staff

Whether SC/ST/ OBC/other Category

Design - ation

B.Ed. Yes/No

M.Ed. Yes/No

M.A (Edu.) Yes/ No

Master’s Degree in school subject Yes/No

Subject of Teaching

Ph. D. (Education/ Specify the subject) Yes/No

Passed UGC NET or equivalent Yes/No

Teaching Experience in Years

Teaching Experience in Recognized School/BEd. College (Enclose experience certificate from the Principal)

Date of initial appointment and NCTE Regulation under which he or she was appointed

If yes, %age of Marks

If yes, %age of Marks

If yes, %age of Marks

If yes, %age of Marks & specify the subject

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

(14)

(15)

I

II

LECTURES/TEACHING STAFF (AS PER NCTE NORMS)

Dr. Mamta Goswami (Dob. -06/03/1979)