Sri
SRIMATHI SUNDARAVALLI MEMORIAL SCHOOL
(Affiliated to the Central Board of Secondary Education, New Delhi)
Moppedu Road, Alapakkam, New Perungalathur, Chennai - 600 063.
APPLICATION FORM
Post Applied for
*
:
-------------Select Applied For---------------
SENIOR SECONDARY
SECONDARY
MIDDLE
PRIMARY
SENIOR MONTESSORI
JUNIOR MONTESSORI
FINE ARTS
PHYSICAL EDUCATION
1.
Name
*
:
2.
Date of Birth
*
:
3.
Age
:
4.
Gender
*
:
Male
Female
5.
Present Residential Address
:
Same as above
6.
Address For Communication
:
7.
Qualification:
Class
:
Medium
:
Year of Passing
:
Name of the School
:
Location
:
Board
:
Form Filling Instruction
S.No.
Subject
Maximum Marks
Marks Scored
1
2
3
4
5
6
7
8
Class
:
Medium
:
Year of Passing
:
Name of the School
:
Location
:
Board
:
S.No.
Subjects
Maximum Marks
Marks Scored
1
2
3
4
5
8.
Higher Education
S.No.
Qualification
Main Subject
Ancillary Subject
Institution's Name
University
Year of Completion
Medium
Education Type
Percentage Of Marks
Class of Pass
1
Correspondence
Regular
Part Time
Distinction
I Class
II Class
III Class
2
Correspondence
Regular
Part Time
Distinction
I Class
II Class
III Class
3
Correspondence
Regular
Part Time
Distinction
I Class
II Class
III Class
4
Correspondence
Regular
Part Time
Distinction
I Class
II Class
III Class
5
Correspondence
Regular
Part Time
Distinction
I Class
II Class
III Class
9.
Doctorate:
Discipline
:
University
:
Year in which doctorate was awarded
:
10.
Highest Qualification
*
:
11.
Experience Details
:
S.No.
Institution's Name
From
To
No. of Years
Nature of Assignment
Designation
1
Teaching
Clerical
Admin
2
Teaching
Clerical
Admin
3
Teaching
Clerical
Admin
4
Teaching
Clerical
Admin
5
Teaching
Clerical
Admin
12.
Total Years of Experience
:
13.
Classes and Subjects Handled (Not applicable for freshers):
Class
Subject
No.of Years
---------Select---------
Montessori
III
IV
V
VI
VII
VIII
IX
X
XI
XII
Fine Arts
Physical Education
Others
---------Select---------
Tamil
English
Mathematics
Science
Social Science
Biology
Physics
Chemistry
Computer Science
Economics
Commerce
Accountancy
Business Mathematics
Hindi
Sanskrit
Fine Arts
Drawing
Physical Education
Others
---------Select---------
Montessori
III
IV
V
VI
VII
VIII
IX
X
XI
XII
Fine Arts
Physical Education
Others
---------Select---------
Tamil
English
Mathematics
Science
Social Science
Biology
Physics
Chemistry
Computer Science
Economics
Commerce
Accountancy
Business Mathematics
Hindi
Sanskrit
Fine Arts
Drawing
Physical Education
Others
---------Select---------
Montessori
III
IV
V
VI
VII
VIII
IX
X
XI
XII
Fine Arts
Physical Education
Others
---------Select---------
Tamil
English
Mathematics
Science
Social Science
Biology
Physics
Chemistry
Computer Science
Economics
Commerce
Accountancy
Business Mathematics
Hindi
Sanskrit
Fine Arts
Drawing
Physical Education
Others
14.
Classes and Subjects willing to Handle - All Subjects for Class III.
Two subjects for classes IV - VIII and one subject for Classes IX - XII:
Class
Subject I
Subject II
---------Select---------
Montessori
III
IV
V
VI
VII
VIII
IX
X
XI
XII
Fine Arts
Physical Education
Others
---------Select---------
Tamil
English
Mathematics
Science
Social Science
Biology
Physics
Chemistry
Computer Science
Economics
Commerce
Accountancy
Business Mathematics
Hindi
Sanskrit
Fine Arts
Drawing
Physical Education
Others
---------Select---------
Tamil
English
Mathematics
Science
Social Science
Biology
Physics
Chemistry
Computer Science
Economics
Commerce
Accountancy
Business Mathematics
Hindi
Sanskrit
Fine Arts
Drawing
Physical Education
Others
---------Select---------
Montessori
III
IV
V
VI
VII
VIII
IX
X
XI
XII
Fine Arts
Physical Education
Others
---------Select---------
Tamil
English
Mathematics
Science
Social Science
Biology
Physics
Chemistry
Computer Science
Economics
Commerce
Accountancy
Business Mathematics
Hindi
Sanskrit
Fine Arts
Drawing
Physical Education
Others
---------Select---------
Tamil
English
Mathematics
Science
Social Science
Biology
Physics
Chemistry
Computer Science
Economics
Commerce
Accountancy
Business Mathematics
Hindi
Sanskrit
Fine Arts
Drawing
Physical Education
Others
---------Select---------
Montessori
III
IV
V
VI
VII
VIII
IX
X
XI
XII
Fine Arts
Physical Education
Others
---------Select---------
Tamil
English
Mathematics
Science
Social Science
Biology
Physics
Chemistry
Computer Science
Economics
Commerce
Accountancy
Business Mathematics
Hindi
Sanskrit
Fine Arts
Drawing
Physical Education
Others
---------Select---------
Tamil
English
Mathematics
Science
Social Science
Biology
Physics
Chemistry
Computer Science
Economics
Commerce
Accountancy
Business Mathematics
Hindi
Sanskrit
Fine Arts
Drawing
Physical Education
Others
15.
Present Employment Status
:
Employed
Unemployed
16.
If Employed
Name of the Institution/Organisation
:
Present Gross Salary (Proof
to be produced at the time of Interview)
:
Reason for Change
:
17.
If Unemployed
Last drawn Salary (Proof to be produced
at the time of Interview)
:
18.
Marital Status
:
Married
Unmarried
(If Married)
Name of the Spouse
:
Occupation
:
Designation
:
Institution/Organization
:
Annual Income
:
19.
Details of Family Members, including the applicant's children:
S.No.
Name
Age
Relationship
Occupation
1
2
3
4
5
20.
If the place of living is far away from the proximity
zone of the School, will the candidate be willing to
shift the residence within the proximity Zone,
if selected for appointment
:
Yes
No
21.
Mobile No.
:
22.
Phone No.
:
23.
Email ID
*
:
24.
Is the Candidate already a Parent of SSM School
:
Yes
No
(If Yes)
:
Chennai - 44
Chennai - 63
25.
If Selected, Mode of Commutation to School
:
Public Transport
Own Transport
26.
If Selected, probable duration of continuation in service:
Short gap arrangement (less than a year)
For a short period (1-3 Years)
For a reasonable period (3 years and above)
27.
Any other Point the candidate wishes to mention
:
28.
Salary Expected
: