Birla Open Minds International School Rosera

CBSE Affiliated Senior Secondary School (10+2) | Affiliation No. 331158

Sahiyar Burj, Rosera - Mabbi Road, Rosera, Samastipur, BIHAR- 848210 Ph: 7717787188, 8877665758 | Email: bomisrosera@gmail.com

TEACHER APPLICATION FORM

Application ID

Academic Session

Date

Specific Post Applied For *

A. Personal & Contact Information

Full Name *

Date of Birth *

Age (Today)

Gender *

Mobile No. *

WhatsApp No.

Same

Email ID

Aadhar / Passport No.

PAN No.

Other No.

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B. Family Details

Marital Status

Mother's Name *

Mother's Mobile

Father's Name *

Father's Mobile

C. Address Information

Present Address

Town / Village

PO / PS

District

State

Landmark

Permanent Address

Same as Present

Town / Village

PO / PS

District

State

Landmark

D. Professional Profile

How did you come to know about us? *

What is your Academic Qualification? *

How many years of teaching experience do you have? *

Salary Expectation

Last Places of Employment & Duration (Joining & Resignation) & Salary

Organization / School Name	Duration	Salary (₹)

I, Mr./Mrs./Miss/Dr. _______________________, hereby declare that all the above information is true and genuine to the best of my knowledge. I am liable to submit all requisite documents as proof in support of the information filled by me above. Failing to submit the declared documents, or if any wrong declaration is found in the future, I will be liable for action decided by the school authority, which may lead to the cancellation of my job.

Date & Place

Signature