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Application form for deputation to DIET/CTE/IASE/SCERT District vide C. M. 11021/Ser-II/2010 Edn Dept dated 17. 08. 2010 a Name of teacher / HM / teacher Educator b Father s name Designation School / Institutions working with address Date of Birth Qualification Subject studied P. G* Degree Passed in I / II/ III Division O/o of Marks i M. A. / M. Sc/ M. Com ii M. Ed iii M/Phil iv Ph. D v NET / SLET Methodology subjects studied in B. Ed Other qualification if any P. G Degree or Diploma Special Training/ Projects under taken with details 9 Language Studied SSC Inter Degree PGHM / Lecturer DIET or equivalent iii Dy. E*O or Lecturer in CTE / IASES iv Remarks a Medium of study at level b I Language 10 Service particulars years SGT SA i Cadre ii Total service i to iv Total Services / Experience 11 Research Experience and articles a Research Studies and action research b Articles to Journals - Titles Year of the study - Titles Name of the Journal Date of publication etc* Signature of applicant Teacher / Teacher Educators /Dy. E*Os Signature of forwarding Head of Institution where he/she working with school stamp Note candidate have to furnish attested copies and other proofs for Qualifications Experiences Research Studies Articles etc* as above. 08. 2010 a Name of teacher / HM / teacher Educator b Father s name Designation School / Institutions working with address Date of Birth Qualification Subject studied P. G* Degree Passed in I / II/ III Division O/o of Marks i M. A. / M. Sc/ M. Com ii M. Ed iii M/Phil iv Ph. G* Degree Passed in I / II/ III Division O/o of Marks i M. A. / M. Sc/ M. Com ii M. Ed iii M/Phil iv Ph. D v NET / SLET Methodology subjects studied in B. Ed Other qualification if any P. G Degree or Diploma Special Training/ Projects under taken with details 9 Language Studied SSC Inter Degree PGHM / Lecturer DIET or equivalent iii Dy. D v NET / SLET Methodology subjects studied in B. Ed Other qualification if any P. G Degree or Diploma Special Training/ Projects under taken with details 9 Language Studied SSC Inter Degree PGHM / Lecturer DIET or equivalent iii Dy. E*O or Lecturer in CTE / IASES iv Remarks a Medium of study at level b I Language 10 Service particulars years SGT SA i Cadre ii Total service i to iv Total Services / Experience 11 Research Experience and articles a Research Studies and action research b Articles to Journals - Titles Year of the study - Titles Name of the Journal Date of publication etc* Signature of applicant Teacher / Teacher Educators /Dy. E*O or Lecturer in CTE / IASES iv Remarks a Medium of study at level b I Language 10 Service particulars years SGT SA i Cadre ii Total service i to iv Total Services / Experience 11 Research Experience and articles a Research Studies and action research b Articles to Journals - Titles Year of the study - Titles Name of the Journal Date of publication etc* Signature of applicant Teacher / Teacher Educators /Dy. E*Os Signature of forwarding Head of Institution where he/she working with school stamp Note candidate have to furnish attested copies and other proofs for Qualifications Experiences Research Studies Articles etc* as above.

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