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English :
ExcellentVery GoodGood
Hindi:
ExcellentVery GoodGood

4. Family









Examination Passed Year of Passing Name of Institution Name of Board/ University Class/Divn. & % of marks Subjects Medium English/Hindi
(a) Higher Secondary (10 + 2)
(b) B.A./B.Sc./B.Com.
(c) M.A./M.Com./M.Sc.
(d) B.Ed./M.Ed.
(e)
(f)

(Option 1)
(Option 2)

S.No Institution Name & Place Date from & To Classes taken Subjects Tough Medium of Instruction Salary

Basic-Allowance-Total-
1
2
3
4
5
6

Sports
Literary, Public Speaking
Performing Arts
Social Service
Any Other


Give names, profession, address and contact details of any three references :