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"A Paradigm of Excellence"

Nabin English Secondary SchoolJhaukhel – 4, Bhaktapur

Application for Voluntary Service

RecentPhotograph

Form No.:

1. Personal

Name: _____________________________________________________________________Date of Birth: _________________ Sex: M / FAddress: (Temporary)_____________________________________________________________Address: (Permanent)_____________________________________________________________Tel No.: _____________ Mobile No.:________________ E-mail:___________________

2. Academic

S.N. Passed Level School/Collage Exam Board Division Major Subject/s1.2.3.4.

4. Job Experience/s

S.N. Institution Work/Activity Post Duration Remarks1.2.3.4.

3. Training/s

S.N. Theme Institute Duration Remarks1.2.3.4.Other Notable Skill/s:

For Office Use Only

I certify that above information is complete and correct. I further understand that falsification may lead to disqualification of this application. I also agree to abide by the school’s rules and regulations.

Signature: _____________________________ Date: _______________

Date of the Interview: _________ / ____ / ___ Evaluated Category: A /B/C/DAcceptance: Fully Accepted / Provisionally Accepted / RejectedJustification: _____________________________________________________________________Teaching Subject: ___________ Grade: ____ to ___ Working Hours: _______ to ________Remarks: ________________________________________________________________________

5. Other Information:

Working Subject: ____________________ Grade: ______ to ________Arrival Time________________________ Departure Time: __________________

6. Please describe shortly about your

must answer

Authorized Signature: ___________________________ Date: _______________