APPLICATION FORM (EMRS)

GOVERNMENT OF MIZORAM

DIRECTORATE OF SOCIAL WELFARE & TRIBAL AFFAIRS

1. Post applied for : Mathematics Teacher

2. Place applied for in order : Ngopa Lawngtlai

of preference Chawngte Tuipang

3. Name of applicant : _________________________________

(In Block letters) Male Female

4. Father’s / Mother’s Name : _________________________________

5. Address : _________________________________

_________________________________

_________________________________

6. Contact No. : _________________________________

7. Email Address : _________________________________

8. Date of Birth : _________________________________

9. Educational Qualification : _________________________________

10. Mandatory Documents to be enclosed to support the application :

i) Education Certificates and Mark Sheets from HSLC onwards (duly attested) ii) Attested copy of Tribal Certificate (For SC/ST applicants)

iii) Birth Certificate as Proof of Age (Attested copy)

iv) Two copies of Passport size Photographs

v) Valid Employment Registration (Attested photo copy)

vi) Computer Certificate (Attested copy)

vii) Work Experience Certificate (Government/Non-Government), if any.

Signature of Applicant :

Name : ________________________________

2 (two) copies of

Passport size photographs

APPLICATION FORM (EMRS)

GOVERNMENT OF MIZORAM

DIRECTORATE OF SOCIAL WELFARE & TRIBAL AFFAIRS

1. Post applied for : Science Teacher

2. Place applied for in order : Ngopa Lawngtlai

of preference Chawngte Tuipang

3. Name of applicant : _________________________________

(In Block letters) Male Female

4. Father’s / Mother’s Name : _________________________________

5. Address : _________________________________

_________________________________

_________________________________

6. Contact No. : _________________________________

7. Email Address : _________________________________

8. Date of Birth : _________________________________

9. Educational Qualification : _________________________________

10. Mandatory Documents to be enclosed to support the application :

i) Education Certificates and Mark Sheets from HSLC onwards (duly attested) ii) Attested copy of Tribal Certificate (For SC/ST applicants)

iii) Birth Certificate as Proof of Age (Attested copy)

iv) Two copies of Passport size Photographs

v) Valid Employment Registration (Attested photo copy)

vi) Computer Certificate (Attested copy)

vii) Work Experience Certificate (Government/Non-Government), if any.

Signature of Applicant :

Name : ________________________________

2 (two) copies of

Passport size photographs

APPLICATION FORM (EMRS)

GOVERNMENT OF MIZORAM

DIRECTORATE OF SOCIAL WELFARE & TRIBAL AFFAIRS

1. Post applied for : Social Science Teacher

2. Place applied for in order : Ngopa Lawngtlai

of preference Chawngte Tuipang

3. Name of applicant : _________________________________

(In Block letters) Male Female

4. Father’s / Mother’s Name : _________________________________

5. Address : _________________________________

_________________________________

_________________________________

6. Contact No. : _________________________________

7. Email Address : _________________________________

8. Date of Birth : _________________________________

9. Educational Qualification : _________________________________

10. Mandatory Documents to be enclosed to support the application :

i) Education Certificates and Mark Sheets from HSLC onwards (duly attested) ii) Attested copy of Tribal Certificate (For SC/ST applicants)

iii) Birth Certificate as Proof of Age (Attested copy)

iv) Two copies of Passport size Photographs

v) Valid Employment Registration (Attested photo copy)

vi) Computer Certificate (Attested copy)

vii) Work Experience Certificate (Government/Non-Government), if any.

Signature of Applicant :

Name : ________________________________

2 (two) copies of

Passport size photographs

APPLICATION FORM (EMRS)

GOVERNMENT OF MIZORAM

DIRECTORATE OF SOCIAL WELFARE & TRIBAL AFFAIRS

1. Post applied for : English Teacher

2. Place applied for in order : Ngopa Lawngtlai

of preference Chawngte Tuipang

3. Name of applicant : _________________________________

(In Block letters) Male Female

4. Father’s / Mother’s Name : _________________________________

5. Address : _________________________________

_________________________________

_________________________________

6. Contact No. : _________________________________

7. Email Address : _________________________________

8. Date of Birth : _________________________________

9. Educational Qualification : _________________________________

10. Mandatory Documents to be enclosed to support the application :

i) Education Certificates and Mark Sheets from HSLC onwards (duly attested) ii) Attested copy of Tribal Certificate (For SC/ST applicants)

iii) Birth Certificate as Proof of Age (Attested copy)

iv) Two copies of Passport size Photographs

v) Valid Employment Registration (Attested photo copy)

vi) Computer Certificate (Attested copy)

vii) Work Experience Certificate (Government/Non-Government), if any.

Signature of Applicant :

Name : ________________________________

2 (two) copies of

Passport size photographs

APPLICATION FORM (EMRS)

GOVERNMENT OF MIZORAM

DIRECTORATE OF SOCIAL WELFARE & TRIBAL AFFAIRS

1. Post applied for : Hindi Teacher

2. Place applied for in order : Ngopa Lawngtlai

of preference Chawngte Tuipang

3. Name of applicant : _________________________________

(In Block letters) Male Female

4. Father’s / Mother’s Name : _________________________________

5. Address : _________________________________

_________________________________

_________________________________

6. Contact No. : _________________________________

7. Email Address : _________________________________

8. Date of Birth : _________________________________

9. Educational Qualification : _________________________________

10. Mandatory Documents to be enclosed to support the application :

i) Education Certificates and Mark Sheets from HSLC onwards (duly attested) ii) Attested copy of Tribal Certificate (For SC/ST applicants)

iii) Birth Certificate as Proof of Age (Attested copy)

iv) Two copies of Passport size Photographs

v) Valid Employment Registration (Attested photo copy)

vi) Computer Certificate (Attested copy)

vii) Work Experience Certificate (Government/Non-Government), if any.

Signature of Applicant :

Name : ________________________________

2 (two) copies of

Passport size photographs

APPLICATION FORM (EMRS)

GOVERNMENT OF MIZORAM

DIRECTORATE OF SOCIAL WELFARE & TRIBAL AFFAIRS

1. Post applied for : Mizo Teacher

2. Place applied for in order : Ngopa Lawngtlai

of preference Chawngte Tuipang

3. Name of applicant : _________________________________

(In Block letters) Male Female

4. Father’s / Mother’s Name : _________________________________

5. Address : _________________________________

_________________________________

_________________________________

6. Contact No. : _________________________________

7. Email Address : _________________________________

8. Date of Birth : _________________________________

9. Educational Qualification : _________________________________

10. Mandatory Documents to be enclosed to support the application :

i) Education Certificates and Mark Sheets from HSLC onwards (duly attested) ii) Attested copy of Tribal Certificate (For SC/ST applicants)

iii) Birth Certificate as Proof of Age (Attested copy)

iv) Two copies of Passport size Photographs

v) Valid Employment Registration (Attested photo copy)

vi) Computer Certificate (Attested copy)

vii) Work Experience Certificate (Government/Non-Government), if any.

Signature of Applicant :

Name : ________________________________

2 (two) copies of

Passport size photographs

APPLICATION FORM (EMRS)

GOVERNMENT OF MIZORAM

DIRECTORATE OF SOCIAL WELFARE & TRIBAL AFFAIRS

1. Post applied for : IT Teacher

2. Place applied for in order : Ngopa Lawngtlai

of preference Chawngte Tuipang

3. Name of applicant : _________________________________

(In Block letters) Male Female

4. Father’s / Mother’s Name : _________________________________

5. Address : _________________________________

_________________________________

_________________________________

6. Contact No. : _________________________________

7. Email Address : _________________________________

8. Date of Birth : _________________________________

9. Educational Qualification : _________________________________

10. Mandatory Documents to be enclosed to support the application :

i) Education Certificates and Mark Sheets from HSLC onwards (duly attested) ii) Attested copy of Tribal Certificate (For SC/ST applicants)

iii) Birth Certificate as Proof of Age (Attested copy)

iv) Two copies of Passport size Photographs

v) Valid Employment Registration (Attested photo copy)

vi) Computer Certificate (Attested copy)

vii) Work Experience Certificate (Government/Non-Government), if any.

Signature of Applicant :

Name : ________________________________

2 (two) copies of

Passport size photographs

APPLICATION FORM (EMRS)

GOVERNMENT OF MIZORAM

DIRECTORATE OF SOCIAL WELFARE & TRIBAL AFFAIRS

1. Post applied for : Warden

2. Place applied for in order : Ngopa Lawngtlai

of preference Chawngte Tuipang

3. Name of applicant : _________________________________

(In Block letters) Male Female

4. Father’s / Mother’s Name : _________________________________

5. Address : _________________________________

_________________________________

_________________________________

6. Contact No. : _________________________________

7. Email Address : _________________________________

8. Date of Birth : _________________________________

9. Educational Qualification : _________________________________

10. Mandatory Documents to be enclosed to support the application :

i) Education Certificates and Mark Sheets from HSLC onwards (duly attested) ii) Attested copy of Tribal Certificate (For SC/ST applicants)

iii) Birth Certificate as Proof of Age (Attested copy)

iv) Two copies of Passport size Photographs

v) Valid Employment Registration (Attested photo copy)

vi) Computer Certificate (Attested copy)

vii) Work Experience Certificate (Government/Non-Government), if any.

Signature of Applicant :

Name : ________________________________

2 (two) copies of

Passport size photographs

APPLICATION FORM (EMRS)

GOVERNMENT OF MIZORAM

DIRECTORATE OF SOCIAL WELFARE & TRIBAL AFFAIRS

1. Post applied for : Cook

2. Place applied for in order : Ngopa Lawngtlai

of preference Chawngte Tuipang

3. Name of applicant : _________________________________

(In Block letters) Male Female

4. Father’s / Mother’s Name : _________________________________

5. Address : _________________________________

_________________________________

_________________________________

6. Contact No. : _________________________________

7. Email Address : _________________________________

8. Date of Birth : _________________________________

9. Educational Qualification : _________________________________

10. Mandatory Documents to be enclosed to support the application :

i) Education Certificates and Mark Sheets from HSLC onwards (duly attested) ii) Attested copy of Tribal Certificate (For SC/ST applicants)

iii) Birth Certificate as Proof of Age (Attested copy)

iv) Two copies of Passport size Photographs

v) Valid Employment Registration (Attested photo copy)

vi) Computer Certificate (Attested copy)

vii) Work Experience Certificate (Government/Non-Government), if any.

Signature of Applicant :

Name : ________________________________

2 (two) copies of

Passport size photographs

APPLICATION FORM (EMRS)

GOVERNMENT OF MIZORAM

DIRECTORATE OF SOCIAL WELFARE & TRIBAL AFFAIRS

1. Post applied for : Chowkidar

2. Place applied for in order : Ngopa Lawngtlai

of preference Chawngte Tuipang

3. Name of applicant : _________________________________

(In Block letters) Male Female

4. Father’s / Mother’s Name : _________________________________

5. Address : _________________________________

_________________________________

_________________________________

6. Contact No. : _________________________________

7. Email Address : _________________________________

8. Date of Birth : _________________________________

9. Educational Qualification : _________________________________

10. Mandatory Documents to be enclosed to support the application :

i) Education Certificates and Mark Sheets from HSLC onwards (duly attested) ii) Attested copy of Tribal Certificate (For SC/ST applicants)

iii) Birth Certificate as Proof of Age (Attested copy)

iv) Two copies of Passport size Photographs

v) Valid Employment Registration (Attested photo copy)

vi) Computer Certificate (Attested copy)

vii) Work Experience Certificate (Government/Non-Government), if any.

Signature of Applicant :

Name : ________________________________

2 (two) copies of

Passport size photographs

APPLICATION FORM (EMRS)

GOVERNMENT OF MIZORAM

DIRECTORATE OF SOCIAL WELFARE & TRIBAL AFFAIRS

1. Post applied for : Nurse

2. Place applied for in order : Ngopa Lawngtlai

of preference Chawngte Tuipang

Lunglei Serchhip

3. Name of applicant : _________________________________

(In Block letters) Male Female

4. Father’s / Mother’s Name : _________________________________

5. Address : _________________________________

_________________________________

_________________________________

6. Contact No. : _________________________________

7. Email Address : _________________________________

8. Date of Birth : _________________________________

9. Educational Qualification : _________________________________

10. Mandatory Documents to be enclosed to support the application :

i) Education Certificates and Mark Sheets from HSLC onwards (duly attested) ii) Attested copy of Tribal Certificate (For SC/ST applicants)

iii) Birth Certificate as Proof of Age (Attested copy)

iv) Two copies of Passport size Photographs

v) Valid Employment Registration (Attested photo copy)

vi) Computer Certificate (Attested copy)

vii) Work Experience Certificate (Government/Non-Government), if any.

Signature of Applicant :

Name : ________________________________

2 (two) copies of

Passport size photographs

APPLICATION FORM (EMRS)

GOVERNMENT OF MIZORAM

DIRECTORATE OF SOCIAL WELFARE & TRIBAL AFFAIRS

1. Post applied for : IV Grade ( Watchmen)

2. Place applied for in order : Ngopa Lawngtlai

of preference Chawngte Tuipang

Lunglei Serchhip

3. Name of applicant : _________________________________

(In Block letters) Male Female

4. Father’s / Mother’s Name : _________________________________

5. Address : _________________________________

_________________________________

_________________________________

6. Contact No. : _________________________________

7. Email Address : _________________________________

8. Date of Birth : _________________________________

9. Educational Qualification : _________________________________

10. Mandatory Documents to be enclosed to support the application :

i) Education Certificates and Mark Sheets from HSLC onwards (duly attested) ii) Attested copy of Tribal Certificate (For SC/ST applicants)

iii) Birth Certificate as Proof of Age (Attested copy)

iv) Two copies of Passport size Photographs

v) Valid Employment Registration (Attested photo copy)

vi) Computer Certificate (Attested copy)

vii) Work Experience Certificate (Government/Non-Government), if any.

Signature of Applicant :

Name : ________________________________

2 (two) copies of

Passport size photographs