e-Shikshakosh DCF for Teacher: Form Download in PDF
e-Shikshakosh DCF for Teacher: Form Download in PDF
— Page 1 —
e-Shikshakosh DCF for Teacher
Registration Information
Prefix* > Mr./ Mrs. / Ms. / Dr.
First Name*
Middle Name
Last Name
Gender*
Date of Birth*
Social Category*
Religion*
Mobile Number (+91) *
Aadhaar Number*
Nature of Appointment*
. Type of Teacher*
Type of Sub Teacher
Class Category*
Appointed Subject*
Date of Joining in Service *
District of First Joining*
GPF Number*
UAN Number*
PRAN Number*
N FP PR
Posting Details
. District*
. Block*
. Cluster/Complex Resource Center* :
. School*
. Appointment for Level*
. Appointing Authority*
. DateofJoining ofthe CurrentSchool* :……..
Personal Information
. PAN Number*
. Father Name*
. Mother Name*
Page 1 of 2
e-Shikshakosh DCF Form
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e-Shikshakosh DCF for Teacher
. Marital Status*
. Email ID*
. Spouse Name*
. Blood Group*
. Appointment Category*
. Whether Disabled ? *
. Whether Awarded ? *
Permanent Address
. House Number/Name
. Street/Mohalla/Sector
. Panchayat*
. Post Office*
. Village/Area/Town*
. Block*
. District*
. PIN Code*
. State*
. Domicile Certificate Submitted at ie
time of Appointment*
. Domicile Certificate No. *
. Copy of Domicile Certificate*
Current Address
. House Number/Name
. Street/Mohalla/Sector
. Panchayat*
. Post Office*
. Village/Area/Town*
. Block*
. District*
. PIN Code*
. State*
. Domicile Certificate Submitted at the
time of Appointment* :
. Domicile Certificate No. *
. Copy of Domicile Certificate*
Page 2 of 2
e-Shikshakosh DCF Form
— Page 3 —
$-fenairy ete wer (DCF Form)
Teacher ID:
Udise Code:
- Teacher Registration Information (faata teftacor fraxr)
Prefix (371)
First Name (46a FA)
Middle Name (Ata ar)
Last Name (3ifa-T ar)
Gender (fe)
Date of Birth (sia fafa)
Social Category (atten Ait)
Religion (1)
Mobile Number (Ataige 4x)
Aadhaar Number (31 Wea)
Nature of Appointment (fafea #1 apf)
ODr OMr OMrs. O Ms.
O MALE (ges) 0 FEMALE (afeer) oO
TRANSGENDER
/ / (DD-MON-YYYY)
O GEN OBC OEBC OSC OST
O Regular (faafAa) O PRI (feat)
O Govt Teacher 0 UHS Head Master
Type of Teacher & Subject (fret a1 Tart va faga)
Type of Teacher
(faery FT TER)
O Head Teacher Primary 0 School Teacher
(BPSC) 0 Assistant Teacher Elementary 0
UHS Headmaster 0 Head Master(1-8) O
Principal 0 Panchayat Teacher O
Prakhand Teacher 0 Nagar Teacher O
Niyojit Teacher (Secondary/Higher
Secondary)
— Page 4 —
Appointment Subject & Class (Fratea bol
fasa vd pai)
Date of Joining in Service (artart fafa) / / (DD-MON-YYYY)
District of First Joining (4A Ulieret FT
fore)
- Posting Details (Taearae feaxeh)
District (fete)
Block (3as)
Cluster/Complex Resource Center (a¥e)
School Name & UDISE Code (faqarea)
Appointment for Level (JQea44 Fak) O PRT OTGT O PGT
Appointing Authority (frafta sift) 0 Dept. of Education O Panchayat Niyojan
O Prakhand Niyojan
O Zila Parishad O Nagar Nigam QO Nagar
Parishad ( Others
Date of Joining in Current School / / (DD-MON-YYYY)
- Personal Information (€afeaeta Fate)
PAN Number (Se Wear)
Father’s Name (fal #1 a1)
Mother’s Name (Aldl #1 aT)
Marital Status (aarfea feria) O Married O Unmarried 0 Divorced
— Page 5 —
Email ID ($e 31131)
Blood Group (%#d 8g)
Appointment Category (4ft) O GEN OOBC OBC OEBC O
sc OST
Whether Disabled? (at fecart €?) O YES ONO. (afe af, at ofaer:
———
Whether Awarded? (i [ep 8?) O YES ONO (afe é, ver: oO
NATIONAL (1 STATE)
4 & 5. Address Details (Tat #1 fFaxT)
Field Name Permanent Address (4t Current Address (4d4rt
a) a)
House Number/Name (ArT
Weary)
Street/Mohalla/Sector
Village/Area/Town
Panchayat / Post Office
Block & District
PIN Code
O Domicile Certificate Submitted at time of Appointment?
Ware ua Gear (aafafHa & fax sft deem) (Certificate No.):
— Page 6 —
Present Grade Pay (adaret 4s 4)
Present Total Pay (@d4ret Per aaet)
Identification Numbers (PRAN / GPF)
Payment Process (Idle a aia) O BANK TRANSFER OF) CHEQUE O
TREASURY
Bank Details
Name of Bank
Name of Branch
Bank Account No.
IFSC Code
- Service Description / History of Posting (Qa Hla A Faratarorqecarta axoft)
District/Block | Name of Udise Designation From To Subject &
School code Period Period Class
| asl
1
— Page 7 —
- Appointment & Salary Details (ferqfa va ada act frareft)
A. afe ftrere carat ter / aare ureter fier feratort feraaracht & ateetea feraea @ (IF YES): (fre fra
are & at fasratra srger atepare ferafea fae 01-07-2006 sifa ara 2)
Initial Basic Salary (Prafta * Waa ACT
act)
Present Basic Salary (ade Aet act)
Appointment Letter No & Date (frafea CEs
Wem)
Date of Present Posting/Joining (4d4Tet
TRa arate fafa)
Identification Numbers (UAN)
Payment Process (Idle 4 aia) O BANK TRANSFER) 0) CHEQUE
B. aie frere ferdtorer ferarenacit & atacta feraea aét ¢ (ste- feraftra/BPSC/Head Teacher/UHS
Headmaster) (IF NO): 3mm ata & frarisra fete at ae ¢ at sa as at aft sar aticraret @ |
Pay Matrix Level (9 Afera aac)
Present Pay Scale (ddA ddetaret)
Appointment Letter No & Date (Praia CEE
wen)
Date of Present Posting/Joining (ada
eRe arate fafa)
Present Basic Pay (@dalet Aer daar)
Present HRA Pay (@dAret 34a ata)
— Page 8 —
- Educational & Professional Qualifications (eifrm va wterftre ataan)
A. Educational Qualification Pre-Service (aar-qa sherftre ahaa)
Passing Institution | Board/Univ.
B. Educational Qualification In-Service (@ar-#refter serftre atazar)
Passing Board/Univ. Marks
C. Professional/Vocational Qualification (wsettra/eaaarfte atezar)
Passing Board/Univ. Marks
— Page 9 —
Whether appointment based on Teacher
Eligibility Test?
(Fa wae Went F are ae ferret 8?)
Have you ever worked or are working as
BRP/CRCC?
(Far ait BRP/CRCC & wa A wet fear Bare
® 8?)
Computer & Special Training Status
(Praet va fare wrator feat)
Languages known with working knowledge
(arse feet prerarers viet 3)
- Other & Training Information (3a Va widreTor frac)
O YES (@) +O NO (él)
afe a, at acter wfer: O CTET O STET
O TET
Roll No: Year of
Passing: Marks:
BRP: (O Worked (far &) O Working (at
te €) O Never (asit =eér)
CRCC: O Worked (far @) O Working (#t
we &) O Never (sft aér)
Trained in computer for use and teaching?
O YES O NO
Are you a trained teacher? O YES O) NO
Trained for teaching CWSN
Received training in FLN-NISTHA?
wares fra stat s fer seed rah Hes vs Hel Bl Tahar Mewerada Mery va wheter
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