GOVERNMENT OF NATIONAL CAPITAL TERRITORY OF DELHI 
Office of the U.E.E. Mission
DEPARTMENT OF EDUCATION
Near Estate Branch
D.D.E. North-Office Premises
Lucknow Road - Delhi-110054
 Engagement of Resource Teacher in Inclusive Education on Contract Basis under SSA,Delhi
Note 1: Use only Microsoft Internet Explorer version 5.0 or above, Any other browser (e.g. Mozila/Firefox/ Opera/ Google Chrome … etc.) Should not be used.
Note 2: Candidate should fill same name,father name and DOB as mentioned on Matric/Secondary Certificate.
1. Select Post
2. First Name
3. Middle Name
4. Last Name
5. Father's Name
6. Communication Address Pin Code :
7.Contact No. landline : (STD Code)  -   Mobile : (10 Digits)
8. State
9. Gender
10. Category Physically Handicapped
11. Date of Birth
(dd/mm/yyyy)
12. Age as on
    (31.01.2013)		 Years Months Days
13.(a) RCI Registration No (b) Date of Registration (dd/mm/yyyy)
14. Educational and Professional Qualification:(Starting from Xth Board)
Examination Passed Name of Board/
University		 Duration(in no. of Years) Month and Year of Passing Result Status % of Marks Obtained Subjects(Maximum 5, For 10th & 12th 5 subjects are mandatory)(Use Ctrl Key to select more than one option)
15. Enter Total Number of Experience( in Teaching children with Disability)

16. Teaching(children with Disability)  Experience starting from the most recent(Only Experience in recognised School/Organisation):-

Name of School/ Organisation Post Held Service From(date) Service To(date) Total Exper. (In format of   Years.Month)