"Online MHT-CET-2019 Application for the Appointment as a Paper Setter, Moderator and Chief Moderator"

Circular Regarding Appointment of Expert Paper Setter & Moderator for Online MHT-CET-2019 for Question Bank

Fields marked with " * " are Mandatory.

Full Name of Junior College Teacher/Expert * :
Residential Address * :
E-mail id * :
Mobile Number of The Teacher/Expert * :
Name of Junior College and Address where you are currently working * :
Nature of Appointment * :
Recent Photo * :
(Allowed file types are png,jpg,jpeg)
(Max File Size 2MB)
Signature * :
(Allowed file types are png,jpg,jpeg)
(Max File Size 2MB)
Educational Qualification :
Sr. No. Qalification Name of Exam Year of Passing University Special/Optional Subject/s % of Marks Class/Grade
1 Graduation Details *
2 Post Graduation Details
3 Doctorate(Ph.D.) Details
Work Experience:
Sr. No. Experience From To Subject/s Taught Name of the Board
1 Teaching Experience*
2 Paper Evaluation Experience State Board
3 Paper Evaluation Experience CBSE Board
4 Paper Evaluation Experience ICSE Board
5 Work Experience as paper setter
6 Work Experience as Moderator
7 Work Experience as chief Moderator
Work Experience in Competitive Examination :
Name of Competitive Exam * Nature of Work* Name of the Institute* Year * Action
Have you published any Books? *:
Have you Developed & Published MCQ type Question Bank? *:
If Yes then fill following Information
Name of the Book Publication Year of Publication Action
Do you take Private Tutions? *:
(If Yes then fill following Information)
Information Regarding Tution
No of Student's Per Batch Subject/s Taught Medium Level(11th,12th) Action
Do you teach in Private Classes? *:
(If Yes then fill following Information)
Information Regarding Classes
Name of the Class Address From To Remark (if any) Action
Bank Details of Self :
Beneficiary Name * :
Bank Name * :
Branch Name * :
MICR Code :
IFSC Code * :
Account No. * :
Account Type * :
Scan and upload the first information page of bank Passbook/Cheque * :
(Allowed file types are png,jpg,jpeg)
(Max File Size 2MB)
Decleration : The Information given above is true to the best of my knowledge , if it found false I shall be liable for penal action as per provision in law.