"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
1Graduation Details *
2Post Graduation Details
3Doctorate(Ph.D.) Details
Work Experience:
Sr. No. ExperienceFromToSubject/s TaughtName of the Board
1Teaching Experience*
2Paper Evaluation Experience State Board
3Paper Evaluation Experience CBSE Board
4Paper Evaluation Experience ICSE Board
5Work Experience as paper setter
6Work Experience as Moderator
7Work 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 BookPublicationYear of PublicationAction
Do you take Private Tutions? *:
(If Yes then fill following Information)
Information Regarding Tution
No of Student's Per BatchSubject/s TaughtMediumLevel(11th,12th)Action
Do you teach in Private Classes? *:
(If Yes then fill following Information)
Information Regarding Classes
Name of the ClassAddressFromToRemark (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.

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