(A) Declaration of Service Experience by the Applicant

1 Teaching Experience Certificate Form IMPORTANT INSTRUCTION FOR THE APPLICANT 1. A minimum of two years teaching experience is required, as on 31.5.2...

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Teaching Experience Certificate Form IMPORTANT INSTRUCTION FOR THE APPLICANT 1.

A minimum of two years teaching experience is required, as on 31.5.2007, from a recognised Primary/Middle/Secondary/Higher Secondary School of the Central/State Govt./Public Sector Undertaking to become eligible for B.Ed. programme of Nalanda Open University.

2.

If a candidate completes 2 years experience after adding the service rendered by him/her in more than one school, then he/she is required to bring declaration certification from other schools as well so as to show that he/she has completed two years of the required teaching experience as on 31st May, 2007. In case, he/she has completed two years of teaching experience, as on 31.5.2007, from one school only, he/she is not required to give details of his/her teaching experience from other schools.

(A) Declaration of Service Experience by the Applicant I ...................................................., son/daughter of .............................................. of vill./town .............................., P.S. .................................., Dist ............................, hereby declare that I have served as a regular/temporary teacher in: (i) ..................................................................... School of .................................... district (Name the district)

(Name the school)

from ............................. to ............................., which is a recognised school/institution of the Central/State Government/Public Sector undertaking. (ii) ..................................................................... School of .................................... district (Name the school)

(Name the district)

from ............................. to ............................., which is a recognised school/institution of the Central/State Government/Public Sector undertaking. (iii) ..................................................................... School of .................................... district (Name the district)

(Name the school)

from ............................. to ............................., which is a recognised school/institution of the Central/State Government/Public Sector undertaking. Thus, till 31st May, 2007, I have served a service length of ............................ years ................. months .................... days.

Date: Place:

(.........................................................) Name & Signature of the Applicant 1

(B) Authentication of Applicant's Service by the Head of the Institution where the applicant has served (i) This is to certify that statement made by Sri/Miss./Mrs. ................................................. son/daughter of .......................................... at serial (i) of page one is true to the best of my knowledge and belief. (.........................................................) Full Name & Signature of the Head or In-charge of the institution with date and seal. (ii) This is to certify that statement made by Sri/Miss./Mrs. ................................................ son/daughter of .......................................... at serial (ii) of page one is true to the best of my knowledge and belief. (.........................................................) Full Name & Signature of the Head or In-charge of the institution with date and seal. (iii) This is to certify that statement made by Sri/Miss./Mrs. ............................................... son/daughter of .......................................... at serial (iii) of page one is true to the best of my knowledge and belief. (.........................................................) Full Name & Signature of the Head or In-charge of the institution with date and seal.

(C) Declaration of the Applicant of his being still in Service This is to further certify that I am still serving in ...................................................., (Name the school) as a permanent/temporary teacher. Date: Place:

(.........................................................) Name & Signature of the Applicant

(............................................................) Counter signed by the Head or In-charge of the institution with date and seal were the applicant is still serving 2