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Placement Assistance Cell - Nirmala Institute of Education
Placement Assistance Cell Registration Form
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* Indicates required question
Email
*
Your email
Title
*
Choose
Dr.
Mr.
Mrs.
Ms.
Other
Last Name
*
Your answer
First Name
*
Your answer
Middle Name
Your answer
Date of Birth
*
Your answer
Gender
*
Female
Male
Prefer not to say
Other:
Address: Line 1
*
Your answer
Address: Line 2
Your answer
Address: Area/Locality
Your answer
Address: Taluka
*
Your answer
Address: District
*
Your answer
Address: State
*
Your answer
Contact Number
*
Your answer
Employment Exchange Number
Your answer
Have you registered on the Online Portal of the  Employment Exchange?
Yes
No
Clear selection
Year of completing B.Ed.
*
Your answer
Method Subject 1 at B.Ed.
*
Mathematics
Science
History
Geography
English
Hindi
Konkani
Other:
Method Subject 2 at B.Ed.
*
Mathematics
Science
History
Geography
English
Hindi
Konkani
Other:
Academic Qualifications
*
Your answer
Professional Qualifications
Your answer
Are you working?
*
Choose
Yes
No
If Yes, Subjects teaching at present
Your answer
Co-curricular activities involved in
Your answer
Name of the Institute
Your answer
Address: Line 1
Your answer
Address: Line 2
Your answer
Address: Area / Locality
Your answer
Address: Taluka
Your answer
Address: District
Your answer
Address: State
Your answer
Number years of experience
Your answer
Type of Employment
Permanent
Temporary
Contract
Lecture Basis
Other:
Clear selection
Type of Management at Workplace
Government
Government Aided
Private School
Coaching Classes
Other:
Clear selection
If No, Are you interested in:
Teaching (School, HSS, College)
Educational Administrator
Curriculum curation and content development
Training and Capacity Building
Other:
Clear selection
Preferred place for working
Your answer
Are you willing to work in Private Institutes?
*
Choose
Yes
No
Are you willing to relocate?
*
Choose
Yes
No
Are you willing to teach CBSE/ICSE/Other Syllabus?
*
Choose
Yes
No
Expected Salary
Your answer
Send me a copy of my responses.
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