SAMARITAN
STAFF APPLICATION FORM
1.Complete all the details in CAPITAL letters. 2. Incomplete/False information or canvassing will lead to
disqualification. 3. Teaching/Oral Tests are compulsory for teachers. 4. No TA will be paid.
THE SELECTION COMMITTEE’S DECISION IS FINAL.


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Course Year Institution Board/University Medium Subjects Reg/Corres Class/%
X
XII
UG
PG
Others
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Courss Year Institution Board/University Subjects Reg/Corres Class/%
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Name & Location of the Institution Designation No. of Years Period Responsibilities Salary Reasons for Leaving/%
From To

Contact Information of two individuals not related to you for personal reference and verification


I, hereby, declare that the above information is true and correct to my knowledge. If I am selected, the offer of employment will be based on the truthfulness of the statements made herein. If any information is found to be false and/or incorrect during my tenure, my appointment can be summarily terminated without due notice. I am prepared to abide by the decision of the Selection Committee and the Rules and Regulations of the Samaritan Institutions

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4/122 School Road, Carmel Nagar, Elagiri Hills - 635 853,
Tirupattur Dt. Tamil Nadu, INDIA
Phone: +91-7305765469, +91-99625765469
hr@samaritanschool.com
www.samaritanschool.com