ICT BIHAR PROJECT

Faculty / District Coordinator Entry Form

Qualification & Experience Requirement      ICT Schools List Zone II       ICT Schools List Zone IV       * Mandatory Fields.

Name *		Father's Name *
Mobile No. *		E-Mail Id *
Gender	--Select-- MALE FEMALE	Date of Birth	(mm/dd/yyyy)
Address
X Percentage *		X Passed Year *	--Select-- 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024
XII Percentage *		XII Passed Year *	--Select-- 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024
Graduation Percentage *		Graduation Passed Year *	--Select-- 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024
Qualification *	--Select-- 12+DCA 12+OTHERS A LEVEL ADCA B LEVEL B-LEVEL B.A. B.COM. B.SC. BASIC DIPLOMA BBA BCA BCA BE(CS) BE(OTHERS) DCA GRAD+ADCA GRAD+O LEVEL GRAD+OTHERS GRAD+PGDCA GRADUATION I.T.I M.A. M.B.A M.COM. M.SC (IT/CS) M.SC. MCA MCA MTECH NOT MENTION O LEVEL O-LEVEL ONE YEAR DIPLOMA PGDCA PGDCA POST GRADUATE SR. HIGHER SECONDARY UNDER GRADUATE	Experience	00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25  Year(s)    00 01 02 03 04 05 06 07 08 09 10 11 12  Month(s)
I Choice *	FACULTY DISTRICT COORDINATOR	II Choice *	DISTRICT COORDINATOR FACULTY
Remarks If Any

I District Choice *	--Select-- DARBHANGA EAST CHAMPARAN GOPALGANJ MADHUBANI MUZAFFARPUR SAMASTIPUR SARAN SHEOHAR SITAMARHI SIWAN SUPAUL WEST CHAMPARAN
I School Choice *	--Select--
II District Choice *	--Select-- DARBHANGA EAST CHAMPARAN GOPALGANJ MADHUBANI MUZAFFARPUR SAMASTIPUR SARAN SHEOHAR SITAMARHI SIWAN SUPAUL WEST CHAMPARAN
II School Choice *	--Select--
III District Choice *	--Select-- DARBHANGA EAST CHAMPARAN GOPALGANJ MADHUBANI MUZAFFARPUR SAMASTIPUR SARAN SHEOHAR SITAMARHI SIWAN SUPAUL WEST CHAMPARAN
III School Choice *	--Select--