MUALLIM REGISTRATION

Muallim Registration Form

Please complete the following registration form with accurate personal, educational, service and welfare information.

9 Sections73 Information FieldsOnline Registration

Instructions for Applicants

Fill in all applicable details carefully. Fields marked with an asterisk (*) are mandatory. Please ensure your contact, identity and bank information is accurate.

Section 1 of 9

Basic & Personal Information

Personal details and identification

12 Fields

Full Name (In Block Letters)*

Father's Name

Mother's Name

Gender

Date of Birth

Marital Status

Nationality

Mother Tongue

Languages Known

Religion / Caste / Category

Which Jamaath Member (Mahal / Jamaath Name & Place)

Photo Upload / ID Code

Upload a photo or ID document

Section 2 of 9

Contact Information

Your phone and emergency contact details

6 Fields

Primary Mobile Number*

Alternative Mobile / WhatsApp Number

Email ID

Emergency Contact Person Name

Emergency Contact Relationship

Emergency Contact Phone Number

Section 3 of 9

Permanent Address

Your registered permanent residential address

7 Fields

House Name / Number

Street / Locality Name

Post Office & PIN Code

Panchayat / Municipality / Corporation

Taluk

District

State

Section 4 of 9

Current / Communication Address

Where you currently reside

7 Fields

House Name / Room No. / Building

Street / Area

Post Office & PIN Code

Panchayat / Municipality

Taluk

District

State

Section 5 of 9

Health, Disability & Special Role Details

Health information and additional responsibilities

8 Fields

Blood Group & Rh Factor

Disability Status

Disability Details & Percentage (Type, %, UDID No.)

Ration Card Type

Ration Card Number

Is IT Coordinator?

Specify Zone / Responsibilities

Other Working / Employment Details

Section 6 of 9

Identity & Financial / Bank Details

Identity documents and bank account information

8 Fields

Aadhaar / Voter ID / PAN Number

Account Holder Name (as in Passbook)

Bank Name

Branch Name

Account Number

IFSC Code

MICR Code

UAN (EPF) / ESI Number (If applicable)

Section 7 of 9

Religious & Educational Qualifications

Islamic studies and general education

9 Fields

Primary Islamic Qualification

Madrasa Education Completed Level

General Educational Qualification

Hafiz

Qari / Tajweed Certification

Teacher Training Certification

Name of Islamic Institution / University Studied

Year of Passing (Religious Degree)

Computer / IT Literacy Level

Section 8 of 9

Employment & Madrasa Service Details

Current teaching position and service history

11 Fields

Muallim Service Register (MSR) Number

Current Madrasa Name & Code

Madrasa Address & Range / District

Designation

Date of Joining Current Madrasa

Total Teaching Experience (in Years)

Classes / Standards Currently Taught

Subjects Handled

Monthly Base Salary / Honorarium

Mode of Salary Payment

Previous Madrasa Worked (Name & Duration)

Section 9 of 9

Welfare, Pension & Insurance Schemes

Welfare registration and nominee information

5 Fields

SJM / SKJM Welfare Board Registration No

Pension Scheme Enrolled

Health / Medical Insurance Details

Nominee Name (for Welfare Benefits)

Nominee Relationship & Contact Number

Declaration

I hereby declare that the information provided in this registration form is true and correct to the best of my knowledge. I agree to provide supporting documents whenever required.

Please review all information before submitting.