Teacher / Educator Individual Empanelment

Educator Full Name * Gender * Select Gender Male Female Other Prefer not to say Date of Birth * Mobile Number * Alternate WhatsApp Number Institute / Center Name Address * Locality PIN Code * Select PIN Code 282001 282002 282003 282004 282005 282006 282007 282008 282009 282010

Highest Qualification Select Highest Qualification High School Intermediate Graduation (B.A/B.Sc/B.Com/BBA/B.Tech/Other) Post Graduation (M.A/M.Sc/M.Com/MBA/M.Tech/Other) PROFESSIONAL (B.Ed, M.Ed, Fashion, Dance, Others) Diploma / Training Courses Others Institution / University of your Highest Qualification Teaching Mode * Select Teaching Mode Both (Online & Offline) option available Online class Offline class Other Other Teaching Mode Teaching Experience * Select Teaching Experience Fresher Less than 1 yr 1-5 Years 5-10 Years 10+ Years Specialization

Educator Profiles(Can Select Multiple) *

Own Classes / Center Visiting / Home Visit Online Other

Other Educator Profile For Visiting / Home Classes, distance you can travel? Select For Visiting / Home Classes, distance you can travel? Up to 2 km Up to 5 km Up to 10 km More than 10 km Anywhere in City Other Other Travel Distance

Age Groups(Can Select Multiple) *

All Age Group (Age No Bar) Pre Primary upto UKG Primary (Class 1-5) Middle School (Class 6-8) Secondary (Class 9-10) Senior Secondary (Class 11-12) Graduation Post Graduation Other

Other Age Group

Subjects & Learning Programs(Can Select Multiple) *

School Curriculum Competitive Exams Spoken English Computer Education Arts & Craft Drawing & Painting Music (Vocal) Music (Instrumental) Dance Public Speaking Vedic Mathematics, Abacus, etc Yoga, Mediation, Zumba, etc Games / Sports (Indoor & Outdoor) Language (Spanish, German, French, etc) Personality Development Career Guidance (In Selecting School, College, Coaching & Others) Career Counselling & Future Planning Other

Other Subject

Preferred Days(Can Select Multiple) *

Flexible with Days Week Days (5/6 days a week) Alternate Days (3 days a week) Weekend (Saturday/Sunday) Other

Other Preferred Day

Preferred Time Slots(Can Select Multiple) *

Flexible with Time Morning (upto 12 PM) Afternoon (12 to 04 PM) Evening (04 to 08 PM) Other

Other Preferred Time Fee Collection Mode * Select Fee Collection Mode Online and Cash Cash Only Online Only, including UPI or Bank Transfer Other Other Fee Collection Mode Demo Class Availability * Select Demo Class Availability Yes No Maybe Not Applicable