APPLICATION FORM FOR FACULTY POSITION
Qualification With Specialization UG Po!t AP " ASP " P#of PG $epa#t%ent appea#e& on (((((((((((((
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Refe#ence A&'e#ti!e%ent in ((((((((((((((((((((((
P)RSONAL $)TAILS
*+ Na%e ,+ Fathe# " -u!.an& Na%e /+ $ate of 0i#th Male 3+ Se4 7+ Reli2ion ;+ Ca!te If married, Spou!e : Employed / Unemployed 9Fo# Stati!tical Pu#po!e onl6: No+ of Chil&#en : A&&#e!! fo# Co%%unication ________________________________________ ________________________________________ ________________________________________ _______________PIN Phone No+ =ith ST$ Co&e Mo.ile No )%ail id. : _____________________________________________ Fe%ale 1+ A2e 5+ Nationalit6 8+ Co%%unit6 FC " 0C " M0C " SC " ST 9Fo# Stati!tical Pu#po!e onl6: *<+ Ma#ital !tatu! Married / Un-Married
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ACA$)MIC QUALIFICATIONS > 9F#o% ? St& on=a#&!:
Month @ Yea# of Pa!!in2 Full ti%e " A22+ Pa#t ti%e " A" $i!tance CGPA )&ucation Na%e of the 0oa#& " Uni'e#!it6
No
$e2#ee
Specialization
Na%e of the In!titution !tu&ie&
1. X !td ". XII !td #. $iploma %. U& '. P& (. M.Phil.
). Ph.$. *. +ther,
- .opie, of /ertifi/ate m0,t 1e ,01mitted at the time of Inter2ie3.
PROF)SSIONAL )?P)RI)NC) > Teachin2 9in )n2inee#in2 Colle2e! onl6: in ch#onolo2ical o#&e#
$u#ation Sl+No+ $e!i2nation In!titution F#o% To
)4pe#ience 9in 6ea#!: Yea# Month
1. ". #. %. TOTAL
- .opie, of /ertifi/ate m0,t 1e ,01mitted at the time of Inter2ie3.
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Othe#! 9In&u!t#6B Re!ea#chB Teachin2 in A#t! Colle2e " Pol6technic " School: C ch#onolo2ical o#&e#
$e!i2nation In!titution $u#ation F#o% To )4pe#ience 9in 6ea#!: Yea# Month
Sl+ No+
1 " # % ' ( TOTAL
SDILL $)E)LOPM)NT PROGRAMM)S FF$P " STTP " WORDS-OPS ATT)N$)$G
Sl+ No+ P#o2#a%%e F#o% $u#ation To In!titution
1 " # % ' ( - .opie, of /ertifi/ate m0,t 1e ,01mitted at the time of Inter2ie3.
PU0LICATIONS
0ooH Pu.lication! 45i2e the title, p01li,her 6 year of p01li/ation7
1. ". #.
Pape# Iou#nal Pu.lication 45i2e the no. of p01li/ation,7 Pape# Confe#ence Pu.lication 45i2e the no. of p01li/ation,7
International : National : International : National :
- .opie, of /ertifi/ate m0,t 1e ,01mitted at the time of Inter2ie3. -#-
S)MINARS " CONF)R)NC)S
Se%ina#! " Confe#ence O#2ani!e& 45i2e the .onferen/e 8heme and the date7
Se%ina#! " Confe#ence atten&e& 45i2e the n0m1er7 - Atta/h Photo /opy of rele2ant /ertifi/ate,.
ANY OT-)R INFORMATION
International : National :
Spon!o#e& Re!ea#ch P#oJect! Un&e#taHen If K6e!KB p#o'i&e &etail!
9e,
No
Me%.e#!hip in P#ofe!!ional .o&ie!
1. __________________________________ ". __________________________________ #. __________________________________
A=a#&! @ Achie'e%ent! 9if an6:
I &ecla#e that the a.o'e pa#ticula#! fu#ni!he& .6 %e a#e t#ue to the .e!t of %6 Hno=le&2e
Pla/e : $ate : SIGNATUR) OF T-) CAN$I$AT) :;ith Name< - Atta/h Photo /opy of rele2ant /ertifi/ate, / do/0ment, 3here2er ne/e,,ary.
Office U!e
$ate of Inter2ie3 : _________________ !ele/ted for the po,t : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
!alary detail,: _ _ _ _ _ _ _ _ _ _ _ _ _ _
P=IN.IPA> -%-
.?AI=MAN
INSTRUCTIONS TO CAN$I$AT)S
1. 8he filled in appli/ation, ,ho0ld 1e ,ent to the Prin/ipal 3ith in 1' day, from the date of ad2erti,ement. ". All appli/ation, 3ill 1e ,/r0tini,ed and eli5i1le /andidate, 3ill 1e /alled for inter2ie3. #. !alary 3ill 1e fixed a, per the AI.8E norm, 1a,ed on @0alifi/ation, and experien/e. %. ;ritten te,t 3ill 1e /ond0/ted 1efore per,onal inter2ie3 if needed.
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