N.S.N.
COLLEGE OF ENGINEERING AND TECHNOLOGY, KARUR-03
FACULTY APPLICATION FORM Academic Year 2012 - 13
Post applied: Professor Associate Professor Assistant Professor Photo
Department:
Civil
Mechanical Physics
EEE
ECE Chemistry
CSE English
Mathematics
PERSONAL DETAILS
Name of the applicant: Name of the Father; Age : Mother: Date of Birth : Nationality: No. of Children : Spouse: Place of Birth:
Sex : Marital status :
Male Married
Female Un-Married Unemployed
If married, Spouse :
Employed
School and Class of Children:
Religion and Caste:
Community : Address
FC
BC
MBC
SC/ST
Address for Communication:
Permanent Address:
Phone / Mobile :
Email : 1
EDUCATIONAL RECORD
Full time / Part time / Distance Education Agg. %/ CGPA
[Link]
Degree
Specialization
Year of Passing
Class / Position
Institution
University
1.
2.
3.
4.
EMPLOYMENT RECORD
a) Teaching chronological order
[Link]. 1. 2. 3. 4. Designation Institution Experience (Duration) Experience (in years) Last Salary Drawn
TOTAL b) Industry and Research chronological order
[Link]. 1. 2. 3. 4. 5. Designation Institution / Organisation Experience (Duration) Experience (in years) Last Salary Drawn
TOTAL
RESPONSIBILITIES HELD
Academic Responsibilities (Subjects with results)
Department Responsibilities:
Institution Responsibilities:
Administrative Responsibilities:
Remarkable Works done in Past Institutions:
PUBLICATIONS
Number of Papers Published in SCI Journals: List: 1) 2)
Number of Papers Published in Other Journals: List: 1) 2)
Number of Papers Published in International Conferences: List: 1) 2)
Number of Papers Published in National Conferences: List: 1)
2)
Number of Patents filed / approved: List:
* First Page Proof should be attached for publications
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CONDUCTION OF / PARTICIPATION IN SEMINARS / CONFERENCES
Number of Seminars / Conferences / Workshops / FDP / STTP / Industrial Training Organised List:
Number of Seminars / Conferences / Workshops / FDP / STTP / Industrial Training Attended List:
RESEARCH PROJECTS
Number of Research Projects carried out as Principal Investigator / Co-Investigator List:
GUIDESHIP
Number of B.E., / M.E., / Ph.D Projects Guided so far:
List:
REVIEWERSHIP / AWARDS/ HONOURS
List:
MEMBERSHIP IN PROFESSIONAL BODIES
List:
Any other Information:
Expecting Salary:
I declare that the above particulars furnished by me are true to the best of my knowledge
Place : Date :
SIGNATURE
Reference (Name, Designation, Address and Contacts): 1. 2.
Note: Applicants can ignore the irrelevant heads in the application format Applications should be neatly typed and sent to Principal through e-mail or Post Applications should reach Principal on or before 31.12.2011 Postal Address: The Principal, N.S.N. College of Engineering and Technology, Karur-Madurai NH-07, Manalmedu, Karur-639003 E-mail: principal2327@[Link] Tentative Dates of Interview: 12, 13 & 14.01.2012
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