COLLEGE OF EDUCATION
(APPROVED BY ALL INDIA COUNCIL FOR TECHNICAL EDUCATION &
AFFILIATED TO ANNA UNIVERSITY, CHENNAI)
ERACHAKULAM, NAGERCOIL – 629 902, KANYAKUMARI (Dt.)
APPLICATION FORM FOR FACULTY POSITION
1. PERSONAL DETAILS
Full Name (IN BLOCK LETTERS)
Date of Birth_____/____/__________Gender________________ Age__________
Mother Tongue_____________________________ Nationality ___________________
Domicile of _____________________ Marital Status : Bachelor/Spinster/Married/Widow(er)/Divorced
(Strike off which is not relevant)
Father’s Name & Occupation Spouse Name & Occupation
Mother’s Name & Occupation Name of children with age
Religion : Hindu/Muslim/.Christian/Jews/Buddhist (strike off which is not relevant)
PS : Candidates from minority community need to furnish the scanned copy of the relevant minority
certificate issued by a Govt. Dept along with this Form
Caste : __________________________
Whether SC/ST/BC/OBC/Gen (strike off which is not relevant)
PS : If you belong to reserved category, please furnish the scanned copy of the relevant certificate issued
by a Govt. Dept.
Whether Physically challenged Yes/No If Yes pls give details
Whether you have been interviewed If yes give date and position for which interviewed
by AMRITA earlier?
YES/NO
Permanent Address Communication Address
Cell #1________________________
Email id: ___________________________________________
Cell#2_________________________
2. QUALIFICATION*- Use additional sheets if necessary (Start from 10thStd)
Duration of
Qualifying Name of University/Board/ study Area of FT/ PT/ %Marks
Exam Institution Institute (Month & Yr) Specialization WE/ DE /Grade
From / To
10th
12th
UG
PG
M. Phil
Ph.D.
OTHERS
*Do not mention Diploma qualifications
Whether NET/SET/GATE/MAT qualified (If Yes give details)
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Professional Training/Diplomas/Certifications
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Post Doc research if any (give details)
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3. EXPERIENCE starting from latest (mention experience after acquiring PG Qualification)
Permanent/
Month/Year Name of the Reason for Gross
Position held Contract/
From/To organization Leaving Salary
Part time
Total Experience
Years Months
(Period of PG study/PhD study to be excluded from the calculation)
Teaching
Industrial/ field experience
Research experience excluding period of research work for Ph.D.
TOTAL
Note: Applicants must not claim any Teaching experience prior to attaining PG
Degree as a right to claim any monetary benefits/designation at the time of
appointment or for future career progression with Amrita Institutions which
shall be at the sole discretion of the Institutions based on the total merits of the
case and performance during the interview.
Journals publications (Peer – reviewed) National International
(Produce the abstracts for reference) Total Total last 5 yrs Total Total last 5 yrs
Total Scopus Indexed
4. DETAILS OF FUNDED PROJECTS/CONSULTANCY
Sl. Duration &
Funding Agency Project Title Amount Remarks
No. status
5. PROFESSIONAL ACHIEVEMENTS -Awards or distinctions won if any (Please specify)
a)
b)
c)
6. KEY PERFORMANCE/RESULT AREAS
Describe very objectively what goals you can set for yourself and what you can deliver, and how you can add value at
Amrita, short term and long term
Publications in the next 12/18/24 months:
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Funded Projects/Consultancy in the next 12/18/24/30 months
____________________________________________________________________________________________________
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Collaborative Research Initiatives in the next 18/24/30 months
____________________________________________________________________________________________________
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Tangible Student outcomes/Academic support/Curriculum development
____________________________________________________________________________________________________
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____________________________________________________________________________________________________
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Your immediate plans in the area of interest/expertise (Research and/or Academic)
____________________________________________________________________________________________________
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Any new initiatives/concepts that you can bring in including consultancy services
(mention briefly)
____________________________________________________________________________________________________
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7. REFERENCES& SUNDRY
Any relatives working in the University.
If yes, please give details as to which
campus and which Department and the
designation.
Any known person/references in Amrita
University. If yes give brief details as to
how you know the person or you are
associated.
Please give two references whom we can a)
contact, with whom you have worked or
associated with earlier, mentioning their
current employer, designation, contact no.
and email address: b)
Spiritual pursuits and social activities,
if any.
Write a few lines as to why you have
chosen AMRITA for your professional
pursuit.
Current or Last salary drawn :
Present position, with salary details:
Position :
Pay Band:
Grade Pay:
If pay band, grade pay not applicable, then consolidated salary
(you may require to provide supporting documents to support your statement on last salary drawn)
Expected Salary :
Are you shortlisted for filling up
any Govt. vacancies or awaiting results of :
any exams/interviews that you may have
appeared for. Please give brief details
If selected, latest date you can join us :
(Pls. also mention any stipulations or conditions to join)
If you hold a PF a/c, pls. furnish details :
UAN no.__________________________
A/c type : With / Without Pension
As a professional, what factors motivate you motto work
(Mark 0 for least, in that order to max 5in the order of preference )
(a) Monetary ( ) (b) Career development ( )
(c) Job security ( ) (d) Moral ethics and values ( ) (e) Value addition to society ( )
What factors did you find attractive to apply for a position with Amrita
(Mark 0 for least, in that order to max 5, in the order of preference)
(a) Brand ( ) (b) Career Development ( ) (c ) Better salary ( )
(d ) Research labs & Centers of Excellence ( ) ( e ) Better professional recognition ( )
I state and affirm that all information given above in terms of personal, professional or academic
qualifications / achievements is true to the best of my knowledge and conscience.
Place:
Date : Signature of Applicant
