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KPR Institute of Engineering and Technology: Application Form

This document contains an application form for the position of Assistant Professor in the Department of Computer Science and Engineering. The applicant, G. Narendran, provides personal details including name, date of birth, family details, contact information, academic qualifications, professional experience, membership in professional bodies, publications, seminars attended, computer skills, expected salary, and references. He has over 1 year of teaching experience as a part-time lecturer and is seeking a salary between Rs. 15,000-20,000 per month.

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56 views4 pages

KPR Institute of Engineering and Technology: Application Form

This document contains an application form for the position of Assistant Professor in the Department of Computer Science and Engineering. The applicant, G. Narendran, provides personal details including name, date of birth, family details, contact information, academic qualifications, professional experience, membership in professional bodies, publications, seminars attended, computer skills, expected salary, and references. He has over 1 year of teaching experience as a part-time lecturer and is seeking a salary between Rs. 15,000-20,000 per month.

Uploaded by

narendranvel
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Advertisement dated:

Post Applied for..


Department of ........................................................................................................................ Space for affixing photo

1. Name (in block letters) :
2. Date of Birth : 3. Sex : M / F
4. Nationality : 5. Religion :
6. Community : 7. Caste :
8. Mother Tongue : 9. Blood Group :
10. Family Details
Sl.
No.
Relationship Name of the Family Member Age
Present position /
Occupation
1. Father
2. Mother
3. Spouse
4.*
5.*
6.*
* Son / Daughter / Brother / Sister

11. Passport No : 12. Driving License No:
13. Foreign Countries visited, purpose & duration :



14. Address for Communication :
Communication Address Permanent Address

Phone Nos with STD Code :
(Mobile) :
(Land Line) :
E-Mail ID : (1)
(2)
KPR Institute of Engineering and Technology
(Approved by AICTE and Affiliated to Anna University, CBE)
Coimbatore 641 407
APPLICATION FORM
Assistant Professor
Computer Science and Engineering
G. NARENDRAN
18/11/1990
INDIAN
HINDU
BC SENGUNTHAR
TAMIL
B+ve
T GUNASEKARAN
43
Auto Driver
G ALAMELU 38 House Wife
G PUNITHA
21
Completed B.E
H9328731
15/104 KULLAPPAN ST,
DADAGAPATTI,
SALEM-6
15/104 KULLAPPAN ST,
DADAGAPATTI,
SALEM-6
9629623920
[email protected]
21 may 2014
15. Academic Qualifications: (Starting from Highest Qualification to SSLC)

Degree/
Diploma
Specialization Class % Marks Name of the Institution
F

/

P

/

D


*

University
Month &
Year of Passing

















* F Full Time, P Part Time, D Distance Education
M E
CSE
1ST 72
Government College of Tech.
Coimbatore
F
ANNA UNIVERSITY
2014
B E
CSE
1ST
76
Gnanamani College of Tech.
Namakkal
F
ANNA UNIVERSITY
2012
HSC MATHS,COMPUTER
1ST
69
The Gugai Hr.Sec.
School,salem
F STATE BOARD
2008
SSLC MATHS,SCIENCE AND
SOCIAL
1ST 72
the Gugai Hr.Sec.
School,Salem
F
STATE BOARD
2006
16. Professional / Teaching / Research Experience (Starting from Present Experience)

Sl.No Designation Name of the Employer / Institution Gross Pay
Period of Employment
Teaching/
Industrial/
Research
From
Date
To
Date
Y
e
a
r
s

M
o
n
t
h
s





















Total Experience: Teaching : Industry : Research :
1
Part time
Lecturer
Government College of
Technology, Coimbatore
8000/-Gate
Stipend
15-03-2013 21-04-2014 1
1
Handling
Classes
1
1
17. Membership in Professional Bodies :

18. *Publications :

19. *Seminars / Conferences organized / attended :

20. *Details of Grants received, if any :

21. Computer knowledge / Proficiency :

22. * Extra / Co-Curricular Activities :

23. Present salary details :
Basic : Rs Scale of Pay:
Total monthly emoluments: Rs..

24. Expected salary :

25. Joining time required :

26. Name and address of the persons to whom reference can be made about you:
1. 2.





27. Any other information you wish to state :




Date: Place: Signature
* Attach separate sheets, if necessary

Verified By :
(Name & signature of the Staff)



NCVIT'14 AND GCEB CONFLUENCE'13
Co-ordinator for National conference and
3 Conference attended
GATE STIPEND 8000 Per month
C,C++,JAVA,VB.NET,NS2
Completed Junior Level type Writing
8000
15,000-20,000
june 15
Dr. K. Baskaran
Associate Professor,
Government College of Technology
Coimbatore-13
MobileNo:9443661901
Dr. S. Rathi
Assistant Professor(Senior Grade)
Government College of Technology,
Coimbatore-13
MobileNo:9843190500
Respected sir, Actually i am from poor family. I like to work with your Organisation.
Now i have lot of problems in my family. So please consider my application. I humble
request to consider me sir.
22/05/2014 Coimbatore

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