Faculty Application

General Information

Enter You are applying for

Enter Advertisement Number If any

Gen/SC/ST/OBC

select date

Field of Specialization (if any)

Department or Center name

Fathers’s/Husband Name

Address for Correspondence

Permanent Address

Enter Contact Number

Enter Email ID

Date of Birth

Place Of Birth

MaleFemaleOther

Select Gender

SCSTOBCGEN

Select Category

YesNo

Person with disabilities

NONEVHHHOH

If disabilities Yes

MarriedUnmarried

Your Martial Status

Enter Your Nationality

Academic Qualification (Commencing with the Intermediate/Senior Secondary Certificate Examination or an equivalent examination.
10th HS Certificate

Subject/ Specialization

Enter Passing year and Division

Enter Marks/ Grade %

Subject wise.

Enter Board Name

Distinctions / Scholarship

HSS Certificate (12th)

Subject/ Specialization

Enter Passing year and Division

Enter Marks/ Grade %

Subject wise.

Enter Board Name

Distinctions / Scholarship

Graduation

Subject/ Specialization

Enter Passing year and Division

Enter Marks/ Grade %

Subject wise.

Enter Board Name

Distinctions / Scholarship

Post Graduation

Subject/ Specialization

Enter Passing year and Division

Enter Marks/ Grade %

Subject wise.

Enter Board Name

Distinctions / Scholarship

Diploma/Other

Subject/ Specialization

Enter Passing year and Division

Enter Marks/ Grade %

Subject wise.

Enter Board Name

Distinctions / Scholarship

Research Degree(s)
Ph.D./D.Phil

University

Specific Date of submission of Ph.D. thesis

Specific date of award

Title of the work

D.Sc./D.Litt.

University

Specific Date of submission of Ph.D. thesis

Specific date of award

Title of the work

YesNo

Teaching/Professional/Research Employment (Give particulars in descending order starting with the present post)

Employer

Status of Institute/ University

Post Held

Basic Pay

Nature Of Work / Duties

**Mention whether revised or unrevised, if relevant.

Summary of performance
Teaching Experience / Under Graduate
Post Graduate
Total Experience
Participation in production of Educational TV Program
Short term/ Continuing Education/ Specialist Courses conducted
Course developed (No.)

Publications (Give numbers)

Papers in Conferences/Symposia

Books Number of Review/ Research/ Design/

Feasibility/Reports

Patents/Technology Transfer

Number of Thesis Supervised- PHD
Number of Thesis Supervised- M.Phill
E Sponsored Research Consultancy Projects. i Number of Sponsored Research Projects
No. of Consultancy Projects.

Prizes /Medals/Awards/Honors

Extra curricular activities- give details, if any, of proficiency acquired in games, sports and part taken in other extra curricular or social activities such as NCC, Public Lectures, Debates, Social Service etc.

Special Training / Assignment / Any Relevant particulars

OTHER Informations

If no, state what is the minimum salary expectable or expected with justification thereof

Give names, designations and addressees (Phone/Fax No./e-mail, if any, of three reference not related to you. Refers should be persons with or under whom you have worked, or who have intimate knowledge of your work.

List of Enclosures

reprints of papers and acceptance letters (in case of accepted papers)


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