Application No.: ..

(For office use only)

fcgkj dsUnzh; foofo|ky; Central University of Bihar

(Established under Central Universities Act 2009)

Advt. No.:

Application Form for Teaching Posts

(Please read the instructions on website before filling)

(Part A) Post applied for: Subject: Area of specialization: 1. Application fee (through Bank Challan):
Transaction No. Transaction Date Amount

Affix recent passport size colour photograph

Bank/Branch's Name

2. Personal details (In capital letters):

Full Name Date of Birth (DD/MM/YY) Gender (Male/Female) Nationality Category
(SC/ST/OBC/General/PD)

Sl. No. of proof enclosed

Age (in years) Marital Status Religion

Fathers Name Mothers Name Particulars of Physical Disability, if applicable

3. Address (In capital letters): Mailing Address

Permanent Address

PIN CODE:

PIN CODE:

Email Phone No. Mobile Fax

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4. Educational Qualifications (Matriculation onwards):

Name of the Degree/Exam Board/Institution/ University Year of Passing Percentage of Marks Division/ Class/ GPA Subjects

Sl. No. of proof enclosed

NET or Equivalent:

Rank/Percentile, if any Sl. No. of proof enclosed

5. Details of PhD as per UGC Regulations 2010

University Mode of Admission Date of Registration Details of Fellowship, if any Funding Agency Title of the Thesis Status (Mark in appropriate box) Degree awarded [ Date: ] Thesis submitted [ Date: Yes [ ] Duration ] No [ Grade ] From To Amount (per month) Entrance Test: Yes [ ] Subject ] No [ ] Interview: Yes [ ] No [

Course Work completed during MPhil/ PhD Programme (Mark ) If yes, list of Course(s) MPhil/PhD

Details of Research Papers published before thesis submission:

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6. Title of Dissertation /Thesis (If published, give details on separate sheet)

Master M.Tech MPhil

Sl. No. of proof enclosed

7. Academic Distinctions (Award/Scholarship/ Rank etc.)

Sl. No. of proof enclosed

8. Membership/Fellowship of Learned Accredited Bodies (Give details) :

Sl. No. of proof enclosed

9. Present position:
Designation University / institution From date Basic Pay (BP) Pay Scale (PS)/ Pay Band (PB) & Grade Pay (GP) Gross Pay (Monthly) Sl. No. Increment of proof date enclosed

10. Experience (Enclose additional sheet, if required, in the same format):

Designation Basic Pay, PB with Grade Pay University / Institution Period From To No. of Years / Months Nature of Work Sl. No. of proof enclosed

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11. Your competence in application of Computer/IT in Education and Research

Sl. No. of proof enclosed

12. Additional Information, if any (Please attach separate sheet, if required):

Sl. No. of proof enclosed

13. Name and complete postal address of 3 Referees (In capital letters): Referee 1 Referee 2

Referee 3

PIN CODE:
Email Phone No. Mobile Fax

PIN CODE:
Email Phone No. Mobile Fax

PIN CODE:
Email Phone No. Mobile Fax

Note: Request any of your two referees to send recommendation on the prescirbed proforma directly as instructed. Recommendations not in the prescribed proforma or received after the last date of application may not be considered.

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14. Select at least 3 core and 2 elective courses of the relevant Master Programme (displayed on website www.cub.ac.in) which you would like to teach.

15. Propose the courses which you would like to develop and teach at MPhil/PhD level.

16. Write down your current and future academic plans in about 100 words.

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17. Declaration: I hereby declare that all the entries made by me in this application are true to the best of my knowledge and belief. If anything is found false at any stage, my candidature may be cancelled without assigning any reason thereof.

Date : ____________

Signature of the applicant

18. Endorsement by the Employer (For in service candidates holding a substantive post only): (Not applicable to the Probationers and candidates working on Contract/Ad-hoc basis)
To be Signed and Forwarded by the Present Employer

Forwarded to: Central University of Bihar, BIT Campus, P.O. - B.V. College, Patna - 800014 (Bihar), India.

The applicant Prof./Dr./Mr./Mrs./Ms. ____________________________________________, who has submitted this application for the post of ______________________________________ in the Central University of Bihar, has been working in _______________________________________ as _____________________________ on a substantive post with effect from ___________________ in the Pay Scale/ Pay Band of Rs._______________________________. S/he is drawing a Basic Pay / Pay of Rs. ______________ with Grade Pay of Rs.__________. His / Her next increment is due on _________________. Further, it is certified that no disciplinary / vigilance case has ever been held or contemplated or is pending against the said applicant. There is no objection for his/her application being considered by the Central University of Bihar.

. (Signature of the forwarding authority ) Name: _________________________

Designation: _________________________ Office Seal Place : Date : _________________________ _________________________

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