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PIMPRI CHINCHWAD EDUCATION TRUSTS

S.B.PATIL INSTITUTE OF MANAGEMENT


SECTOR NO.26,PRADHIKARAN,NIGDI,PUNE-411044
Tel : 27656900 Web: www.sbpatilmba.com
Date :_____________

Sr. No.

Application Form for Appointment for the Post of


Professor

Associate Prof.

Assistant Prof.

Librarian

1. Name (in Full):_________________________________________________________________________


2. Address for correspondence: _____________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Mobile No. _______________ E- Mail:______________________ Date of Birth:____________________
3. Caste :
Open

OBC

SBC

4. Educational Qualification:
Sr.
Qualification
No.
1.
U.G.
2.

P.G

3.

Ph.D

SC

ST

Collage/ University

NT

VJ

Year of
Passing

NTB

NTC

% of
Marks

NTD

Specialization

OTHERS (IF ANY)


4.
5. Details of Teaching experience:Sr.
No.

Name of Organization / Institute

Period
From

To

Designation

Total No. of years in Teaching:


6. Details of Industrial experience:Sr.
No.

Name of Organization / Industry

Total No. of years in Industry:

Period
From
To

Designation

Responsibilities
Handled

7. Research work done:

M. Phil

Ph. D.
Attended

Research Project

Paper Presented

Paper Published

Organized

National Seminar/ Conference


International Seminar /
Conference
Publications : __________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
8. Subject Interested :
Sr. No.

Title of the Subject

1.
2.
3.
4.
5.
6.
7.
9. Last Approval from University
Sr. No.
1.

Post
Lecturer / Assistant Professor

2.

A.P. / Associate Professor

3.

Professor

Name of the University

Year

10. Activities Interested : (Tick whichever is applicable)


1.

G.D.P.& I.

12.

Entrepreneurship Program

2.

Soft Skill/ Finishing School

13.

Guest Lectures

3.

C.S.R.

14.

Seminar Coordination

4.

Business Quiz

15.

Research Journal

5.

Management Games

16.

House Magazine & Newsletter

6.

HR Meet

17.

Cultural Activities

7.

Industrial Visit

18.

Induction Program

8.

Training & Placement

19.

Faculty Development Program

9.

Job Fair

20.

Inter College Event Organization

10. Competitive Exam

21.

Others : ___________________

11. Foreign Language

22.

Others : ___________________

Last Salary Drawn: Gross Rs. ______________


Date : ___________

Signature ____________________
Name of the Candidate ______________________

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