GITAM UNIVERSITY

(Declared as Deemed to be University u/s 3 of the UGC Act, 1956)

Gandhi Nagar Campus, Rushikonda, Visakhapatnam -530045

Application for Faculty Position
Post Applied for Discipline / Branch :

:

Affix recent passport size photograph

Subject / Specialization 1. Name of the applicant 2. Father’s Name 3. Date of Birth 4.(a) Address for Communication:

: : : : Age:

(b). Phone / Mobile No (c). e-mail ID 5. Category 6. Academic Qualifications:
Degree UG PG M. Phil. Ph.D. Any other Branch & Specialization

: : : SC / ST / PH / Others

Year of Passing

Class / Grade

% of marks

University / Institute studied

Medak-502329. if any i. Title of Paper. Names & Addresses with telephone numbers and e-mail ID of two references: (Persons who are familiar with the applicant’s work) 1. Area of Research work : : 9. 2. in support of your claim. Academic administration: ii. Year and Impact factor. Volume No. University / College Position held From To Total Experience (Attach a separate sheet. If employed give details Present Position Scale of Pay Gross Pay Organization where employed 14. Present Salary. Consultancy Projects undertaken: (Attach a separate sheet. Please send the filled in application to the Director Campus. if necessary) b) Other experience. Marks Statements.e. Enclose Photostat copies of all the publications in support of your claim) 12.:2: 7. Experience. No. Industrial Experience 8. Date: Note: Signature of the applicant 1. etc. Awards / Recognitions (if any): 13. 2. Give details of the research papers published: No. if necessary) 10. GITAM University Hyderabad Campus. Date of Birth. Research Projects undertaken : (Attach a separate sheet.. Journal. if necessary) 11. Publications. Rudraram Village. Please enclose copies of the relevant certificates i. Patancheru mandal. of Papers published National International Seminars / Conferences (Attach a separate sheet giving the list & details i.e Qualifications. a) Teaching Experience: S. .