St.

Josephs College of Engineering & Technology, Palai

(Approved by AICTE and affiliated to Mahatma Gandhi University, Kottayam) Choondacherry P. O.,Bharananganam,Kottayam Dist., Kerala 686 579 Ph: 04822 239301/239302, Fax: 04822 239307 Email: sjcet@sancharnet.in Website: www.sjcetpalai.ac.in)

Application for Teaching Posts

(Form applicable also for teaching posts in St. Josephs Institute of Hotel Management & Catering Technology, Palai)

Post Applied for

1. Name of the applicant : (in Capital Letters) 2. Date of birth 3. Place of birth 4. Nationality : : : Female
(Affix recent Passport size colour photo here)

(Asst. Prof./Assoc. Prof./Prof. etc.)

Dept:

Day

Month

Year

(Village,Town & State)

5. Gender (Tick one) : Male 6. Religion : 7. Caste/Community : 8. If Catholic : Name of Diocese 9. Marital Status (Tick one) :

Parish Married Single 11. Address for Communication (with PIN Code)

10. Permanent Address (with PIN Code)

Phone No. with STD Code

Phone No. with STD Code

Mobile No. : Email :

Mobile No. : Email :

12. Professional qualifications ( Tick appropriate ones)

: M. Tech../ M.E./ M.S./ M.Sc / MCA / MBA / BHM / Ph.D./ Others(specify) Part Time Distance Education Specialization (If applicable)

13. Nature of highest qualification: Full Time (Tick one) 14. Academic Qualifications Course Details Year of Institution Passing

Board / University

% Marks

KM-D03M03Y2K12

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15. Teaching Experience Teaching Experience in years : Name of Institution where taught No. of Years of Service Subjects Taught

16. Industrial / Field Experience Industrial / Field Experience in years : Industry / Organization No. of Years of Service Field of Service

17. Number of Seminars / Conferences / Short Term : Courses Attended / Organized 18. Number of Papers Published in National / Inter-National Journals : 19. Subjects of interest in teaching (mention any two): 1. ................................................................ 2. ................................................................... 20. Major strengths (mention best two) : 1. ................................................................ 2. ................................................................... 21. Mention two extra-curricular activities in which you are interested : 1. ................................................................ 2. ................................................................... 22. Proficiency in English (Tick one) : Poor / Average / Good / Excellent 23. If appointed, how long do you prefer to remain with the college? (Tick one) : One Semester / One Year / Two Years / Indefinitely 24. Names and addresses of two referees : 1. (If Catholic, one should be the parish priest) 2. Note: All degrees / qualifications must be approved by AICTE & Mahatma Gandhi University. Distance education degrees are not accepted Candidates have to produce all certificates in original at the time of interview Subject knowledge, presentation skills and the general attitude and interest will be assessed during the interview. Send all applications (including HMCT) to Principal, St. Josephs College of Engineering & Technology, Choondacherry - 686 579, Kerala. Applications can be sent at any time of the year.

KM-D03M03Y2K12

I certify that to the best of my knowledge and belief, the details given above are true and correct. I also certify that if selected, I will discharge teaching and other duties assigned to me with full commitment and devotion. Place : Date : Signature :

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