You are on page 1of 5

For Office Use Only

Percentage

of

Marks at Bachelor
Master

: ________
Degree

: ________

Not

: ________

Level
Eligible/
Eligible
Signature

: ________________

APPLICATION FOR THE POST OF Professor/ Asst. Professor/ Full Time Lecturer/ Part
Time Lecturer/ Contributory Lecturer in Architecture at Women’s
Education Society’s
1.

Full name of the applicant

:

Affix Passport
Size
Photograph

_________________________________________________
(In English & Capital letters)

(Surname)

(First

name) (Father’s / Husband’s name)
2.

Full Residential Address

:

_________________________________________________
_________________________________________________
Phone Nos.

:

(R) ___________________ (M)

:

_________________________________________________

_______________________
E-mail ID
3.

Date of Birth

(in figures)

:

(d) _____________ (m)____________

(y)_______________
(in words)

:

_________________________________________________
4.

Mother Tongue

:

______________________ Nationality

Married / Unmarried/Divorcee/Widow

_________________
5.

Marital Status

:

6.

C.O.A. Registration No.:

_________________________________________________

7.

Present Status

:

_________________________________________________
8.

Religion

:

_________________________________________________
Caste

:

_________________________________________________

S. Under Graduation Post Graduation Ph. Languages known : Speak Read Write -211. No .C.S.D. if needed): __________________________ Name of the Institution Nature of appointment Full Time / Part Time / Contributory Period Subjects taught 14. Professional Experience (Please attach a separate sheet. Any other.9.S. H.C. Academic Qualifications (From SSC Onwards) Name of the Examination passed Year Name of the Board/ University Subjects offered Marks obtained Out of Percentage / class S. Teaching Experience (if any) (Please attach a separate sheet. if any 12. Category (Please specify) : SC/ST/VJ(A)/NT(B)/NT(C)/NT(D)/OBC/ Special/ Open 10. Specialization of the Subject: ___________________________________________________________ 13. if needed): _____________________________ Sr. Name of the firm/ office Project Details Period Estimate d Cost .

Information regarding Publication of Research Papers. Books and other publications by the candidate (any other information not covered in above items) _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ 18.D. please mention the name of the University ___________________________________________ _________________________________________________________________________________ Letter No. if any: ______________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ 16. Any other relevant information: ________________________________________________________ _________________________________________________________________________________ . Administrative Experience. Is the candidate a University Recognized Ph. Guide Yes / No If yes. Articles.-3– 15. ________________________________ Date ____________________________________ 17.

Attach copy of marksheets for each examination 6. Attach authentic certificate of caste (in case of reserved candidates) 3. Attach the copy of COA. who is in service. Certificate of health and physical fitness from Medical Advisor with date of examination 4._________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ 19. The candidate. Will you be able to guide students in other college activities: __________________________________ 21. __________________________________ _____________________________________ _____________________________________ ___________________________________ _____________________________________ _____________________________________ ___________________________________ ___________________________________ ___________________________________ Note: 1. ____________________________________ 2. Passport size photograph to be affixed in the space provided 5. Forwarded through: . Two Reference with addresses: 1. should send application through proper channel. Please strike off which is not applicable 7. Registration 2. Have you applied for any posts in any other institution: ______________________________________ -4– 22. Proficiency of Experience in extra curricular activities (give details): ____________________________ 20.

7 ______________________________________ 8. 3 ______________________________________ 4. 0. ____________________________________ . . ____________________________________ . ____________________________________ . ____________________________________ . 9 ______________________________________ 1 ____________________________________ .Name of the Institution: ________________________________ Address: ____________________________________________ ____________________________________________ ____________________________________________ Signature of the Employer (Seal) ______________________ Signature of the Place: _________________ Applicant _____________________________ (Name of Date: _________________ Applicant) Enclosures: 1 ______________________________________ 2. 5 ______________________________________ 6.