Bharat Ratna Indira Gandhi College of Engineering,

Kegaon, Solapur.


Department: Category:

Application No: Cast:

Date:

Application For Employment

Post Applied For:




Personal Details

1. Name : ____________________________________________________
(In Block Letter) Surname Name Fathers Name

2. Address for: __________________________________________________________
Correspondence
______________________________________________________________

________________________________________ Pin __________________

Phone / *Mobile: ____________________*Email ID: __________________
(Compulsory) (Compulsory)

3. Date of Birth: ________________________________________________

4. Age: ___________________ yrs 5. Sex: ________________________


6. Nationality: ___________________ 7. Domicile: ____________________


8. Religion: ___________________ 9. Caste: _______________________


10. Category: __________(SC / ST / VJ/ NT / OBC / OPEN etc.)

11. PAN Number: __________________ 12. EPF Number: ______________
(if applicable)
13. Languages Known: __________________________________________

______________________________________________________________
--1--


Paste Passport Size
Colored Photograph

12. Educational Qualifications:

Examination Board / University Year Class %
S.S.C.
H.S.C
Diploma
Degree
Post
Graduation

Doctorate
Post Doctorate
Others

13. Work Experience

a) Teaching Experience (Start from most recent employment)

Name of the
Institute
Post Held Salary
Drawn
Duration Reason of
Leaving







--2--

b) Industrial Experience (Start from most recent employment)

Name of the
Institute
Post Held Salary
Drawn
Duration Reason of
Leaving





15. Number of Papers Presented or Published at National / International / State
Level: (Last Three Years)________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________
(Use additional page, if required)

14. Extra Curricular Activities: ______________________________________

________________________________________________________________

________________________________________________________________

15. Academic Achievements: ______________________________________

________________________________________________________________

________________________________________________________________




--3--
16. Salary Expected: __________________________________

17. Subjects of interest: ____________________________________________

________________________________________________________________

18. Computer Literacy: ____________________________________________

19. Why do you feel fit for this job?

(Describe in 200 words in your own handwriting.)
























--4--

Instructions:

1. Attested copies of the mark lists, Experience certificate, degree / PG
degree certificate, caste certificate & other relevant documents etc must
be enclosed.

2. For additional information use separate sheet, if required.

3. Last date for receipt of application: _______________________

4. Please Attach 5 copies of colored passport photograph.

5. Each application should be forwarded with DD or cash as applicable.

The above information is true to the best of my knowledge and belief.


Place:

Date: Signature
Name: __________________________























For Office Use:

Application No. : ______________

Date of submission of Application: ________________

DD No. ____________________ Cash Receipt No. : _____________________

Department: ____________________________________

Post Applied for: __________________________________
Bharat Ratna Indira Gandhi College of Engineering,
Kegaon, Solapur.

Summary Sheet / Top Sheet
(To be submitted in 6 copies)

Inward Reg No:
(For Office Use Only)


Post Applied For:


Name:
(In Block Letter) Surname Name Fathers Name


Caste: Category:


Address for Correspondence:






Basic Degree:


Highest Qualification:


Teaching Experience:


Industrial Experience:




Date: Signature of the Candidate



Note: Please read instructions carefully before filling the application. Incorrect
Applications will not considered.
Bharat Ratna Indira Gandhi College of Engineering,
Kegaon, Solapur.

Summary Sheet / Top Sheet
(To be submitted in 6 copies)

Inward Reg No:
(For Office Use Only)


Post Applied For:


Name:
(In Block Letter) Surname Name Fathers Name


Caste: Category:


Address for Correspondence:






Basic Degree:


Highest Qualification:


Teaching Experience:


Industrial Experience:




Date: Signature of the Candidate



Note: Please read instructions carefully before filling the application. Incorrect
Applications will not considered.
Bharat Ratna Indira Gandhi College of Engineering,
Kegaon, Solapur.

Summary Sheet / Top Sheet
(To be submitted in 6 copies)

Inward Reg No:
(For Office Use Only)


Post Applied For:


Name:
(In Block Letter) Surname Name Fathers Name


Caste: Category:


Address for Correspondence:






Basic Degree:


Highest Qualification:


Teaching Experience:


Industrial Experience:




Date: Signature of the Candidate



Note: Please read instructions carefully before filling the application. Incorrect
Applications will not considered.
Bharat Ratna Indira Gandhi College of Engineering,
Kegaon, Solapur.

Summary Sheet / Top Sheet
(To be submitted in 6 copies)

Inward Reg No:
(For Office Use Only)


Post Applied For:


Name:
(In Block Letter) Surname Name Fathers Name


Caste: Category :


Address for Correspondence:






Basic Degree:


Highest Qualification:


Teaching Experience:


Industrial Experience:




Date: Signature of the Candidate



Note: Please read instructions carefully before filling the application. Incorrect
Applications will not considered.
Bharat Ratna Indira Gandhi College of Engineering,
Kegaon, Solapur.

Summary Sheet / Top Sheet
(To be submitted in 6 copies)

Inward Reg No:
(For Office Use Only)


Post Applied For:


Name:
(In Block Letter) Surname Name Fathers Name


Caste : Category :


Address for Correspondence:






Basic Degree:


Highest Qualification:


Teaching Experience:


Industrial Experience:




Date: Signature of the Candidate



Note: Please read instructions carefully before filling the application. Incorrect
Applications will not considered.
Bharat Ratna Indira Gandhi College of Engineering,
Kegaon, Solapur.

Summary Sheet / Top Sheet
(To be submitted in 6 copies)

Inward Reg No:
(For Office Use Only)


Post Applied For:


Name:
(In Block Letter) Surname Name Fathers Name


Caste: Category:


Address for Correspondence:






Basic Degree:


Highest Qualification:


Teaching Experience:


Industrial Experience:




Date: Signature of the Candidate



Note: Please read instructions carefully before filling the application. Incorrect
Applications will not considered.
BIO DATA

NAME: _________________________________________________

ADDRESS FOR : ___________________________________

CORROSPONDENCE ____________________________________

DATE OF BIRTH: _______________________________________

NATIONALITY: _______________________________________

EMAIL ID: _________________________________ Phone: ___________________
Mobile: ___________________
RELIGION / CASTE: ________________________________

LANGUAGES KNOWN: _____________________________________________________

PAN No. : __________________________ EPF No.(if applicable) :___________________

EDUCATIONAL QUALIFICATION:
(Start From Degree)

Name of
Exam.
University & College Year of
Passing
%
Marks
Class







EXPERIENCE:
(Start From Latest)

Sr.
No.
Institute / Company Designation Period Reason of
Leaving
1.
2.
3.


4.



Research / Publications / Others





Place: Solapur Signature Of Candidate
Date: (Name :____________________)
Attach color
past port size
photograph