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Shri Shamrao Patil (Yadravkar) Educational & Charitable Trusts

Sharad Institute of Technology College of Engineering


Yadrav (Ichalkarnji) - 416 121 Tal- Shirol, Dist- Kolhapur
(Approved by AICTE, New Delhi, Recognized by Government of Maharashtra & Affiliated to Shivaji University, Kolhapur)

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Ph: (02322) 253000, 253001 Fax: (02322) 252897


Email: contact@sitcoe.org.in Website: www.sitcoe.org.in

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Faculty Recruitment Programme: 2015


Application Form

Post applied for: .. Applied Post Reserved for:


Branch: Religion: Caste:

Category:

SC

ST

VJ

NT

SBC OBC Open

Physical
Disabled

Women

Name of the
Candidate:
Gender:

Surname

First Name

Middle Name

Father's Name:

Mother's Name:

Postal Code:

City/Village:

State:

Date of Birth:

PAN Card No:

Blood Group:

STD Code:

Land Line:

Mobile Phone:

Address:

Email Address:

Educational Qualifications: .
Sr
No

Name of the Examination

01

SSC

02

HSC / Diploma

Date of Passing

% of
Marks/CGPA

Class
Obtained

UG Degree in
Branch
PG Degree in
Branch
Ph D in

NET / SET passed

03
04
05
06
07

Name of Institute

Others

SITCOE, Faculty Recruitment Programme: 2015 Application Form

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Teaching Experience in Yrs

Industrial Experience in Yrs

Research Experience in Yrs

No. of National Publications

No. of International Publications

No of books Published

No. of UG Projects Guided

No. of PG Projects Guided

No. of Doctorate Students


Guided

Details of Teaching experience:


Sr
No

Institute

University

Position held

Nature of
Appointment

Period of Appointment
with dates

Last Pay
Drawn

01
02
03

04

05

Details of Industrial experience (If any):


Sr
No

Organization

Position held

Nature of
Appointment

Period of Appointment with


dates

Last Pay
Drawn

01
02
03

04

Title of Projects:
UG:
PG:
Ph D:

SITCOE, Faculty Recruitment Programme: 2015 Application Form

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Details of STTPs Attended:


Sr
No
01

Name of Course

Place

Period

Dates

02

Reference Source
Media

Tick
(wherever Applicable)

Details

Newspaper
University Internet
Other
I hereby declare that all the information provided by me in this application form is factual and correct to the best of my
knowledge and belief.

Place:
Date:

Signature:
Name:

One set of the following attested documents is enclosed along with this application form:
Sr No

Name of the Document

Document
Enclosed
YES / NO

Sr No

Name of the Document

01

Resume

09

NET / SET Passing Certificate

02

SSC Marks Sheet

10

Other Certificates ( If any)

03

HSC / Diploma Marks Sheet

11

Experience Certificates

04

UG Degree Marks Sheet

12

Previous University Approval Letters

05

UG Degree Certificate

13

Caste Certificate (if applicable)

06

PG Degree Marks Sheet

14

Caste Validity Certificate (if applicable)

07

PG Degree Certificate

15

08

Ph D Certificate

16

Official Gazette for Name Change


(if Applicable)
Non-Creamy Layer Certificate (if
applicable)

Document
Enclosed
YES / NO

FOR OFFICE USE ONLY

Post applied for: . Applied Post Reserved for: .


Branch:

Religion: Caste: ...

Application No: Inward No: SITCOE/UGC/FRP/2015/

Inward Date: ././

..
Sr No

Remark as Eligible / Not Eligible

Section Clerk

Registrar

SITCOE, Faculty Recruitment Programme: 2015 Application Form

If Not Eligible, state reason for-

Principal

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