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Application Form For Faculty - 2 PDF
Application Form For Faculty - 2 PDF
APPLICATION FORM
5. Do you belong to (Please tick ) : SC / ST / OBC / Person With Disabilities (PWD)/ ExServiceman /
Dependent of Defense personnel killed/Disabled in war action:
____________________________________________________
6. Post held at present:
Nature of the Post
Post held at Date of Name & Address of Employers
(Temporary /
present * Appointment with present salary
Probation/ Permanent)
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7. Educational Qualifications: (From Undergraduate Onwards)
Class/ *Equivalent
Sr. Examination Name of the Year of No. of
Percentage Percentage in
No. Passed University Passing attempts
/ CGPA case of CGPA
_______________________________________________________________________________________
Length of Service
Sr. Employers Post Pay Scale Total (date) Nature of work
No. Name held Emolument
From To
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(B) Research Activities: (Excluding M.Tech. Dissertation & Ph.D. Work)
(C)Publication:
National Journal
Sr. Month /
Name of Journal Volume No. Title (In Short)
No. Year
International Journal
Sr. Volume Month /
Name of Journal Venue Title
No. No. Year
Conference / Seminar
Sr. Name of Conference/ Month /
Venue Title
No. Seminar Year
International Conference/
Seminar
National Conference/
Seminar
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(D) Other Activities:
(i) Number of Expert Lectures Delivered: ________________________________________________
(ii) Number of Summer / Winter schools / Training Programmes: ____________________Organized
(iii) Number of Seminar / Conference / Workshop / Networking: ___________Programme Organized
Administrative & Community Services:(e.g. Dean/ Vice-Principal/ Principal/ Hostel Warden/ HOD/ Dept. In
charge/Chairman - Board of Studies/ Self Development Programmes for community Services)
_______________________________ ________________________________________
Contact No. & Fax ________________ Contact No. & Fax ___________________________
___________________________________________________________________________________
DECLARATION
I declare that the statements made in this application are true to the best of my knowledge and belief.
I understand that misleading or wrong information supplied may lead to immediately rejection of
application/ appointment if found subsequently.
Date: _____________________
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