Tilak Maharashtra Vidyapeeth

(Deemed University) Photo

Gultekdi, Pune 411037

Ref. of Advertisement :

Application for the post of :

To,
The Registrar
Tilak Maharashtra Vidyapeeth
Pune – 411037

1. Name in Full: Shri/Smt.

In CAPITAL LETTERS
Surname First Name Father’s/Husband’s Name
In Devnagri:
2. Postal Address in Full:
(In Block Letters)

Contact No: with STD Code: (R) (O)

3. Date of Birth 4. Running Age (as on date of advertising) 5. Male/Female No. of Children

d d m m y y

6. Marital Status: 7. (a) Nationality: (b) Mother Tongue:

8. Whether belonging to (a) Scheduled Caste (b) Scheduled Tribe or (c) Noinadic Tribe and Vimukta Jati7 If so, give details (Please
tick (√) which even applicable)

9. Education Qualifications:

Month and Marks Percentage of

Examination Class/Division/
Examination year of Subjects Obtained out marks
Board/University Grade awarded
passing of obtained

Matriculation/S.S.C./
H.S.C.

Bachelor’s Degree
(B.A/B.Sc/B.Com)

Master’s Degree
(M.A./M.Sc/M.Com.)

M.Phil

Doctor’s Degree

Post Doctoral
Degree/Diploma

SET/NET/JRF
 (2)

10. Teaching Experience:

Nature of
Institution Subject Position held Total years of Experience
appointment

11. Research Work done or directed

12. Other Qualification and experience

13. Publications:
(With reference)

14. Other Activities/Membership.

 (3)

14. (A) Personal Position:

(B) Name of Institution where employed with address:

(C) Total emolument as on:

Basic Pay … Rs.

D.A. … Rs.
H.R.A. … Rs.
C.L.A. … Rs.
Other Allowances … Rs.
Total … Rs.

(D) Perks & other facilities provided by present employer:

(E) Pay Scale: : Rs.
(F) Date of appointment :
(G) Date of increment :

15. Names of persons who have given Testimonials:

1.

2.

3.

16. Name & address of not more than three persons to whom reference may be made:

1.

2.

3.

DECLARATION
I hereby declare that all information submitted in this application & its accompaniments is true, complete & correct to
the best of my knowledge & belief. I accept that in the event of any information being false, incomplete, or incorrect, my
candidature/appointment is liable to be cancelled/terminate. I further understand that no notice shall be taken of any request for
withdrawal of any application. I have read carefully all instruction given in the accompaniment of this form and I undertake to abide
by the same.
Place:
Date: Signature of Candidate
(The application in service must submit his application through proper channel)

To,
The Registrar
Tilak Maharashtra Vidyapeeth, Pune-411037

Sir,
I am forwarding an application of Shri/Smt.
Working in as a duty recommended

Seal Yours faithfully,

Place:

Date: (Signature & Stamp)

 (4)

INSTRUCTIONS TO CANDIDATES

1. Application who is already in employment must submit the application through proper channel.

2. All entries should be typewritten or good handwritten.

3. Candidate should send with his application, attested certificate true copies of the Degree or Diploma certificates or other

certificates is support of his educational qualifications and experience, and of the S.S.C. or equivalent Certificates in

support of his age. Original Certificates should not accompany the application but should be brought at the time of

interview.

4. Candidate should also send with his application copies of the following documents.

(a) Certificate from the employer stating the scale of pay, basic pay, and allowances drawn at present.

(b) Testimonials

5. If the space provided is insufficient, information may be given on a separate sheet duly signed by the candidate & the same

may be sent with the applications.

6. 3 Copies of every application should be sent together with copies of certificates duly attested/testimonials separately

attached to each application form.

7. Application should be sent to the Registrar, Tilak Maharashtra Vidyapeeth, Pune 411037 so as to reach him on or

before the last date prescribed. Applications received after the prescribed last dates are rejected.

8. Any changes of address given in column 2 of the application form should at once be communicated to the Registrar, Tilak

Maharashtra Vidyapeeth, Pune 411037.

9. Incomplete applications will not be considered.

10. Candidate is advised to satisfy himself before applying that he possesses the prescribed qualifications inquiries asking for

advice as to eligibility are not entertained.

11. Candidate if called for interview will have to present himself at his own expenses.

12. Canvassing direct or indirect will be a disqualification.

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