MARATHWADA MITRA MANDAL’S POLYTECHNIC

THERGAON, PUNE-411033

Department-_______________________ Post-________________

Name: ______________________________

Address: ______________________________

______________________________

Telephone No.:___________________ Mobile No.:__________________

E-Mail Id: __________________________________

Date of Birth: _____________________ Gender:__________________

Category: ______________

Education Qualification

Examination Board/University Year of Passing %of Marks/Grade

SSC

HSC

DIPLOMA
UG

PG

Any other

Experience: (Starting from the latest)

Sr.No. Organization Designation Period Experience
From To

Total Experience (year):

Teaching- Industrial- Research-

Papers & Books Published: (If necessary use a separate sheet)

Papers Published Books Written Summer / Winter R&D Projects

Schools Attended Undertaken

Noteworthy achievements:

Additional Information:

Signature.
Date:-
 MARATHWADA MITRA MANDAL’S POLYTECHNIC
THERGAON,PUNE-411033

Date:

Interview for the post of ____________________________in ______________Department.

Shortlisted Candidates

Sr.No. Candidates Name Shortlisted for

MMCOE/MMIT/MMPoly
1
2
3
4
5
6
7
8
9
10

Name of the Interviewer Sign.

______________________ _____________

______________________ _____________

______________________ _____________

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