NATIONAL INSTITUTE OF CONSTRUCTION MANAGEMENT AND RESEARCH

NICMAR Application For Employment

Faculty Position

Position you are applying for

(Pl. specify exact position grade I/II/III): __________________________________________________
Location (tick): Pune Hyderabad (Shamirpet) Delhi NCR (Bahadurgarh)
Number of days you need to join after
Desired Salary: ___________________ per month receiving appointment letter: _____________
Ever applied for this Institute before ______ post applied ____________________ where ___________
when _____________ Referred by (name and address): _________________________________________
_____________________________________________________________________________________

Name four subjects/courses in which you are a specialist and would like to teach:
1. _______________________________________________________________________________

2. _______________________________________________________________________________

3. _______________________________________________________________________________

4. _______________________________________________________________________________

PERSONAL DETAILS (IN CAPITAL LETEER).Enclose the self attested copy of Adhar and PAN card
(as available)

Name: ____________________________________________________________ Affix recent passport

Surname Given name Middle name size colour
photograph
Sex: Male / Female _______ Date of birth (DD/MM/YYYY): _______________
Age in completed years: _________ Nationality: __________________________
Domicile (state): _________________________________________
Adhar card no. (if having): __________________________________________
PAN card no.(if having): ________________________________________

Present address (for mailing): ____________________________________________________________

_____________________________________________________________________________________
City: ___________________ Pin: _______________ Sate: ________________________
Mobile no: _____________________ Email ID: ______________________________________________
Civic status: Married_________ Unmarried _________ Others _________________________
If married, provide details of spouse: Full name: ______________________________________________
Occupation: ___________________________ Name of employer: _______________________________
Details of: 1. _____________________, 2. _______________________, 3. ________________________
Children Name / Age Name / Age Name / Age
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Details of dependents (name and relation): 1. _______________________________________________

2. ______________________________________ 3. _________________________________________

MEDICAL HISTORY / DISABILITY. Please specify name/s of illness/diseases/disability (if any)

Chronic disease: ______________________________________________________________________

Surgeries: ____________________________________________________________________________

Any other diseases/illness/disability: ________________________________________________________

EDUCATIONAL QUALIFICATIONS (Pl. enclose the self attested copy of certificates)

Sr. Qualification University/ School/College/ Month Marks Major Medium of Encl.
No. Board Institution & Year obtained subjects instruction No.
of in %
passing
1 1. SSC
2. SSLC
3. ICSE
4. CBSE
5. IB
6. Other
________
2 HSC/Pre
University

3 Bachelor’s
Degree

____________
4 Post Graduate
Degree

____________
5 Ph.D. / Fellow

_________
6 Other
Professional
Qualification

____________
7 Upto what level did you study Mathematics (tick)
10th ________ 12th __________ Graduate ________ Post Graduate __________
8 Languages you can read and write (other than English)
____________________________________________________________________

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PRESENT EMPLOYMENT (enclose self attested copy of appointment letter)

Name and address of the Organisation: ___________________________________________________

___________________________________________________________________________________
Designation: Date of Joining (DD/MM/YYY):
Scale of Pay Rs.: Total emolument per month Rs.:

Nature of responsibilities: _________________________________________________________________

Reason for leaving: _____________________________________________________________________

Will you permit us to make reference to Name of person to contact: ___________________________
your present employer?
YES / NO ________ Contact number: ___________________________________

Email ID: _________________________________________

PARTICULARS OF YOUR PAST POSITIONS (S) Attach separate annexure in the following format. If
annexure is attached provide Annexure No. ______
(enclose self attested copy of certificate of work experience if any)
Employer 1: Name and address: ________________________________________________________

__________________________________________________________________________________
Date of Designation Last gross Nature of work and reason for leaving
Joining Leaving monthly pay (Rs.)

MEMBERSHIP OF PROFESSIONAL BODIES (enclose self attested copy of letter)

Attach separate annexure in the following format. If annexure is attached provide Annexure No. ______
Name of the Body Status of membership: Life / Annual Membership No.

DETAILS OF PAPERS PRESENTED AT CONFERENCES

Attach separate annexure in the following format. If annexure is attached provide Annexure No. ______
Year Conferences / Seminars Title of the paper (if any)

PULBICATIONS
Attach separate annexure in the following format. If annexure is attached provide Annexure No. ______
Title Name of the Publisher Reference Details of Issue, Year,
Journal No. Month of publication

DETAILS OF CONSULTANCY WORK/RESEARCH PROJECTS UNDERTAKEN

Attach separate annexure in the following format. If annexure is attached provide Annexure No. ______
Year of Title of the project Organisation Your role in the Amount of
completion project grant

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DETAILS OF COURSES TAUGHT
Attach separate annexure in the following format. If annexure is attached provide Annexure No. ______
Sr. Title of the course taught Postgraduate or Teaching Name of Institute
No. Undergraduate experience
in Year/s

DETAILS OF THESIS SUPERVISED BY YOU

Attach separate annexure in the following format. If annexure is attached provide Annexure No. ______
Sr. Title of the thesis Doctorate or Year Brief findings of the project
No. Postgraduate

REFERENCES
(Provide details of three references)
Reference 1 Reference 2 Reference 3
Name and
address

Company
Designation
Phone/Mobile
Email

COMPUTER PROFICIENCY
Tick under the appropriate level of proficiency)
Name of application High Low NIL
SPSS
MS Word
MS Power point
MS Excel
@RISK
MS Project
Primavera
CANDY
BIM
Tally
SAP
MS Dynamics
Any other:
_________________________________

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STATEMENT OF PURPOSE TO JOIN NICMAR (Write in 500 words as to why you wish to join
NICMAR)

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ACKNOWLEDGEMENT AND AUTHORIZATION
I certify that the particulars given in this application form are correct to best of my knowledge.

Place:___________________________ Date: ______________ Signature: _____________________

Total no. of Enclosures: __________

INSTRUCTIONS
1. Fill this form in your own handwriting.
2. Affix the most recent passport size colour photograph at the space provided.
3. Attach Xerox copies of all qualifications, work experience, testimonials as mentioned. They should be
and numbered in the order required. They will not be returned.
4. Copies of the papers, books and other publications, if any, should be sent along with the application
form. If you want these back, please say so in the application itself.
5. All information supplied in this Form will be kept confidential and used for the purpose for which it is
received.
6. Filling this Form and sending it to NICMAR creates no binding on either side.

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