School of Planning and Architecture: Vijayawada

(An institution of National Importance under the Ministry of Human Resource Development, Govt. of India)
Survey No. 4/4, ITI Road, Vijayawada – 520 008, Andhra Pradesh, India

Application for GIS EXPERT/ Research Associate / Research Assistant

(√ Tick whichever applicable)

Affix latest passport

size photo.

Name of the Candidate :

Father’s Name :
Contact Address :
Phone :
Email :
Date of Birth : DD MM YYYY
Category : Gen OBC SC ST PwD

Educational Qualifications:*
Degree Subject / Research % Marks Year of Name of the College &
Area / Grade Passing University

Professional / Short term :

courses attended, if any

Specialization in PG Course :
Employment record (starting from present employer if any):*
Name of the Post Held Functional Pay Scale Period Remarks
Organization activities

* Candidate to provide necessary supporting scanned images of original educational qualifications, mark-
sheets and certificates of years of experience, along with application.

Membership of Professional :
bodies

Publications :

PhD / M.Tech Thesis guided :

Sponsored research project :

Co-curricular & Extra- :

curricular activities

Any other relevant information:

Declaration
I hereby declare that the information furnished above is true to the best of my knowledge and
belief. If at any time I am found to have concealed any information or given any incorrect
data, my appointment, if made, may be terminated without notice or compensation.
Additional legal action may also be taken.

Date: Signature of the candidate