MARTHANDAM COLLEGE OF ENGINEERING AND TECHNOLOGY

COLLEGE ROAD, KUTTAKUZHI, VEEYANNOOR POST – 629 177, TAMIL NADU

APPLICATION FOR FACULTY POSITION

Advertisement in : Dated:

Position Applied for: Department applied for:

SECTION – A: PERSONAL DETAILS

1. Name in Full
Affix your recent
2. Date of Birth passport size
photograph
3. Gender Male / Female

4. Nationality & Religion

5. Community OC BC MBC SC ST Caste:

6. Address with Pin code

Alternate
7. Tel. No. (with STD code) Mobile No.
Mobile No.

8. E-Mail ID Aadhaar No.

9. PAN No. Passport No.

10. Languages Known Marital Status Single / Married

Name of the Father with

Occupation

Name of the Mother with

Occupation

11. Family Background No. of Siblings Brothers : Sisters :

If Married, Name of the

Spouse with occupation

No. of Children and their

Son(s) : Daughter(s) :
details
SECTION B: CATEGORY I - TEACHING, LEARNING AND EVALUATION ACTIVITIES

EDUCATIONAL QUALIFICATIONS (Starting with highest degree up to SSLC )

Full time / Grade /

Name of Name of the Name of Percentage
Year of Part time / Class /
the Specialization Institution/ the board / of Marks /
Passing Distance Division
Degree College University CGPA
Education obtained

Ph.D.,

PG

UG

Diploma/
Other

HSC

SSLC/
Matric
Any
other
degree

DETAILS OF EMPLOYMENT EXPERIENCE (In chronological order starting with the most recent)

(i) INDUSTRIAL EXPERIENCE (* Enclose copies of certificates and testimonials duly attested by the
applicant)

Total
Period of employment
Post held / Experience
S.No. Name of Employer Salary drawn
Designation in years
From To and months
 (ii) ACADEMIC EXPERIENCE (* Enclose copies of certificates and testimonials duly attested by the
applicant)

Salary
Period of employment
Name of Employer/Status Post held/ drawn
S.No.
of Institute/University Designation
From To Y M D

Total Experience in
Expected Salary years, months and ***
days

DETAILS OF SUBJECTS TAKEN (FOR THE PAST THREE YEARS ONLY)

Name of the Year / Name of the Year / Name of the Year /

Subject Department Subject Department Subject Department
SECTION B: CATEGORY II - RESEARCH AND ACADEMIC CONTNRIBUTION

Research Work Details

Title of thesis/project at undergraduate level

Title of thesis/project at Postgraduate level

Title of thesis at Doctoral level

Are you a recognized supervisor in Anna University : Yes / No

If yes, provide Supervisor recognition no. :

Research Guidance :
No. of candidates Ongoing :
No. of candidates Completed :

Research Articles/Papers published in Journals /Periodicals /Conference proceedings/Newspapers

Number of journals published till date

1. Anna University Annexure – I: __________ 2. Anna University Annexure – II : __________

3. SCI indexed journals other than AU Annexure – I & II : ____________

Separate sheets can be attached in the same format shown below, if needed

Name of journal Whether Sole Month &

S. Title of research article / Volume no. & Impact
(with city/ Author/ Co- year of
No. paper(s) page no. Factor
country) author Publication

Books- Self authored/co-authored/edited

 Whether Month
S. Name of Publisher (with City/
Title of the Book (s) Sole Author/ &Year of
No. Country) with ISBN No.
Co-author Publication

DETAILS OF EXAMINATIONS QUALIFIED IN NATIONAL/INTERNATIONAL LEVEL

GATE Score and Year

Any other competitive Examinations

INVENTOR PATENT RIGHTS

Details of the Patents:Yes / No. (If yes, provide details)

FUNDS RECEIVED FROM THE EXTERNAL AGENCIES

Name of the Amount (Rs in Name of the Duration and

Title of the Project
Agency Lakhs) Scheme Period

FDP/ WORKSHOPS/ SEMINARS/ CONFERENCES ORGANIZED/ ATTENDED (FOR THE PAST THREE
YEARS ONLY)

S. Name of the FDP/ Workshop/ Seminar/ Attended / Duration Total

 no.
Sponsoring
No. Conference and Organizer Organized From To of
Agency
days

SECTION C : OTHER MISCELLANEOUS INFORMATION

Membership/ Fellowship of other institutions/ professional societies

Name of the Society / Body Designation National / International

Countries Visited

Name of the Country visited Purpose of the visit

RESPONSIBILITIES AVAILED IN COLLEGE/ DEPARTMENT LEVEL ACTIVITIES

 Exposure in NBA / NAAC / AU accreditation works: Yes / No

(if Yes, provide necessary details and specific contributions)

ACHIEVEMENTS, AWARDS AND ANY OTHER INFORMATION

OTHER DETAILS

Notice period to join (Mention in weeks) :

Reason for looking a change from the current position :

Name and address of two persons (not related by blood or marriage) to whom confidential reference could be
made.
Note: They should be in a position to report the suitability of your candidature for the post applied for.
1.

2.

DECLARATION

I hereby declare that all the information given in this application is true to the best of my knowledge and belief.
If the information found is not correct, in any stage, my appointment may be forfeited.

Place:

Date:

SIGNATURE OF THE APPLICANT