Faculty Recruitment Form

(Please fill the information in Capital Letters)

Kindly submit printed copy (Hand written – will not be accepted)

A A A A A A A A A A A A A A A A A
A
Salutation (Mr. / Ms. / Mrs. / Dr. Miss) A Recent Passport Size
Name of the Candidate (First name) (3.5 X 4.5 cm) Colored
(Middle Name) Photo
(Last Name)
Gender
Date of Birth D D M M Y Y Y Y A
Blood Group A
Cell Number A
In Emergency, please contact A
Religion (Hindu, Muslim, Christian, Sikh A
Buddhism, Jain, Other)
Caste (Open, SC, ST, OBC, SBC, VJ, Specimen Signature:
NT-DT, Other) Below in Box
PAN Card Number (Use Black Pen)
PF Number
Marital Status
Bank Account Number
Bank Name
Bank Branch
IFSC Code
Father’s / Husband Name Mr.
Occupation of F / H
Mother’s Name Mr.
Occupation of Mother
Local Contact Number
Local Postal Address

C I T Y - P I N -
Permanent Contact Number
Permanent Postal Address

Signature of the Candidate

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 C I T Y - P I N -
FAX Number
Email ID
Exact Designation (Applied for)
[Lecturer, Lecturer (Sr Scale), Asst Professor, Associate Professor, Professor, Workshop Supdt, TPO, Head of Dept, Lecturer (Sel
Gr), Director, Principal, Placement Officer]
Current Salary
Expected Minimum Salary

Academic Qualification
S.No. Particular Specialization School / College Board / University YoP % Reg / PT / DIST Remarks
1. 10th
2. 12th
3. Graduation
4. Post Graduation
5. Doctorate
6. Others (If any)
7. Others (If any)

Latest Experience Details

S.No. Organisation Designation Job Profile From To Remarks
1. DD.MM.YYYY DD.MM.YYYY
2. DD.MM.YYYY DD.MM.YYYY
3. DD.MM.YYYY DD.MM.YYYY
4. DD.MM.YYYY DD.MM.YYYY
5. DD.MM.YYYY DD.MM.YYYY
6. DD.MM.YYYY DD.MM.YYYY
7. DD.MM.YYYY DD.MM.YYYY

Summary of Experience:
Industry Y E A R S M O N T H S D A Y S
Teaching Y E A R S M O N T H S D A Y S
Signature of the Candidate

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 Research Y E A R S M O N T H S D A Y S
Other Y E A R S M O N T H S D A Y S
TOTAL Y E A R S M O N T H S D A Y S

Any other achievements i.e. Co-curricular activities, Workshops, Trainings organized or participated
S.No. Particular Venue Date Remarks
1.
2.
3.
4.
5.
6.
7.

Patents (If any): __________________________________________________________________

No. of PG projects guided:
No. of Doctorate students guided:
No. of Books published:
No. of National Publications:
No. of International Publications:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________

“I hereby declare that, the information given above is true to the best of my knowledge & belief. If anything found wrong, my appointment will be
rejected automatically, I will be solely responsible for that. In that case any legal action may be taken against me.”

Signature of the Candidate

Please attach a copy of your latest CV and also attach all the testimonial’s copies supporting above information
For Official use only:
“The information given above is correct as per the documents submitted by the candidate. We have thoroughly checked the information.”

Office Superintendent / Registrar

Signature of the Candidate

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 Comments of Subject Expert – I
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
Signature with Name & Date
Comments of Subject Expert – II
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
Signature with Name & Date
Comments of H.O.D.
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
Signature with Name & Date
Comments of Principal [(Selection / Rejection) (Salary Recommended) (Date of Joining)]
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
Principal
To be filled by ADMIN OFFICE:
Exact Designation (Eligible for)
Appointment Type
Faculty Type
Regular / Approved, Adhoc / Contract, In charge
Program
Course
Faculty Shift
First Year Common Subject Faculty?
First Year Subject (If so)
Pay Scale (Vth VIth Consolidated)
Basic Salary
HRA
Conveyance Allowance
Provident Fund
Other allowances / Facilities
Gross Pay per Month
Salary Mode

Signature of the Candidate

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 Date of Joining D D M M Y Y Y Y

Instructions from Executive Director:

Date of Joining: ___________________________________________________________________________________________________

Salary fixed is: ____________________________________________________________________________________________________
Next Increment Due on: _____________________________________________________________________________________________
Department: ______________________________________________________________________________________________________
Designation: ______________________________________________________________________________________________________
Job Profile: _______________________________________________________________________________________________________
Reporting To: _____________________________________________________________________________________________________
Office Timings: ____________________________________________________________________________________________________
Seating Arrangement: ______________________________________________________________________________________________
Any other Instructions: _____________________________________________________________________________________________
_______________________________________________________________________________________________________________________

Executive Director

Attachments Check List:

S.No. Description Yes / No Accepted / Not Accepted Remarks

1. Latest CV / Resume
2. Latest Color Photograph
3. Xerox of 10th Mark sheet
4. Xerox of 12th Mark sheet
Signature of the Candidate

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 5. Xerox of Graduation Degree
6. Xerox of Post Graduation Degree
7. Xerox of all previous Appointment Letters
8. Xerox of all previous Experience Certificates (Must)
9. Latest Account Statement (Latest five pages)
10. Biometric Thumb Impression
11. Address Proof (Voter ID / Driving License / Passport etc.)
12. ID Proof (Voter ID / Driving License / Passport etc.)
13. Caste Certificate (If Applicable)
14. Xerox of PAN Card
15. Proof of Paper publications
16. Proof of Books publication
17. Proof of Patents
18. Proof of PG projects guided
19. Proof of Doctoral Students guided
20. Copy of lTR (Last three years)

Signature of the Candidate

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