PkUnzHkkuq xqIr d`f"k LukrdksŸkj egkfo|ky;

¼f'k{kk lfefr] eksrh egy] y[kuÅ }kjk lapkfyr½

c[’kh dk rkykc] y[kuÅ]
¼y[kuÅ fo’ofo|ky;] y[kuÅ ls lEc}½
Qksu u- 05212&298223 email: infocbgl@gmail.com, website: www.cbgagcollege.org

fnukad & 11-01-2023

pUnzHkkuq xqIr d`f"k LukrdksŸkj egkfo|ky; c['kh dk rkykc] y[kuÅ esa

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tkjh cSad Mªk¶V tks "Manager, C.B. Gupta Ag. PG College" y[kuÅ ds uke ls ns;
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 CHANDRA BHANU GUPTA KRISHI SNATKOTTAR MAHAVIDYALAYA
(Affiliated to University of Lucknow)
Bakshi ka Talab, Lucknow - 226201

APPLICATION FORM FOR FACULTY POSITIONS

Affix here a

Recent Passport
Post applied for...........................................................................................................................
size
Payment Details – Draft No. ....................................... Bank ........................................................ Photograph
..................................................................................... Date ............................ Amount ...................

1. Name in full (In Block Letters) Dr./Mr./Mrs/Ms ...........................................................................................

2. Date of Birth .......................................... (in words) .....................................................................................

3. Father's/Spouse Name .................................................................................................................................

4. Mailing Address .................................................................................................................................

.................................................................................................................................

.................................................................. Pin Code ..............................................

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

E-mail ID ..................................................................................................................

5. Permanent Address .................................................................................................................................

.................................................................................................................................

.................................................................. Pin Code ...............................................

6. Adhaar No. .................................................................. 7. PAN No. .................................................................

8. Marital Status ........................................... 9. Nationality ...............................................................................

10. State of Domicile .......................................

11. Category: SC/ST/OBC/PWD/General .......................................

(in case of PWD category, please indicate PH-OH/PH-HH/PH-VH) (Please attach attested photocopy of Certificate)

12. Religion: Hindu/Muslim/Sikh/Christian/Neo/Buddhist/Zoroastrian/Others .................................................

13. EDUCATIONAL QUALIFICATIONS (Starting with highest degree obtained):

Sl. Examination/Degree Name of Board/ Percentage of Subject(s) Year of

No. College/University Marks/Final Passing/
Grade award

(Please attach photocopies in support)

14. Whether Ph.D. awarded: Yes / No If Yes, indicate the year of award ..........................................................

15. Title of Ph.D. thesis awarded ..................................................................................................................................

........................................................................................................................................................................................

16. Whether qualified ICAR /UGC NET: Yes / No

Subject ............................................................................................................................

(If yes, indicate the year, and attach a photocopy of NET certificate) ............................

17. Present Employer ..................................................................................................................................................

Designation .............................................................................................................................................................

18. Details Experience: (Attach separate sheet if necessary)

19. RESEARCH PUBLICATIONS –

(a) No. of Books- Self authored/co-authored/edited:

(b) No. of Chapters contributed in edited books:

(c) No. of Research Articles ................ Research Papers published in Journals .......................

Abstract presented in Conference/Symposia ........................

Date : Candidate's Signature