Professional Documents
Culture Documents
in
Serial No.________________
The candidate should attach nine Photostat copies of this form alongwith the original
(For Office Use) Name of the Post with specialization Department A Name in Full(In block letters) Mr./Mrs./Ms Father Name: _________________________________________________ Dairy No. Date
Mother Name:
Date of Birth: Nationality: Place of Birth: Marital Status:
Affix recent Passport size photograph
Member of Scheduled Caste/Tribe/Backward Class/ Physically Handicapped ___________(If Yes, Please Attach certificate from Tehsildar /Magistrate I Class of the area). B. Addresses : Permanent address(in block letters):
Present Address: (for Correspondence) (in block letters): _________________________________________________ __________________________________ __________________________
________________________________________
______________________
D. Educational Qualification: (Please attach one set of attested copies alongwith original application only) Examination Univ/Board Main Subject Year of Marks Class/ Passing Obtd. (with Divn./Grade(attach conversion formula) Max Marks) Merit/Prizes /Medals won if any.
1. Matric 2. 10+2/Pre-Med /PreEngg. 3. B.A/B.Sc/B.Com. etc. 4. M.A/M.Sc/M.Com etc. 5. M. Phil 6. Ph. D. 7. Any other Exam. (please specify) 8. Eligibility Test for
Assistant Professor
E. Professional Training : S. No. Organisation Period From Details of Training To
F: Employment Experience (details in chronological order, starting with first job Name & Address Employer/Institution Date of Joining Leaving Designation Nature of Job Pay p Basic.m. & Reason Grade
For Leaving
Page 1 of
Website: http://jobs.puchd.ac.in
G. Period of Teaching Experience (in Years) Subjects/Papers Taught Period From (i)Postgraduate Classes (ii) Degree Class (iii) Any Other
To
________ _
H. Total Academic Performance Indicator (API) score as per guidelines/Instructions (Appendix) available at Panjab University website. However, candidates from other then academic institution should attach detailed account of their personal achievements. (Please attach 9 photocopies) I. Membership of Professional Societies, if any :
J.
L.
Referees :
These should be professionally competent persons, well acquainted with some aspects of the applicants training, accomplishments, capability and character but must not be relations. At least two of them should be citizens of India. For applicants having done post-graduate or post -doctoral research, the research supervisors must be listed. Supervisior of each major employment and present or most recent employment must be listed.
Name 1. 2. 3.
Occupation/Position
Address
N.
Yes / No