APPLICATION FORM FOR FACULTY POSITION

Qualification With Specialization UG Po!t AP " ASP " P#of PG $epa#t%ent appea#e& on (((((((((((((

Affix Photo

Refe#ence A&'e#ti!e%ent in ((((((((((((((((((((((

P)RSONAL $)TAILS

*+ Na%e ,+ Fathe# " -u!.an& Na%e /+ $ate of 0i#th Male 3+ Se4 7+ Reli2ion ;+ Ca!te If married, Spou!e : Employed / Unemployed 9Fo# Stati!tical Pu#po!e onl6: No+ of Chil&#en : A&&#e!! fo# Co%%unication ________________________________________ ________________________________________ ________________________________________ _______________PIN Phone No+ =ith ST$ Co&e Mo.ile No )%ail id. : _____________________________________________ Fe%ale 1+ A2e 5+ Nationalit6 8+ Co%%unit6 FC " 0C " M0C " SC " ST 9Fo# Stati!tical Pu#po!e onl6: *<+ Ma#ital !tatu! Married / Un-Married

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ACA$)MIC QUALIFICATIONS > 9F#o% ? St& on=a#&!:

Month @ Yea# of Pa!!in2 Full ti%e " A22+ Pa#t ti%e " A" $i!tance CGPA )&ucation Na%e of the 0oa#& " Uni'e#!it6

No

$e2#ee

Specialization

Na%e of the In!titution !tu&ie&

1. X !td ". XII !td #. $iploma %. U& '. P& (. M.Phil.

). Ph.$. *. +ther,

- .opie, of /ertifi/ate m0,t 1e ,01mitted at the time of Inter2ie3.

PROF)SSIONAL )?P)RI)NC) > Teachin2 9in )n2inee#in2 Colle2e! onl6: in ch#onolo2ical o#&e#

$u#ation Sl+No+ $e!i2nation In!titution F#o% To

)4pe#ience 9in 6ea#!: Yea# Month

1. ". #. %. TOTAL

- .opie, of /ertifi/ate m0,t 1e ,01mitted at the time of Inter2ie3.

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Othe#! 9In&u!t#6B Re!ea#chB Teachin2 in A#t! Colle2e " Pol6technic " School: C ch#onolo2ical o#&e#
$e!i2nation In!titution $u#ation F#o% To )4pe#ience 9in 6ea#!: Yea# Month

Sl+ No+

1 " # % ' ( TOTAL

SDILL $)E)LOPM)NT PROGRAMM)S FF$P " STTP " WORDS-OPS ATT)N$)$G

Sl+ No+ P#o2#a%%e F#o% $u#ation To In!titution

1 " # % ' ( - .opie, of /ertifi/ate m0,t 1e ,01mitted at the time of Inter2ie3.

PU0LICATIONS

0ooH Pu.lication! 45i2e the title, p01li,her 6 year of p01li/ation7

1. ". #.

Pape# Iou#nal Pu.lication 45i2e the no. of p01li/ation,7 Pape# Confe#ence Pu.lication 45i2e the no. of p01li/ation,7

International : National : International : National :

- .opie, of /ertifi/ate m0,t 1e ,01mitted at the time of Inter2ie3. -#-

S)MINARS " CONF)R)NC)S

Se%ina#! " Confe#ence O#2ani!e& 45i2e the .onferen/e 8heme and the date7

Se%ina#! " Confe#ence atten&e& 45i2e the n0m1er7 - Atta/h Photo /opy of rele2ant /ertifi/ate,.
ANY OT-)R INFORMATION

International : National :

Spon!o#e& Re!ea#ch P#oJect! Un&e#taHen If K6e!KB p#o'i&e &etail!

9e,

No

Me%.e#!hip in P#ofe!!ional .o&ie!

1. __________________________________ ". __________________________________ #. __________________________________

A=a#&! @ Achie'e%ent! 9if an6:

I &ecla#e that the a.o'e pa#ticula#! fu#ni!he& .6 %e a#e t#ue to the .e!t of %6 Hno=le&2e

Pla/e : $ate : SIGNATUR) OF T-) CAN$I$AT) :;ith Name< - Atta/h Photo /opy of rele2ant /ertifi/ate, / do/0ment, 3here2er ne/e,,ary.

Office U!e
$ate of Inter2ie3 : _________________ !ele/ted for the po,t : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

!alary detail,: _ _ _ _ _ _ _ _ _ _ _ _ _ _

P=IN.IPA> -%-

.?AI=MAN

INSTRUCTIONS TO CAN$I$AT)S

1. 8he filled in appli/ation, ,ho0ld 1e ,ent to the Prin/ipal 3ith in 1' day, from the date of ad2erti,ement. ". All appli/ation, 3ill 1e ,/r0tini,ed and eli5i1le /andidate, 3ill 1e /alled for inter2ie3. #. !alary 3ill 1e fixed a, per the AI.8E norm, 1a,ed on @0alifi/ation, and experien/e. %. ;ritten te,t 3ill 1e /ond0/ted 1efore per,onal inter2ie3 if needed.

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