Download as doc, pdf, or txt
Download as doc, pdf, or txt
You are on page 1of 4

APPLICATION FORM FOR THE FACULTY

I.

Application for the Post of:

II.

Applicants Name:

Assistsnt Professor

Krishna

Nand

(First Name)

III.

Date of Birth:

IV.

12-05-86
_ (DD-MM-YY)

Residential Address:

Rastogi

(Middle Name)

Gender:

(Surname)

M
(M / F / TG)

202, Faculty Lodge, Doon University, Kedarpur Dehradun


Dehradun

V.

Office Address:

(PIN):

248001

School of Technology, Doon University, Dehradun


Dehradun

(PIN): 248001

E-mail: krishrastogi3@gmail.com

VI.

VII.
Sr.
No.

1
2
3

Phone No.:

(M) 8954925422

(O)

(R)

Academic Qualification (Begin with the recent):


Examination/
Degree

College/
University

Year

PhD Computer Science G B Pant Engineering 2013


(Pursuing)
College, Uttarakhand
MCA
B B Ambedkar
2010
University, Lucknow
BSc IT
MC University, Bhopal 2007

4
5

VIII. Topic of Ph.D. Research (If Applicable):

Class

Main / Special
Subject

74.35

Computer Science

74.85

IT

IX.

Experience (No. of Yrs/Month):


Academics

1/6

X.

Research

Industry

Others

Total

3/6

Specific Details of Experience: (In Chronological Order)

Sr.
No.

Organization

Period (From - To)


(DD-MM-YY)

Designation

Gross
Salary

Reason For
Leaving

Mon & Yr

Remarks

Mon & Yr

Remarks

1
2
3
4
5

XI.
Sr.
No.

Research Papers Published: (In Chronological Order)


National /
International

Subject

Name of the
Journal

1
2
3
4
5

XII.
Sr.
No.

1
2
3
4
5

Research Papers Presented: (In Chronological Order)


National /
International

Subject

Name of the
Institute

XIII. Seminar/ Workshop/ Conference attended: (In Chronological Order)


Sr.
No.

Title

Held at : (Name of the


Institute)

Mon & Yr

Remarks

1
2
3
4
5

XIV.
Sr.
No.

Book(s)/Other Literature Published (In Chronological Order)


Title

Yr of Publication

Published By

Name of the Co-Author

1
2
3
4
5

XV.
Sr.
No.

Subjects Taught:
Subject

1
2
3
4
5

XVI. Research & Consultancy Experience (If any):

Discipline

Semester/ Year

XVII. Collaborative/ Sponsored Research Projects (If any):

XVIII. Academic Administrative Experience and Your Contributions (If any):

XIX. Other Skill(s) / Achievement(s):

I hereby affirm that the given details are true to the best of my knowledge. I agree that if any of the give
details are found to be false; the institute is entitled to immediately terminate my appointment; if
appointed.

Date:

Signature:

You might also like