ACHARYA NAGARJUNA UNIVERSITY NAGARJUNANAGAR 522 510 A.P.

INDIA

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Application for the post of ____________________ in the College of ____________________ 1. Name in full (In capital letters) 2. Reservation Category : :

3. Address to which communication may be sent (Including e-mail & Phone No.): 4. Date of Birth 5. Sex : :

6. Educational Qualifications in the following format (from graduation onwards with Xerox copies of certificates) Degree Passed Year of Class Percentage Name of the Specialization Passing of Marks University If any

7. Details of NET/SLET/GATE Exam passed (including the year of passing, subject, etc with Xerox copies). NET/SLET/GATE Month / Year of Passing Subject 8. Details of Research Qualifications in the following format (Xerox copies are to be enclosed). Research Year of Grade Percentage Name of the Specialization & Degree Passing (if any) of Marks University Title of the Thesis M.Phil Ph.D. 9. Details of Publications (including the Titles, Names of Journals, year of Publication, Place etc with copies of reprints to be provided). 10. Teaching/work experience put up so far in the following format: Position Name of the Period worked Pay Drawn Nature of Duties Held Employer From To

11. 12. belief. Place: Date:

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Any other details in support of the Application: I certify that the information given above is correct to the best of my knowledge and

Signature of the Candidate