For Office Use Only

Percentage

of

Marks at Bachelor
Master

: ________
Degree

: ________

Not

: ________

Level
Eligible/
Eligible
Signature

: ________________

APPLICATION FOR THE POST OF Professor/ Asst. Professor/ Full Time Lecturer/ Part
Time Lecturer/ Contributory Lecturer in Architecture at Womens
Education Societys
1.

Full name of the applicant

Affix Passport
Size
Photograph

_________________________________________________
(In English & Capital letters)

(Surname)

(First

name) (Fathers / Husbands name)

2.

Full Residential Address

_________________________________________________
_________________________________________________
Phone Nos.

(R) ___________________ (M)

_________________________________________________

_______________________
E-mail ID
3.

Date of Birth

(in figures)

(d) _____________ (m)____________

(y)_______________
(in words)

_________________________________________________
4.

Mother Tongue

______________________ Nationality

Married / Unmarried/Divorcee/Widow

_________________
5.

Marital Status

6.

C.O.A. Registration No.:

_________________________________________________

7.

Present Status

_________________________________________________
8.

Religion

_________________________________________________
Caste

_________________________________________________

9.

Category (Please specify)

SC/ST/VJ(A)/NT(B)/NT(C)/NT(D)/OBC/

Special/ Open
10.

Languages known

Speak

Read

Write

-211.

Academic Qualifications (From SSC Onwards)

Name of the
Examination
passed

Year

Name of the
Board/
University

Subjects
offered

Marks
obtained
Out of

Percentage
/ class

S.S.C.
H.S.S.C.
Under Graduation
Post Graduation
Ph.D.
Any other, if any
12.

Specialization of the Subject:

___________________________________________________________
13.
Teaching Experience (if any) (Please attach a separate sheet, if needed):
__________________________
Name of the
Institution

Nature of appointment
Full Time / Part Time /
Contributory

Period

Subjects
taught

14.
Professional Experience (Please attach a separate sheet, if needed):
_____________________________
Sr.
No
.

Name of the firm/ office

Project Details

Period

Estimate
d Cost

-3
15.

Administrative Experience, if any:

______________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
16.

Is the candidate a University Recognized Ph.D. Guide

Yes / No
If yes, please mention the name of the University

___________________________________________
_________________________________________________________________________________
Letter No. ________________________________ Date
____________________________________
17.

Information regarding Publication of Research Papers, Articles, Books and

other publications by the candidate (any other information not covered in above
items)
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________

18.

Any other relevant information:

________________________________________________________
_________________________________________________________________________________

_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
19.

Proficiency of Experience in extra curricular activities (give details):

____________________________
20.

Will you be able to guide students in other college activities:

__________________________________
21.

Have you applied for any posts in any other institution:

______________________________________

-4
22.

Two Reference with addresses:

1. ____________________________________

2. __________________________________

_____________________________________
_____________________________________

___________________________________

_____________________________________
_____________________________________

___________________________________

___________________________________

___________________________________

Note:
1. Attach the copy of COA, Registration
2. Attach authentic certificate of caste (in case of reserved candidates)
3. Certificate of health and physical fitness from Medical Advisor with date of
examination
4. Passport size photograph to be affixed in the space provided
5. Attach copy of marksheets for each examination
6. Please strike off which is not applicable
7. The candidate, who is in service, should send application through proper
channel.
Forwarded through:

Name of the Institution: ________________________________

Address: ____________________________________________
____________________________________________
____________________________________________
Signature of the
Employer
(Seal)

______________________
Signature of the

Place: _________________
Applicant

_____________________________
(Name of

Date: _________________
Applicant)
Enclosures:
1

______________________________________ 2.

____________________________________

.
3

______________________________________ 4.

____________________________________

.
5

______________________________________ 6.

____________________________________

.
7

______________________________________ 8.

____________________________________

.
9

______________________________________ 1

____________________________________

0.