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FACULTY IDENTIFICATION APPLICATION FORM

1. Name of the faculty

2. Council Registration No.


(if applicable)

3. Designation

4. Department

5. College

6. City

7. Date of Birth

8. Residential Address
(Local)

9. Telephone No. Residence:


with STD Code
Office:

Mobile:
10. E-Mail address

11. Nature of appointment


Tick ( ) appropriate [Permanent / Temporary / Adhoc / Honorary / Part
time]

12. Date of Joining

13. Photo ID (Enclosed)


Tick ( ) appropriate [Passport Copy / Driving License / PAN card / Voter
ID]

14. Employee Photo Employee’s Thumbprint Employee Signature

Please affix a recent


passport size
Photograph

Dean / Principal’s
Signature

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