APPLICATION FOR THE GUEST FACULTY POSITION IN THE

DEPARTMENT OF ELECTRONICS & COMMUNICATION ENGINEERING, VTU, BELAGAVI / MYSURU

Last Date to receive the application: 10/11/2021 by 4.00 pm
(Separate applications needs to be sent to the respective address, if applying for both the programs)

Guest Faculty Applied for Appln.No.

(To be filled in by Space for
(Program & Place) office)
Photograph
(Separate Application forms to be sent, for each Program and Place, if applying for more than one)

1. Full Name (in Block letters) :

Address for correspondence :

2.

Email Address: Mobile No:

3. Nationality Age Date of birth

(dd/mm/yyyy)

4. Details of Education Qualification:

Qualifying Year of Percentage with

University / Institute CGPA/ Total Specialization
Examinations Passing Marks obtained Class obtained

SSLC / X class :

PUC II / XII class :

Bachelors:

Masters:

Thesis Title:
Ph.D.

5. Attach the Caste certificate or Reservation certificate if belongs to SC/ST/ OBC/371J or other.

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6. Research/Teaching/Industrial Experience in chronological order.

Sl. No. Institute/Organisation/Designation Start Date End Date Total Type of

(dd/mm/yy) (dd/mm/yy) Period work
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7. Awards/Honours :

Publication details (give numbers) (Attach list of publications) International National

8.
 Journal Papers (without review artciles)
 Review articles
 Refereed International/National Conference Proceedings
Faculty Development programme in relevant area attended (give numbers)
9. (Attach the details )

10. Workshops attended (give numbers) (Attach the details )

No. of UG/PG students projects guided: (Please provide details in a separate

11. sheet with name of the student, date/year , title of the thesis, Guide/Co-guide)

Teaching experience: No.of years

12.
Courses taught UG/PG level.

13. Any other relevant information:

14. List of Enclosures 1.

2.
3.
4.
5.
6.
7.
8.
9.
10.

Date: Signature of the applicant

Place:
Name of the applicant

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