G.

NARAYANAMMA INSTITUTE OF TECHNOLOGY & SCIENCE

AUTONOMOUS (for Women)
Shaikpet, Hyderabad -500 104

APPLICATION FORM FOR RECRUITMENT OF TEACHING STAFF –

ASSISTANT PROFESSORS

Name of the Post Applied for: ASST. PROFESSOR Department /Subject: MECHANICAL

1. Name in Full (in Block letters) MULPUR SUJAN KUMAR

2. Father’s Name/Husband’s Name MULPUR DHARMA RAO

3. Date of D D M M Y Y Y Y Place of Birth :

Birth
1 0 0 8 1 9 8 9 GUNTUR
4. Gender ( put a ‘ √ ‘ mark) Male √ Female
5. Marital status MARRIED
6. Nationality INDIAN

7. Aadhar No. 966828779182

8. PAN No. BMJPM9446C
9. JNTUH Portal ID:
10. Indicate whether belongs to OC/SC/ST/BC BC-C
(A, B, C, D, E) category & sub category:
11. Address for correspondence (with Pin BRODIPET,
Code, Contact No. & E-mail) GUNTUR,
522002

Contact No. 8328579558

E-mail ID: Sujan.mulpur@gmail.com
12. Academic Qualifications (copies of certificates to be enclosed):
Examinations Name of the Year of Percentage Division/ Subject
Board / passing of marks Class/
University obtained Grade
High School/ SSC 2004 80 I
Matric
Intermediate INTER 2006 74.3 I M.P.C

Under Graduate B.Tech 2010 59.6 II MECH

Post Graduate M.Tech 2014 81 I M.D

M.Phil *

Ph.D* (V.I.T) -- -- --
MANUFACTU
RING
1
 * Research Degree(s) (copies of certificates to be enclosed)
13. Research Degree(s):
Degrees Title Date of award University
M.Phil.

Ph.D.

14. Professional Experience (Please enclose copies of Certificates relevant to the experience)
Designation Name of the Date of Salary with Reason for
Employer Joining Leaving Grade Leaving
Asst. Prof SMCE SEP-23 TILL 45000/-
DATE
CAD Trainer CADD EXPERTS SEP- 21 AUG-23 PROJECTS

Asst. Prof SVIET NOV-19 AUG-21 35000/-

Asst. Prof VKR,VNB&AGK JAN-19 OCT-19 35000/-

Asst. Prof VBIT FEB-15 JUL-18 25000/-

15. Period of teaching experience :

Classes Years Total years
From To
P.G. Classes 2013 2023 10
U.G Classes
Research experience excluding years spent in M.Phil/Ph.D (in years)
16. Fields of specialization under the Subject / Discipline
MACHINE DESIGN
(a)

(b)

17. Orientation / Refresher Course

(a) Attended
Name of the Course / Place Duration Sponsoring Agency
Summer School

2
(b) Conducted/Organized:
Name of the Course / Place Duration Sponsoring Agency
Summer School

17 Any other relevant Information:-

DECLARATION

I hereby declare that the details furnished above are true and correct to the best of my
knowledge and belief and I undertake to inform you of any changes therein, immediately. In case
any of the above information is found to be false or untrue or misleading or misrepresenting,
I am aware that I may be held liable for it.

Place: GUNTUR Signature of the Candidate

Date: 05.01.24