APPLICATION FORM FOR FACULTY POSITION
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Vacancy Details
Advt No. Date
*Site *Entry Mode
*Department
*Post Applying For:
Specialization(if any in advertisement) Faculty Of
Personal Information
*Name in Full (In Block Letters) (First Name) (Middle Name) (Last Name)
  Father's Name (First Name) (Middle Name) (Last Name)
*Mother's Name (First Name) (Middle Name) (Last Name)
*Gender Male Female Transgender
*Date of Birth
Marital Status Single Married Nationality
State of Domicile
Religion
*Category Present Employer
Do you belong to physically challenged category. Yes No
Mailing Address
*Address *Country
*City *State
*Pincode Tel No(with STD code)  
*Mobile *Email ID
*Permanent address same as Mailing Address ? Yes No
Permanent Address
*Address *Country
*City *State
*Pincode Tel No (with STD code)  
*Mobile *Email ID
 
EDUCATIONAL QUALIFICATIONS(Starting with highest degree Obtained)

Sr.NO Examination/Degree Name of Board/College/University Percentage of Marks Discipline/Subject(s) Year Of Passing/award Upload Scanned Document
1 Upload Scanned Document
2 Upload Scanned Document
3 Upload Scanned Document
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Other Details

*a)Whether qualified(UGC/CSIR)NET/SLET/SET? NET SLET SET Not Qualified
Year of Qualify
b) Whether Ph.D awarded? Yes No
c) Whether M.Phil awarded? Yes No


Details of Employment Experience (In Chronological order starting with most recent)

Sr.No. Name Of Employer Status of Institute/University(Govt./Quasi Govt./Autonomous etc.) Post held / Designation Period of Employment Pay band/scale and Grade Pay Nature of duties
From (dd/mm/yyyy) To(dd/mm/yyyy) Scale/Band Grade Pay
1
2
3
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Summary of Experience/Performance

Teaching Experience From To Total
Years Months
i.Under Graduate
ii.Post Graduate
iii.Total Teaching Experience
Research Experience
iv. Research Experience other than the period spent for obtaining M.Phil/Ph.D. Research Degree
   
OTHER MISCELLANEOUS INFORMATION

a) Membership/Fellowship of other institutions/professional societies:
b) Other Activities/Responsibilities(Academic/Administrative):
c) Any Other relevant information, if not given above:
d) Whether any disciplinary action was ever taken against you?: Yes No
e) Do you have any criminal case pending against you in any court of law?: Yes No
f) Are you willing to accept the minimum initial pay in the grade?: Yes No
Names and Addresses of two referees

Name Name
Address Address
Email Email
Mobile Mobile
Note: Recommendations from two Referees, not related to the applicants, who are scholars closely acquainted with the applicant’s academic training, accomplishment and capabilities
   
PROFESSIONAL DEVELOPMENT, CO-CURRICULAR AND EXTENSION ACTIVITIES (CATEGORY II)

a) Student related co-curricular, extension and filed based activities (upload proper document certified by competent authority in support against your claim):
  • Discipline related co-curricular activities
Academic Year Remedial Classes(Hopurs) Career Counseling(Hours) Study Visit(Hours) Student Seminar(Hours) Other Events(Hours) Total(Hours) Upload Document
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  • Other co-curricular activities
Academic Year Cultural Sports(Hours) NSS(Hours) NCC(Hours) Total(Hours) Upload Document
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  • Extension and dissemination activities
Academic Year Public/ Popular(Hours) Lectures/ Talks (Hours) Seminars (Hours) Total(Hours) Upload Document
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b) Contribution to corporate life and management of the department and institution through participation in academic and administrative committees and responsibilities (upload proper document certified by competent authority in support against your claim):
  • Administrative responsibility (including as Dean/Principal/Chairperson/Convener/Teacher-in-charge /similar other duties that require regular office hrs for its discharge)
Academic Year No of Responsibilities Total(Hours) Upload Document
Dean(Hrs) Principle(Hrs) Chairperson(Hrs) Coverner(Hrs) Teacher-in-Charge(Hrs) Other(Hrs)
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  • Participation in Board of Studies, Academic and Administrative Committees:
Academic Year Board Of Studies(Hrs.) Academic(Hrs.) Administrative(Hrs.) Total(Hours) Upload Document
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c)Professional Development activities(such as participation in seminars, conferences short term training courses, industrial experience, talks, lectures in refresher/faculty development courses, dissemination and general articles and any other contribution) (upload proper document certified by competent authority in support against your claim):
Academic Year Name of the Professional Development Activities Actual Hours spent for discharging the duty Total(Hours) Upload Document
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Payment Details:
Payment Mode Online
Total Amount (Rs)
   
OTHER MISCELLANEOUS INFORMATION
(a) Copies of Mark-sheets & certificate of educational Qualification etc.
(b) Copies of certificate of Teaching & Research experience.
(c) Caste Certificate.
(d) Date of Birth Certificate.
(e) List of publications with details, reprints of papers published and acceptance letters (in case accepted papers/articles etc.)
(f) Evidence of doctoral research guidance (only for Professor).
(g) Copies of other relevant certificates & documents for any other claim made.


DECLARATION TO BE SIGNED BY THE CANDIDATE
 

I hereby declare that the information given by me in the Application is true, complete and correct to the best of my knowledge and belief and that nothing has been concealed or distorted thereof. If at any stage, I am found to have concealed/distorted any information or given any false statement, my application/appointment shall liable to be summarily rejected/terminated without notice or compensation.

 



Date :
Place : Upload Signature of Applicant here




    I Agree
   
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