Application For The Post of Teaching Staff

  Applying for the post of   

  Sir,

I hereby, submit my application for the post mentioned above, with the following details
Name in Full (in Capital Letters)
Father's name
Mother's name:
Date Of Birth
Age
Gender Male Female
Upload Recent Pass Port Size Photo Graph

Postal Address in Full (In Block Letters)
Address
Pin
Mobile No
Email Address
Marital Status Married UnMarried
Nationality:
Mother-tongue:

Educational Qualifications
Examination University/
Board		 Institution
Name & Place		 Month Year
of Passing		 Subjects
Specialization		 Medium
of Study		 Regular/
Correspondence		 % of Marks Class/Div/Grad
awarded
Matriculation/ S.S.C./S.S.L.C
Higher Secondary







Pre-University/ Intermediatey







Bachelor’s Degree







Master’s Degree
M.Phil.
Doctor’s Degree
Post-Doctoral Degree/Dip.
Others:
TeachingExperience:(In total)

At Under-Graduate Level : (Please attach separate sheet if necessary)
Institution Name Position Held Nature ofAppointment
(Regular/Temporary)		 Subject Period of Appointment
With Dates
     
Specialization General
From To


At Post-Graduate Level: (Please attach separate sheet if necessary)
Institution Name Position Held Nature ofAppointment
(Regular/Temporary)		 Subject Period of Appointment
With Dates
     
Specialization General
From To


Other Qualifications & Relevant Experience
(Please attach separate sheet if necessary)
Research Work done:
(Please attach separate sheet if necessary)

Research Work Supervised:
No. of Students: Awarded Registered In Process
M.Phil
Ph.d

No. of Publications: Published Submitted In Process
Books
Articles
Journals
Reviews

Patents (if any):

Whether Recognized Teacher of this University and/or other Univrsity? If so, give details:
Name of the University Approval/Recognition Letter No UG/ PG /M.Phil / Ph.D Period of Recognition

Particulars of other activities, if any:
Extension work carried out
Co-curricular and extra-curricular activities carried out
Activities concerning corporate life Such as
Hostel-Wardenship Guidance bureau, Gymkhana, NSS etc.
Consultancy work carried out
(Give details on a Separate Sheet)
Any other Work :
Date of Next Increment :

Particulars about Present Service:
Name of the Institution where employed :
Present Designation:
Nature of Appointment : Temporary Regular
Drawing Salary :
Date of Appointment :
Date of Next Increment :

  Names and Addresses of not more than four persons to whom references may be made.

Name
Designation
Organization
Mobile No

Name
Designation
Organization
Mobile No

Name
Designation
Organization
Mobile No

Name
Designation
Organization
Mobile No

Following documents are enclosed:
Attested/Certified/true copies of all certificates of education:
Attested/Certified/true copies of experience certificates:
Last pay certificate (if any)
If appointed, what notice would you require for joining the post
Expecting Salary

DECLARATION:

I hereby declare that all information submitted in this application and in its enclosure's / attachments is true, complete and correct to the best of my knowledge and belief.
I accept that in the event of any information being found false, incomplete, or incorrect, my candidature/ appointment is liable to be cancelled/ terminated.
I have read carefully all instructions given in the accompaniment of this form and I undertake to abide by the same.
Place
Date