Application for the post of AssociateProfessor/Professor
- Name(in block letters) :
- Date of Birth: Age :
- Religion : Nationality :
- Caste: Community :
- Aadhar No:
- Address for Communication :
- Marital Status :
- Place of Birth : District : State:
- Mother Tongue:
- Present Salary Details :
Basic: Rs…………………… Scale of Pay :……………………………
Total Gross Monthly Emoluments: Rs.…………………….
- Expected Salary:
- Joining Time Required:
- Name and address of the persons to whom reference can be made about the applicant
1. 2.
- Academic Qualifications: (Starting from Highest Qualification)
Degree/
Diploma / Specialization / Medium of Instruction / Class / % of Marks / Cleared all the papers in single attempt (Say Yes / No)* / Name of the Institution / F / P / D ** / University / Month &
Year of Passing
* If No please provide the details in the following format
** Note : - F / P / D – State Whether – Full-Time (F), Part-Time (P), D – Distance Education
13 b.If passed the Degree with arrears provide the following details
Sl. No. / Degree / Name of the Arrear subjects / Semester in which arrear occurred / No. of attempts to clear / Semester in which cleared- Professional / Teaching / Research Experience (Starting from Present Experience)
Sl.No / Name of the post held / Name of the Employer / Institution / Pay and Scale of Pay / Period of Employment / Teaching/
Industrial/
Research
From
Date / To
Date / Years / Months
- COURSE MATERIALS PREPARED
TITLE
YEAR- MONOGRAPHS PREPARED
TITLE
YEAR
18.BOOKS PUBLISHED
NAME OF THE BOOKPUBLISHER
YEAR
- PAPERS PUBLISHED IN INTERNATIONAL JOURNALS DURING THE LAST FIVE YEARS:
(Give Annexure if required)
- PAPERS PUBLISHED IN NATIONAL JOURNALS DURING THE LAST FIVE YEARS:
(Give Annexure if required)
- PARTICIPATION IN CONSULTANCY ACTIVITIES THROUGH THE INSTITUTION
DURING THE LAST THREE YEARS
CONSULTANCY JOB / PROJECT / ORGANISATION / PROJECT LEADER / REMUNERATION EARNED- PARTICIPATION IN SUMMER/CONTINUING EDUCATION PROGRAMMES
DURING THE LAST THREE YEARS
PROGRAMME
/ HELD AT / DURATION23.MEMBERSHIP OF PROFESSIONAL BODIES
PROFESSIONAL BODIES / TYPE OF MEMBERSHIP / POSITION HELD- PAPERS PRESENTED IN CONFERENCES DURING THE LAST THREE YEARS:
(Give Annexure if required)
- STATE ANY INNOVATION IN TEACHING/EVALUATION YOU HAVE EXPERIEMENTED DURING THE LAST THREE YEARS
- PARTICIPATION IN ORGANISING CONTINUING EDUCATIONAL PROGRAMMES DURING THE LAST THREE YEARS
PROGRAMME / DURATION / PERIOD / NO. OF PARTICIPANTS / NATURE OF INVOLVEMENT
27.SPONSORED RESEARCH CARRIED OUT DURING THE LAST THREE YEARS
PROJECT / SPONSORING ORGANISATION / PERIOD / GRANT / PRINCIPAL INVESTIGATOR- DISTINCTION AND AWARDS RECEIVED
Place:
Date : Signature of the Applicant
Attach Xerox Copies of the following:
- Educational Qualifications
- Community certificate
- Salary Proof