AKS UNIVERSITY, SATNA(M.P.), INDIA

Information Form

/ Latest
PHOTOGRAPH
(Passport Size)

I. Personal Information

1. Name (in BLOCK letters) Mr./Ms. ______

2. Age:______3. Date of Birth: ______4.Sex:______

5. Category :- GEN/SC/ST/OBC 6. Marital Status:- Married/Unmarried

7. Date of Marriage : ______

8. Family Details

Name / Relationship / Age / Occupation / Whether Dependent (Yes/NO)
Father
Mother
Spouse
Child -1
Child -2
Child -3
Brother/ Sister
Brother/ Sister

9. (a) Local address : b) Permanent address:

______

______

______

Pin Code: ______Pin Code:______

Telephone No. (Mobile):______Telephone No.: ______(Permanent address-emergency contact)

Telephone No. (Residence):______Email:______

10. Nationality______

11. Languages Known (Please tick as applicable)

12. DETAILS (Academic/Technical/Professional)

Name of the
Examination / Name of
Univ./Board/Including City & Country / Year & Month of Passing / Percentage
of Marks/ Division/Grade / Major Subjects / Specializations

13. List of all previous employment in order (Starting with present one)

Name of the Employer/Including City & Country / Duration of Employment / Position Held / CTC on Joining / CTC on Leaving / Brief Description of Duties / Reasons for Leaving
From / To

14. Details of experience possessed as per the eligibility criteria.

15. Research Publications and Reports (Add list giving Name of Publication/Journal/Book, Page numbers andIF: Impact Factor.

16.List all subjects that you can handle/can teach/have command in sequence of your own preference/choice

Subject, / Name of the Program
[Bachelors or Masters’] / Year
[1 or 2 or 3 or 4] / Expertise
[Low or Medium or High] / Remarks

17. Administrative experience, if any (please specify)

______

18. Are you pursuing any formal studies/courses, if yes please elaborate:

______

19. Computer Skills (please give details):

______

20. Extra-curricular activities / Membership of professional or social group

______

21. Hobbies

22. Present Compensation

Monthly Current Basic Pay: / Monthly HRA: / Monthly Conveyance Allowance
Other Allowances:
1.______ / 2.______ / 3.______
4.______ / 5.______ / 6.______
Total Monthly Pay: / Annual Pay : / Any Bonus :

23. State any serious illness you have had in the past.

______

24. Have you ever been convicted by any court? If so give details.

25. In what way can you contribute to AKS University, if selected.

26. What is your career objective?

27. Specify your strength area (at least three).

i. ______

ii. ______

iii.______

28. What are your three areas of improvement.

i. ______

ii. ______

iii.______

29. Have you been interviewed by us before? If Yes, please give details.

______

30.If selected, time period required to join

31.Give two references (other than your relatives)

Name Address Profession Contact No.

(i)

(ii)

ADDITIONAL INFORMATION (WHICH THE CANDIDATE MAY LIKE TO FURNISH)

______

I hereby solemnly affirm and declare that the statements made above are true and nothing has been concealed. If any of the above statements is found to be false or incorrect, I will be liable to be dismissed summarily.

Place: ------

Date: ______

(Signature of Applicant)