FACULTY APPLICATION FORM

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Applying for the Post of *

PERSONAL DETAILS (PD)

Name of Applicant (PD) *

Date of Birth (PD) *

YYYY

Gender (PD) *

Marital Status (PD) *

Category (PD) *

Nationality (PD) *

Mobile Number (Applicant) (PD) *

E-mail Id (Applicant) (PD) *

Medical/ Health Information (PD) *

Please mention any chronic health issue which needs attention.

CORRESPONDENCE ADDRESS (CA)

Address Line No 1 (CA)

Address Line No 2 (CA)

CIty (CA)

State (CA)

Pin Number (CA)

PERMANENT ADDRESS (PA)

Address Line No 1 (PA) *

Address Line No 2 (PA) *

CIty (PA) *

State (PA) *

Pin Number (PA) *

ACADEMIC QUALIFICATIONS (AQ)

Please submit the photocopy of the relevant documents at the time of Admission

10+2 or equivalent qualification (AQ1)

Year of Passing(AQ1) *

Stream of Studies at 10+2 or equivalent (AQ1) *

Incase of other stream, pl. specify (AQ1)

Name of the Board/School/ College/University (AQ1) *

Grade/ Class/ Division/ Appeared (AQ1) *

Graduation or equivalent qualification (AQ2)

Year of Passing (AQ2) *

Stream of Studies at Graduation (AQ2) *

Name of the College/University (AQ2) *

Grade/ Class/ Division/ Appeared (AQ2) *

Post Graduation or equivalent qualification (AQ3)

Year of Passing (AQ3) *

Stream of Studies at Post Graduation (AQ3) *

Name of the College/University (AQ3) *

Grade/ Class/ Division/ Appeared (AQ3) *

LANGUAGE KNOWN (LK)

Hindi (LK) *

Speak

Read

Write

Required

English (LK)

Speak

Read

Write

Option 4

Others Languages, If any (LK3)

Work Experience (WE)

Academic (WE) *

Projects (WE) *

Training (WE) *

Research (WE) *

Other Activities (OA)

Publication (OA) *

Conferences/ Seminars (OA) *

Awards (OA) *

Industrial (OA) *

Consultancy (OA) *

DECLARATION OF CANDIDATE

I hereby declare that all the statements made in this application form are true, complete and correct to the best of my knowledge and belief. In the event of any information being found false, I fully understand that my candidature is liable to be cancelled.

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