JOB APPLICATION FORM
1
Personal
2
Education
3
Publications & Presentations
4
Experience
5
Co-curricular & Submit
Personal Details
Post applied for:
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-- Select Post --
Assistant Professor of Botany
Assistant Professor of Chemistry
Assistant Professor of Commerce
Assistant Professor of Computer Science
Assistant Professor of Economics
Assistant Professor of English
Assistant Professor of Hindi
Assistant Professor of History
Assistant Professor of Mathematics
Assistant Professor of Physics
Assistant Professor of Political Science
Assistant Professor of Punjabi
Assistant Professor of Zoology
Associate Professor
Librarian
Post applied for is required.
Name in Full (Block Letters):
*
Full name is required.
Father's Name:
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Father's name is required.
Mother's Name:
*
Mother's name is required.
Present Postal Address:
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Present address is required.
Present City:
Present District:
Present Pincode:
Pincode must be 6 digits.
Present State:
-- Select State --
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chhattisgarh
Goa
Gujarat
Haryana
Himachal Pradesh
Jharkhand
Karnataka
Kerala
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
Andaman and Nicobar Islands
Chandigarh
Dadra and Nagar Haveli and Daman and Diu
Delhi
Jammu and Kashmir
Ladakh
Lakshadweep
Puducherry
Is Permanent Address same as Present Postal Address?
*
Yes
No
Permanent Address:
Permanent City:
Permanent District:
Permanent Pincode:
Pincode must be 6 digits.
Permanent State:
-- Select State --
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chhattisgarh
Goa
Gujarat
Haryana
Himachal Pradesh
Jharkhand
Karnataka
Kerala
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
Andaman and Nicobar Islands
Chandigarh
Dadra and Nagar Haveli and Daman and Diu
Delhi
Jammu and Kashmir
Ladakh
Lakshadweep
Puducherry
Primary Mobile No.:
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Primary mobile number is required.
Primary mobile must be 10 digits.
Date of Birth:
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Date of birth is required.
Belongs to (Gen/SC/BC/ST):
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General
BC-A
BC-B
SC
Category is required.
Religion:
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Buddhist
Christian
Hindu
Jain
Muslim
Other
Sikh
Religion is required.
Alternate Mobile:
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Alternate mobile is required.
Alternate mobile must be 10 digits.
Nationality:
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Nationality is required.
Marital Status:
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Single
Married
Divorced
Widowed
Marital status is required.
E-Mail ID:
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Email is required.
Enter a valid email address.
Current Designation (if employed):
Employer Type (if Any):
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Govt.
Aided
SFS
Legal action / court case (if any):
Image Upload (Photo):
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JPG/PNG, max 2 MB. Leave blank to keep existing.
Signature:
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Educational Qualifications
Qualification
University / Board
Roll No.
Year
Division
Max Marks
Marks Obtained
%
Distinction
Matric
--
First
Second
Third
Pass
10+2/Its Equivalent
--
First
Second
Third
Pass
Graduation/Its Equivalent
--
First
Second
Third
Pass
Post Graduation
--
First
Second
Third
Pass
Master of Philosophy
--
First
Second
Third
Pass
Ph.D.
--
First
Second
Third
Pass
JRF/NET/SET/SLET
--
First
Second
Third
Pass
Any Other Exam
--
First
Second
Third
Pass
Topic of M.Phil Dissertation:
Topic of Research for Ph.D:
Field of Specialization:
Upload combined PDF of Educational Documents:
PDF only, max 10 MB. Leave blank to keep existing.
Published Research Papers in Peer-Reviewed or UGC Listed Journals
#
Title of Publication
Date & Year
Journal Name
Level
Peer Reviewed
UGC Listed
#1
--
National
International
--
Yes
No
--
Yes
No
#2
--
National
International
--
Yes
No
--
Yes
No
#3
--
National
International
--
Yes
No
--
Yes
No
#4
--
National
International
--
Yes
No
--
Yes
No
#5
--
National
International
--
Yes
No
--
Yes
No
Upload combined PDF of Publications:
PDF only, max 10 MB. Leave blank to keep existing.
17(b). Paper Presentation in Seminar/Conference
#
Level
Paper Presented
Topic of Paper
Date
Place
#1
--
International
National
State
--
Yes
No
#2
--
International
National
State
--
Yes
No
#3
--
International
National
State
--
Yes
No
#4
--
International
National
State
--
Yes
No
#5
--
International
National
State
--
Yes
No
Upload combined PDF of Seminar/Conference:
PDF only, max 10 MB. Leave blank to keep existing.
Work Experience Details
#
Organization
Designation
From
To
Status
Total Exp.
Reason for Leaving
#1
--
Regular
Contractual
Temporary
Adhoc
Guest
Visiting
#2
--
Regular
Contractual
Temporary
Adhoc
Guest
Visiting
#3
--
Regular
Contractual
Temporary
Adhoc
Guest
Visiting
#4
--
Regular
Contractual
Temporary
Adhoc
Guest
Visiting
#5
--
Regular
Contractual
Temporary
Adhoc
Guest
Visiting
Upload combined PDF of experience certificates:
PDF only, max 10 MB. Leave blank to keep existing.
Total Experience:
*
Under Graduate Classes:
*
Post Graduate Classes:
*
Basic Pay acceptable:
*
Joining period required:
*
Co-curricular Activities
NCC:
*
NCC 'C' Certificate
NCC 'B' Certificate
NA
NSS:
*
NSS National Award
NSS State Award
NA
Position in Competition
(Debate/Quiz/Fine Art etc.)
*
National Level
State/Inter-University
Zonal Youth Festival
NA
Republic Day Parade, New Delhi:
*
Yes
No
Sports
International Level position:
*
1st
2nd
3rd
NA
National Level position:
*
1st
2nd
3rd
NA
State/Inter-University Level position:
*
1st
2nd
3rd
NA
Final
Combined PDF of testimonials (all certificates):
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PDF only, max 10 MB. Leave blank to keep existing.
Are you working on a regular budgeted post?
*
Yes
No
Place:
Date:
I certify that the foregoing information is correct and complete to the best of my knowledge and belief. I am not aware of any circumstances which may impair my fitness for employment.
I accept the above declaration.
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You must accept the declaration to submit.
Registration Fee:
₹ 1000
Please Pay the Fee by using college Bank Account Number.