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Application Format: (Post Applied For .., in Dept)

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Application Format

(Post applied for.., inDept)


1. 2. Name Name of the father/ Husband/Guardian :
Recent color passport size photograph

: : : : : :

3. Date of Birth 4. Residential Address 5. Permanent Address 6. Mobile No. 7. E-Mail ID

8. Educational Qualification (Start from higher degree) Qualification Year passing Name of the Board College/University Class Obtained % of Marks

9. Particulars of Experience Place Worked Position From To

10. Subjects/Labs handled: Name of the subject/Labs taught No of times handled

11. Present Salary (PM): 12. Expected salary (PM): 13. Time required to join if selected: 14. Number of UG/PG projects handled: 15. Details of Workshops /Seminars Attended/Organized: i. ii. iii. 16.No .of papers published/presented in National, International conference &Journals No. of papers presented (not participated ) in Conferences International National No. of papers published in Journals International National

-Attach a separate sheet with complete details (like paper name event name, place presented,etc) 17.Additional information: i.GATE Percentile: ii.Awards Received: iii.Books Published: iv.Others: I hereby declare that all the information furnished above are true to the best my knowledge and belief. Place: Date: Signature

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