PIMPRI CHINCHWAD EDUCATION TRUSTS
S.B.PATIL INSTITUTE OF MANAGEMENT
SECTOR NO.26,PRADHIKARAN,NIGDI,PUNE-411044
Tel : 27656900 Web: www.sbpatilmba.com
Date :_____________
Sr. No.
Application Form for Appointment for the Post of
Professor
Associate Prof.
Assistant Prof.
Librarian
1. Name (in Full):_________________________________________________________________________
2. Address for correspondence: _____________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Mobile No. _______________ E- Mail:______________________ Date of Birth:____________________
3. Caste :
Open
OBC
SBC
4. Educational Qualification:
Sr.
Qualification
No.
1.
U.G.
2.
P.G
3.
Ph.D
SC
ST
Collage/ University
NT
VJ
Year of
Passing
NTB
NTC
% of
Marks
NTD
Specialization
OTHERS (IF ANY)
4.
5. Details of Teaching experience:Sr.
No.
Name of Organization / Institute
Period
From
To
Designation
Total No. of years in Teaching:
6. Details of Industrial experience:Sr.
No.
Name of Organization / Industry
Total No. of years in Industry:
Period
From
To
Designation
Responsibilities
Handled
7. Research work done:
M. Phil
Ph. D.
Attended
Research Project
Paper Presented
Paper Published
Organized
National Seminar/ Conference
International Seminar /
Conference
Publications : __________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
8. Subject Interested :
Sr. No.
Title of the Subject
1.
2.
3.
4.
5.
6.
7.
9. Last Approval from University
Sr. No.
1.
Post
Lecturer / Assistant Professor
2.
A.P. / Associate Professor
3.
Professor
Name of the University
Year
10. Activities Interested : (Tick whichever is applicable)
1.
G.D.P.& I.
12.
Entrepreneurship Program
2.
Soft Skill/ Finishing School
13.
Guest Lectures
3.
C.S.R.
14.
Seminar Coordination
4.
Business Quiz
15.
Research Journal
5.
Management Games
16.
House Magazine & Newsletter
6.
HR Meet
17.
Cultural Activities
7.
Industrial Visit
18.
Induction Program
8.
Training & Placement
19.
Faculty Development Program
9.
Job Fair
20.
Inter College Event Organization
10. Competitive Exam
21.
Others : ___________________
11. Foreign Language
22.
Others : ___________________
Last Salary Drawn: Gross Rs. ______________
Date : ___________
Signature ____________________
Name of the Candidate ______________________