Anugraha Institute of Social Sciences
Nochiodaipatti, Natham Road Dindigul - 624 003 Tamilnadu, India
PHONE: 0451 2550105, 2550106
Mail: [email protected]
APPLICATION FORM FOR FACULTY POSITION
Affix Photo
Post :
Department :
Reference : Advertisement in ______________________ appeared on _____________
PERSONAL DETAILS
1. Name:
2. Father / Husband Name:
3. Date of Birth: 4. Age:
5. Sex: Male Female 6. Nationality:
7. Religion: 8. Community : FC / BC / MBC / SC / ST
10. Marital status : Married / Un-
Married
9. Caste: If married, Spouse : Employed /
Unemployed
No. of Children :
Address for Communication
Phone No. with STD Code:
Mobile No :
Email id. :
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ACADEMIC QUALIFICATIONS *
Year Full time /
Agg. University
Part time / Class /
No Degree Specialization of %/ Institution
Distance Position
Passing CGPA
Education
1.
2.
3.
4.
5.
6.
* Attach Photo copy of relevant certificates.
PROFESSIONAL EXPERIENCE *
Teaching (in Engineering Colleges only) chronological order
Duration Experience
Sl.No. Designation Institution
From To (in years)
1.
2.
3.
4.
TOTAL
* Attach Photo copy of relevant certificates.
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Others (Industry, Research, Teaching in Arts College / Polytechnic / School) chronological order
Sl. Designation Duration Experience
Institution (in years)
No. From To
6 TOTAL
SKILL DEVELOPMENT PROGRAMMES [FDP / STTP / WORKSHOPS ATTENDED]
Sl. Programme Duration Institution
No. From To
1
* Attach Photo copy of relevant certificates.
PUBLICATIONS
Book Publications 1.
(give the title, publisher & year of publication) 2.
3.
Paper : Journal Publication International :
(give the no. of publications) National :
Paper : Conference Publication International :
(give the no. of publications) National :
* Attach Photo copy of relevant certificates.
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SEMINARS / CONFERENCES
Seminars / Conference Organised
(give the Conference Theme and the date)
Seminars / Conference attended International :
(give the number) National :
* Attach Photo copy of relevant certificates.
ANY OTHER INFORMATION
Sponsored Research Projects Undertaken Yes No
If 'yes', provide details
Membership in Professional bodies 1.
2.
3.
Awards & Achievements (if any)
I declare that the above particulars furnished by me are true to the best of my knowledge
Place :
SIGNATURE OF THE CANDIDATE
Date : [With Name]
* Attach Photo copy of relevant certificates / documents wherever necessary.
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Office Use
Date of Interview:
Selected or Not:
YES NO
If Selected,
Salary details:
PRINCIPAL DIRECTOR [Estt.]
INSTRUCTIONS TO CANDIDATES
01. The filled in applications should be sent to the Principal with in 10 days from
the date of advertisement.
02. Interview letter will be sent only for the suitable candidates and not for all.
03. Salary will be fixed as per the AICTE norms based on qualifications and
experience.
04. Written test will be conducted before personal interview if needed.
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