CBS Group of Institutions
8 KM Milestone, Jhajjar-Kosli Road, Fatehpuri, Distt. Jhajjar, Haryana
Paste only
Application Form (Teaching Post) Recent
Passport size
Post Applied for…………………………………………. Department……………………………………………….. photograph
Demand Draft No.: …………………….. Dated: ……………………… Name of Bank:……….…………………………….
1. Name of Candidate (As in Class X or equivalent certificate)
2. Mother’s Name (As in Class X or equivalent certificate)
3. Father’s Name (As in Class X or equivalent certificate)
4. Date of Birth(DD-MM-YYYY):- - -
5. Age as on Last date of Application : ………………Years………………Month……………Days
6. Marital Status: ..…………………………………..
7. Gender: ……………………………………………….
8. Category: …………………………………………….
9. Nationality: ………………………………………….
10. Email Id:
11. Mobile No.
12. Whether any criminal case is pending or contemplated against you in any Court of Law. If yes, please give
complete details :………………………………......................................
13. Permanent Address 14. Correspondence Address
15. Educational Qualifications (Attach Self Attested Photocopies)
Exam Passed Institution Board/ University Year % Marks/ Division
16. Experience
Name and Designation Period Duration Salary Nature of
address of Held Drawn Duty
From To
employer
17. Details of publication(s)/ Award(s)/ Honour(s) (Attach separate sheet, if necessary)
Publication(s) Awards/Honours Patent(s)
18. Courses Taught: ………………………………………………………………………………………………………………………………………
19. No. of Students Guided: M.Tech Ph.D
20. Membership of Professional bodies (Attach separate sheet, if necessary):……………………………………
21. If selected, the minimum time required to join the post: ……………………………………………..
22. Any other information, you wish to furnish: …………………………………………………… ……………………………………..
.......................................................................................................................................................................
…………………………………………………………………………………………………………………………………………………………………..
23. Name of the two responsible person with address to whom you are known:
24. List of Enclosures:-
a. ……………………………………………………………………………………….
b. ……………………………………………………………………………………….
c. ……………………………………………………………………………………….
d. ……………………………………………………………………………………….
e. ……………………………………………………………………………………….
f. ……………………………………………………………………………………….
g. ……………………………………………………………………………………….
h. ……………………………………………………………………………………….
i. ……………………………………………………………………………………….
j. ……………………………………………………………………………………….
k. ……………………………………………………………………………………….
Declaration: I affirm that the information given in this application form is true and correct. If at any stage, it is found that any
attempt has been made by me to willfully conceal or misrepresent the facts, my candidature may be summarily rejected and my
employment terminated without assigning any notice.
Place:………………… Signature of the applicant
