BANNARI AMMAN INSTITUTE OF TECHNOLOGY
SATHYAMANGALAM - 638 401 ERODE DISTRICT TAMIL NADU
APPLICATION FORM
Application for the Post of ________ in the Department of ________________
1. General Information
Name
Date of Birth & Age
Gender Male / Female
Marital Status Single / Married
Photo
Father / Spouse Name
Mother Tongue & Languages
Known
Nationality & Religion
Correspondence Address Permanent Address
Email Address Mobile Number Landline Number
2. Academic Details
%
Part Time / Full
Name of the School / Marks Year of
Degree Specialization Time / Distance
College or Passing
Mode
CGPA
Post Doc
Ph D NA
M Phil
Post
-graduate
Under
Graduate
Diploma
HSC
SSLC
1
3. Experience (Attach the details as separate an Annexure if necessary)
No. of
Position /
Sl. No. Institution / Industry Name From To Years &
Title
Month
Pay Expected (Rs.) :
4. Publication Details (Provide only the count. Attach the details as an Annexure)
Category Conferences Journals
National
International
(In case of patents filed / granted, specify separately)
5. Programmes Organized / Attended (Provide only the count. Attach the details as an
annexure)
Category Conferences Workshops FDP / SDP / STTP
Organized
Attended
6. Project Funds Received from the External Agencies
Name of the Amount Title of the Project Duration
Scheme Name
Agency (Rs in Lakhs) and Period
7. Membership in Professional Bodies :
(ISTE, IE, CSI, ISCA, etc.,)
8. Academic Performance Indicator Score
(In case of Candidates with Teaching Experience):
Period (From – To)
Category I Category II Category III
2
9. Any Other Information
10. References
Name
Designation
Organization
Contact
Number
Email
Name
Designation
Organization
Contact
Number
Email
Place :
Date :
Signature of the Applicant
Attach Photocopies of the following
1. Educational Qualifications
2. Proof for Experience (If any)