Application Form for Teaching Position
Position Applied For: ________________________________________
Department: _______________________________________________
Specialization (if any): _______________________________________
1. Personal Information
Full Name (as per official records): ________________________________________
Date of Birth: _______________ Age: _______
Gender: ☐ Male ☐ Female ☐ Other
Nationality: _____________________________
Category: ☐ General ☐ OBC ☐ SC ☐ ST ☐ Other:
Mobile Number: Email ID:
2. Contact Information
Address (Permanent): Address (Correspondence):
3. Academic Qualifications
Year of Percentage
Degree Title Specialization Board/University/Institute
Passing /Grade
4. Teaching Experience
Duration
Designation Institution Pay Scale/Grade
From To
Total Teaching Experience Years
5. Research Experience (For more details attach additional sheet)
Number of Publications: _______
o Journals: _____________ Conferences: _________
Research Projects Undertaken:
o Title: _________________________________
o Duration: ______________________________
o Funding Agency: ________________________
6. Other Achievements
Awards/Recognitions: _______________________________________________
Membership in Professional Bodies: ____________________________________
Patents (if any): ____________________________________________________
7. References
Provide details of two referees (academic/professional):
Contact
Name Designation Institution
Information
8. Declaration
I hereby declare that the information provided in this application form is true and correct to the
best of my knowledge and belief. If any information is found false, my application/appointment
may be cancelled at any stage.
Date: _______________ Signature of Applicant: ___________________
Place: _______________