Vaish Arya Kanya Mahavidyalaya
(Affiliated to Maharshi Dayanand University, Rohtak)
Line Paar, (Near Railway Station)
Bahadurgarh-124507 (Jhajjar) 7027580008
Email:
[email protected] Web site: - www.vakmbahadurgarh.ac.in
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Application Form
A Self –attested
(For the Post of Assistant Professor)
colored passport
size photograph
of the candidate
Note: Fill up all columns of all sheets. must be pasted
APPLICATION NO. _________________________ here.
(To be filled by office)
1. Post applied for
(Give the full name of the post) : _____________________________
2. (i) Name in Full : _____________________________
(In block letters)
(ii) (Gender: Male/Female/ Other) : _____________________________
3. Present Postal Address : _____________________________
(In block letters)
4. Permanent Home Address : _____________________________
_____________________________
_____________________________
_____________________________
5. (i) Mobile No. : _____________________________
(ii) E-Mail ID : _____________________________
6. (a) Father’s Name : _____________________________
(b) Mother’s Name : _____________________________
7. (a) Nationality of Candidate : _____________________________
(b) Religion : _____________________________
(c) Aadhar No. : _____________________________
(d) Category : _____________________________
8. (a) Date of Birth : _____________________________
(b) Age as on last date of applying : _____Year______Month_____Days
(c) Place of Birth : _____________________________
(d) Marital Status : _____________________________
9. Details of academic Qualifications :
Name of School 10th 10+2 Graduation Post- M.Phil. Ph.D. NET/JRF
or College Graduation
Name of Board
or University
Year of Passing
Regd. No.
Roll No.
Maximum
Marks
Marks Obtained
Division
Subjects
(Attach certified copies of the Detailed Mark sheet of all the examinations passed)
10. Weightage:-
Debate/Declamation/Quiz/Poetic
Recitation/Drama etc.
(State/National Level Certificate)
NCC (B/C Certificate)
Sports Position at International/National
Level
Sports Graded Position at Inter-University
Level
Publication Subject Books
Research Paper published in referred
International/National Journal with
Impact factor
Research Paper presented in
International/National Seminar
Other Achievements
11. Experience :
Name of the Post & Nature From To Total
Institute of appointment
Please attach extra sheet, if needed
12. List of certificates and testimonials (attested copies) attached.
(i)___________________________________ (ii)____________________________________
(iii)__________________________________ (iv) ___________________________________
(v)__________________________________ (vi) ___________________________________
(vii)__________________________________(viii)___________________________________
Bank Draft No. _____________________________Date:________________Amount_____________
Name of the Bank:__________________________________________________________________
DECLARATION:-
I, _________________________hereby declare that:
(i) The information given above by me are complete, correct and authentic.
(ii) In case of concealment/suppression detected, of any facts, my application is liable to
be rejected/employment terminated, as the case maybe, without any notice or
compensation.
Place ______________
Date_______________ (Signature of Candidate)
Copy to: The Dean
College Development Council
M.D. University, Rohtak-124001
Vaish Arya Kanya Mahavidyalaya
(Affiliated to Maharshi Dayanand University, Rohtak)
Line Paar, (Near Railway Station)
Bahadurgarh-124507 (Jhajjar) 7027580008
Email:
[email protected] Web site: - www.vakmbahadurgarh.ac.in
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Principal,
Vaish Arya Kanya Mahavidyalaya,
Line Paar, Indira Park,
Bahadurgarh
Subject: - Application for the Post of __________________________________.
R/Madam,
With reference to your advertisement No. __________________in newspaper,
dated ___________ for the post of _________________________________.
My application may be considered for the said post.
Yours Sincerely,
_____________
(Signature)
Name & Address : _________________________
_________________________
_________________________
Place :
Date :
(A Copy of Application Must reach the office of the Dean College Development
Council, M.D. University, Rohtak on or before the _________till___________.)
