Step 1 Name of the Post applied for

Professor

Step 2
Contact Telephone number & E-Mail

Mobile Number +91Email ID Step 3

Details of DD

Click here if payment made through alternate mode Enter Acknowledgement Number Demand Draft(DD) Number Confirm DD Number Amount Name of the bank issuing the demand draft Branch Date Step 4
Photograph

How to locate the DD number?

Passport Sized Photograph (Upload a passport sized(3.5cm X 3.5cm) photograph. File cannot exceed 1 MB) Step 5 Applicant's Name (As in the X standard) Father's/Guardian's Name Mother's Name Date of Birth Age (as on 01.07.2013) Native Place & District Nationality Gender Male Female Years Months Days

Address of Correspondence Mailing Address Permanent Address

Same as Mailing Address

House Number Street/Colony Village/Town City/Mandal Country State District

India

House Number Street/Colony Village/Town City/Mandal Country State District

India

Pincode Step 6
Reservation Category

Pincode

1. Do you claim any reservation category? 2. Do you belong to the physically handicapped (PH) category? Step 7
Educational Qualifications: ( SSC onwards in chronological order)

Yes

No

Yes

No

Qualification PhD Post Graduation Graduation Diploma Intermediate SSC Others

Name of the Subject/ Course Branch

Name of the Year of University / Board Passing

Marks/ CGPA Obtained

Max. Marks

Division

Whether Qualified in GATE/NET JRF/NET Lecturership/SLET/SET (Yes/No): GATE NET JRF NET Lecturership SLET SET Step 8
Teaching Experience Particulars: (Starting from the latest position held)

Yes No Yes Yes Yes Yes No No No No

S.No Post Held Employer From 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Step 9

Present Position Held:

To

Scale of Pay

a) Position Held:

b) Name of the Organization: c) Present Salary & Scale of Pay: Step 10

Awards & Honours S.No Title Year

1 2 3 4 5 6 7 8 9 10 Step 11
Sponsored Projects Handled S.No Title Sponsor Your responsibility (Pricipal Investigator/ Investigator) Value of the Project From (Date) To (Date)

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Step 12
Consultancy Projects Handled S.No Title Sponsor Your responsibility (Pricipal Investigator/ Investigator) Value of the Project From (Date) To (Date)

1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Step 13
List of Journal Publications: (Enclose the list)

Publications Books Research Papers

Published (No.) Accepted Communicated S.No. of Enclosure

Other Publications Step 14

Details of Administrative/Non-teaching positions held

Position Held Organization Responsibilities From (Date) To (Date) 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Step 15

Number of Seminars/ Conferences/ Workshops/Training Programmes etc. (Please enclose separate list of giving details)

National Level International Level Total Conducted Attended Step 16

Research Guidance:

S.No. of Enclosure

Ph.D Level M.S/M.Tech/ Equivalent Level S.No. of Enclosure Degrees Awarded Under Supervision Step 17 Any other information: Step 18
Names & Complete Postal addresses of 2 referees (Please write clearly in capital letters):

Referee-1 Referee-2 Name, Designation & Address Email Contact No. Fax No., if any Step 19 S.No 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Submit List of Enclosures