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For Teaching Post

NATIONAL UNIVERSITY
SCHOOL OF ARCHITECTURE / PLANNING / INTERIOR DESIGN

Application for the Post of: __________________________________________________

Fixed Photo

FOR SCHOOL OF ARCHITECTURE / PLANNING / INTERIOR DESIGN

NOTE: - (I) the applicant may send the typed application or in neat handwriting and all information must be
mentionedboth clearly and correctly.

(ii) Application received without attested copies of certification and marks list and not sent through proper

Channels are liable to be rejected.

(iii) Wherever the space provided for is found insufficient a separate sheet giving detail may be attached.

1. Full Name of the applicant

(Surname First)____________________________________________________________________________

2. Present Position &Address:___________________________________________________________________

__________________________________________________________________________________________

3. Addressfor correspondence:__________________________________________________________________

___________________________________________________________________________________________

4. Date of Birth:Date:___________Month:__________Year_______________ MaleFemale

5. Place Of Birth: Village/ Town: _______________________Taluka_____________District__________________

6. Marital Status:____________________ 7. Nationality: ______________________________________________

7. Mobile/Phone:__________________________Email:______________________________________________

8. Do you belong to any scheduled Caste or scheduled Tribe or Economically or sociallybackward class as per the
Baxi Commission or are you physically handicapped? If yes, please enclose a certificate.

9. Education Qualification:

Exam/ Examining Year & Class obtained Subjects offers Number of Information Any other
Degree Body/ Month of with (Main & Attempts made regarding information
University Passing percentage subsidiary)……… to pass the scholarship
Main Sub: Examination prizes medals
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10. Special academic achievements, if any:

11. Experience of Office administration / Consulting / Others:

Name Designation Date of Date of Nature of Number Last Total Reason

Of the Joining Leaving Work Of Persons Basic Salary For
Institution working Salary & Leaving
under Pay
The Scale
applicant
(1) (2) (3) (4) (5) (6) (7) (8) (9)

12. Teaching Experience if Any:

Name Designation Nature Of Date of Date of Class at Subject Last basic Reason
Of the employment Joining Leaving which Topic pay & For
College/Uni Full-time or taught Taught pay scale Leaving
part-time
(1) (2) (3) (4) (5) (6) (7) (8) (9)

13. Information regarding post-graduate teaching and research experience:

(i) Date of recognition as a post-graduate teacher:

(ii) Name of the University granting recognition:

(iii) Subject in which recognition is granted:

(iv) Number of teaching hours per week or

 Total number of lecture delivered in one time

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(v) Total number of years of experience asa post-graduate teacher:

Name of the Designation From To Full-time Class at Papers

College/ Date Date Part-time which Topics
University taught
where post
graduate
teaching is
conducted

vi Total number of years of research experience

vii Title of the Ph.D. thesis

viii Name, designation and address :

of Ph.D. Guide

ix Are you a recognized Ph.D. guide?if so, please give a list of students:

Who have obtained their Ph.D. degreeunder your guidance along with the titles of their theses, year and
UniversityPlease mention also the names of the students registered at present under your guidance for Ph.D.
degree.

x Research and other publications (incase of research articles, please statethe names of the co-authors, title,

Journal, year and page number; forbooks, please give names of the co-authors, title publisher and year)

14. Ifappointed, how much time you would require to join? _______________________________________

15.What starting basic salary do you expect? __________________________________________________

16.Please give names with addresses of three references including your presentemployer"

1. _________________________________________

2. _________________________________________

3. _________________________________________

17.Names of persons from whom testimonials are supplied

1. _________________________________________

2. _________________________________________

3. _________________________________________
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18.Any special information (for example: seminars, symposia, workshops, summer, Institutes conducted)

which the applicant wishes to give.

I, the undersigned, Shri/Kum./Smt.____________________________________________________

declare that the information given above is true and that I agree to supply, on demand, any further
information pertaining to this application.

Place :

Date : (Signature of the Applicant)

NOTE:
PLEASE ADD Annexure whatever is Require