Professional Documents
Culture Documents
KALADY
APPLICATION FORM FOR TEACHING POSTS
Notification No.
:................................................................................
Dated
:...........................................
1.
2.
............................................................
............................................................
............................................................
District...........................................Pin....................................Phone No..........................................
3.
4.
Date of Birth
Day
Month
Year
Day
Month
Year
Male
Age
(as on 01.01.2013)
6.
Sex
7.
Religion.........................................Caste................................Community.........................................
8.
Female
(1)
Age Relaxation :
(2)
Reservation
9.
10.
Nationality
11.
: ...............................................
Yes/No
UGC Norms
Marital Status...............................
Yes/No
:
Yes/No
12.
Academic Qualification
Examination Passed
Name of University
Percentage of Marks or
Grade
Degree**
PG**
M.Phil
Ph.D
**Specialization at the Degree and Masters level should be specified.
Other Qualifications
13.
1)
...............................................
2)
...............................................
3)
...............................................
4)
...............................................
5)
...............................................
Yes/No
Yes/No
If Yes, Subject............................................
Year of Passing............................................
14.
M.Phil
a) Month & Year of completion of course :................................................................
2)
:................................................................
c) Subject
:................................................................
d) Class/Grade
:................................................................
Ph.D.
a) Month & Year of submission of thesis
:................................................................
:................................................................
c) Title/ Topic
:................................................................
:................................................................
16.
17.
18.
Subject
:..............................................................
b)
Agency
:..............................................................
c)
Guide
:..............................................................
d)
Duration
:..............................................................
Area of specialization
a)
Achievements :..............................................................
b)
Contributions :..............................................................
.............................................................................................................
2)
.............................................................................................................
3)
.............................................................................................................
4)
.............................................................................................................
Name of Journal
Year/Volume/Number
1)......................................
.............................................
..........................................
2)......................................
.............................................
..........................................
3)......................................
.............................................
..........................................
4)......................................
.............................................
..........................................
International/National level
1)...........................................................................................................................................
2)...........................................................................................................................................
3)...........................................................................................................................................
4)...........................................................................................................................................
(additional sheets may be used, if necessary)
b)
State/University level
1)...........................................................................................................................................
2)...........................................................................................................................................
3)...........................................................................................................................................
4)...........................................................................................................................................
(additional sheets may be used, if necessary)
21.
Teaching Experience:
Sl.No.
Name of College/University
From
To
1
2
3
4
5
22.
Amount
Declaration
I hereby declare that all the statements made in this application are true, complete and
correct to the best of my knowledge and belief. I understand that in the event of any information being
found false or incorrect at any stage or not satisfying the elegibility criteria according to the requirements
of the relative advertisement, my candidature for the post applied for is liable to be rejected and if already
appointed my services are liable to be terminated. If selected I agree to serve in any Regional Centre of the
University.
Place
Signature...............................................
Date
Name.....................................................
Please note that the application not accompanied by the follwoing will be rejected.
1.
2.
3.
4.
5.
6.
7.
Duly filled API based PBAS proforma (for the post of Professor and Associate Professor)
8.