JAWAHARLAL NEHRU UNIVERSITY

New Mehrauli Road, New Delhi 110067

APPLICATION FORM FOR NON-TEACHING GROUP-A POSTS
CARRYING GRADE PAY OF Rs.5400/- AND ABOVE.
Note: 1. Fill in all the information in block letters only.
2. Attach copies of the qualifying degree (s)/certificates only.

Please affix a
recent passport
size photograph

1.

Advertisement No.

..

2.

Post applied for

..

3.

Name of the applicant

:..

4.

Fathers /husbands name

:.

5.

Marital status

:..

6.

Present address

:.
.

7.

8.

(a) Telephone No. (with STD code) :

(b) Mobile No.

(c) Email address

Permanent address

9.

Date of Birth (in figure)

:..

(in words)

:..

10.

Nationality

:.

11.

Religion

12.

Category (SC/ST/OBC/PH/GEN) :.
(Please attach attested photocopy of certificate, in the proforma, prescribed for the
purpose)
Educational Qualification starting with secondary education:
(Please attach attested photocopies of certificates/mark sheet)

13.

Examination/
Degree

University/Board Year of passing

% of marks/ Subjects taken

Division

14.

Research Degree(s):
University

Degree

Specific date of Specific date of Title of

submission of award
thesis
Ph.D. thesis

the

15.

Whether qualified UGC-NET/CSIR/JRF test:

(if yes, indicate the year and attach a photocopy of certificate)

16.

Experience (please start with the latest):

Name
Employer

of Post held

Period
From
To

Pay Scale/Pay
Band & Grade
Pay with Basic
Pay

Nature of work
(Please attach
separate sheet,
if required)

17.

Teaching/Research experience,
if any.

18.

Number of publication (please attach one copy each of three publications which you
consider most important alongwith complete list of publications):

Publication

Capacity

Books

Independently

:..
.

Published

Accepted
for Under
Publication
preparation

Jointly
Papers/Articles

Independently
Jointly

Abstracts

Independently
Jointly

Patents

Independently
Jointly

19.

Attended training programme/seminar/ :..

workshop etc

20.

Have you ever been discharged/

:..
suspended from any position? If yes, state reason:

21.

Name & Address of two referees (should be familiar with your recent work)
I
Name
Occupation
Position
Address with
Number

II

or
Pin

Fax (if any)

Phone No. (with STD
code)
E-mail
22.

Any other information:

DECLARATION

I hereby declare that all the statements made in this application are true and complete to
the best of my knowledge and belief. I understand that the Jawaharlal Nehru University has
a policy against sexual harassment and is committed to providing an environment free
from discrimination and harassment. I further understand that at any time I am found to
have concealed/distorted any material information, my candidature/ appointment shall be
summarily terminated without any notice/compensation.
Place:
Date:

Signature of the candidate

Name..