Professional Documents
Culture Documents
re-I
Phone: Phone:
Email:
5. (a) Date of Birth: (b) Place of Birth: (c) Nationality:
(d) Male or Female: (e) Marital status: (e) Category:
(f) Religion:
6. Educational Qualifications (Strike off which is not applicable):
Exam Passed University/ Year of Percentage of Division Main Award/Medal/
Board Passing Marks/Grade Subjects Merit, if any
Matric
Hr.Sec./Pre.Univ./ 10+2/
Inter/Equivalent
BTech/BBA/BSc/B.Com/
Any Other
MTech/MBA/MCom/MA/
MSc /MCA /Any other
NET/GATE
M.Phil
Ph.D Subject...............................................
Topic of Thesis..
8. (a) Has there been any break in your service career? ________________________________________
If so, give details thereof with reasons_________________________________________________
(b) Have you ever been punished during your service:________________________________________
or convicted by a Court of Law? If so, give details._______________________________________
(c) Have you ever been declared medically unfit? or asked to submit your resignation or discharged or
Dismissed from service? If yes, give details on a separate sheet._____________________________
9. (a) Total teaching experience(full-time) in Institute/College/University:_________________________
(b) Total Research experience: ______________________________________________________
(c) Any other experience: ______________________________________________________
*Paper accepted for publication will carry weight equivalent to published paper
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14. Any other relevant information:
It is certified that the foregoing information given by me is correct and true to the best of my knowledge
and belief and no material information has been concealed. Further, I am aware of the fact that if the
information given above is found incorrect or false at any stage, I am liable to be punished.
This is to certify that the institute/ college/ university has no objection if Mr./Mrs./Dr
S/o, D/o Mr. / Dr. .. is appointed by the
Deenbandhu Chhotu Ram University of Science & Technology, Murthal. His/ her work and conduct at
this place is . as per the records. He/ she bears a
.Character.
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