IPS ACADEMY

INSTITUTE OF ENGINEERING & SCIENCE

Knowledge Village, Rajendra Nagar, A.B. Road, Indore (M.P.), 452012
Ph.0731-4014601, Telefax 0731-4014602 E-mail: director.ies@ipsacademy.org, Visit us : ies.ipsacademy.org

Proforma for Faculty Recruitment

(i) Please read the instructions carefully before submitting the application)
(ii)Application to be submitted online through E-mail-recruitment.ies@ipsacademy.org
Last date of submission : 30th June 2017

Application for the post of indepartment

Payment details of Application fees of Rs. 500=00 through

NEFT Bank transfer
Photograph
NEFT Transaction Ref. No.
Date of Transfer ;.

Name of the Applicatnt : ..

Name of the Father /Husband, as applicable..

Date of Birth (DD/MM/YY)

Mobile No. e-mail ID..

Address for correspondance................................

..

Highest Qualification : Area of specilization, if any :.

Have you qualified for NET/SET/SLET ? Yes/No If yes, name of the examinaton :.
(For posts in Science/Humanities)
Do you have Gate score ? : Yes/No.
(For posts in Engg. deptts.)

1 Educational Qualification : (HSSC/UG/PG/Ph.D)

CGPA
Name of the
Name of the Name of the Year of No. of or
S.No. Branch of Study Institution in
Examination Board/University passing Attempts
which studied
% marks

3
4

i) If a Ph.D holder, have you undergone course work ? : Yes/No

ii) Have you done Post Doctoral work ? : Yes/No. If 'yes', details :.........................................................
 2 Experience:

A] Teaching

Duration of
Experience in
S.No. Name of the Post Name of the Institute Service Regular/Adhoc
years/months
From - To

A : Total Teaching Experience.YM

B] Industrial/Research/Administrative Experience

Duration
Name of the Experience in
S.No. Name of the Post Salary Drawn From -
Institute/Organizaion Years/Months
To

B : Industrial/Research/Administrative Experience :...YM

Total Experience (without overlap period) : A + B : YM

3 Research & Development works

i) Research Publications in Journals

No. of
Total No. of No. of Publications in
S.No. Type of Journal Publications in
Publications referred Journals
SCI Journals

National Journal
1
International Journal
2

ii) Conference Publications

No. of Publications in National Conferences :... No. of Publications in International Conferences :
 3 No. of Ph.D's Guided :

No. of M.Tech's Guided..

No. of Patents : No. of Books written:

(Give Details)

No. of Faculty Development Programms/Seminars/Workshops attended :.

Distinction/Awards, if any :.

Membership of Professional Bodies, if any : ..

4 Any other relevant information, not covered above :

Declaration by the Applicant

I , Mr./Ms.............................................................certify that ;
(i) I have read the instructions carefully and shall abide by them.
(ii)The information given above is true and correct to the best of my knolwedge and belief. If
found incorrect at a later stage, I understand that I shall stand disqualified for the post.

Date: Name of Applicant

Place:..