Diary No.

Date

FormNc......
of l96l
)

PUNJABI UNIVERSITY, PATIALA

(Established under Punjab Act No. 35

NAAC ****+S'IATUS
ple'ttr^e

(AJJi.r Re<'ent Pussltort size Photogruph)

(APPLTCATI()N I.ORM FOR TEACHING POSTS)

(

IleJore

Jilling the ITttrrrt,

rerul Irt.vtritctitttrs at Puge 4)

Attvt. No.
t.

I)ute .........................---..-..

Narne
Nanrc

of the post ilpplied for

(b) Name of
letters)
Deptt.

(a) In the Subjcct of

2.

of the applicant (irt block

natnc

3. 5. 6.

MalelFentale

4.
(1il hlock lctlers)

Married/Unrttarried
1ln block lcttcts)

(a) Father's

(b) Mother's narne

Address firr correspotrdence Perrnanent home itddress

7.

8. 9.

(a) Telephone Nunrber with Code ---(a) Do you belong to Scheduled Caste/Tribe/Backward Class
?

(b) Mobile

No

(b) Are you Physically [{andicapped

t0. Date

'l
I

(Ctrtil'ieate titm thc co{:ul)etent authority shoultl be attilchcd)

t2. (a)
(b)

(c)
(d) (e)

ol Birth (in Christian Era) Il' enrploycd, presetrt designation and pay-scale Name ol' your present employer of your present I Iave you ohtititterl pcrrttission Present Ilasic Pay lf selected, joining tinte tteeded
Minimunr basic pay acceptable

l.

Nationality

er-nployer 'l

(f)
t3.

Give, i'n tabulirr statcnlerlt below, particulars ol'the exantinations passed

Main Subjects/Topics

Exiunination

Name oi lloariV

Yuuol'
Passing

Univeniity

lbtal lvltuk
0btairred

Tdd

I'of

MsnV PrircS
Medals

Mink Mark

Mrtric
I

0+2lFre-MedicaliPre-Engg.l

[{r, Sec. ctc.

B.A./B.Sc./l].Com. ctc. M.A./M.Sc./M.Conr./MtsA etc. M.Liu.iM.Phil. Ph.D./D.Liu. NET/JPT/SLET

Any other Examination

Qualitication in Punjabi

-)-

14. (a) TEACHINC

EXPEITIENCE/TRAINING
eaching cxpcrience Teuching cxperience

with post-gruduate
classes

Total teaching experience excluding research

Years

Months

(b)
r5.

Adrninistrative Experience,

if

any

RESEARCH EXPERIENCE

(a)

Research during

M.Phil./N4.Lit./Ph.D.

As Lecturer
As Reader As Prof'essor Any other Project
(lndicatc namc ol'the Project & its duration)

Total Research experience excluding teaching

Years

Months

(b) (c) I6.

Field of

research

Seminars/Conf-erences attended

National

International

PUBLICATIONS
Published

Publications Books
Research Papers

Accepted for Publication

In Preparation

Articles Any other Publication (Reprints should be submitted with the applicution. If the spuce for details is insuff;cient, u sepurote sheet muy be uttuched)

l7.

Any other details which strengthen your claim for appointm ent. (Arruc'h sep(tdte

sheet, if'necessurlt)

t?
i

-3-

with the applicanr's training/

irccomplishnrenls, capitbility and character, but rntrsl not be relations.)
Nanrc/.Slirttrs/Address

(i)
(

ii)

(iii)

19.

Lisr of certificates ancl testimonials (attesred copies be attached). (i) (ii) (iii) (v) (vi)

(iv),

------

(I)

I sllemnly declure thut the foregoittg infurmation i:s correct untl contple te to the best of rny know[etlge and beliel'md I shdl be per"'ottttlly responsihle Jor ony consequence.e whutsoever, whic'h muy urise ut any sub.sequent stuge, iJ'any oJ'the ubove infurmation is founct rit be int'orrec

b)

hctve ,'tever

beett c'orl,icred/debturrecl/tli.stlurtli.l'ietl

or

distni;;sed.

Dated
Place

Signatrrres of the candidate

Recommendations

of the Employer

Signatures

of Ernployer

(with seal)

-4-

I M PO Rru

NT'

I NSTR UCT-ION'S

l. 2. 3.

(twn hltnchvritirtg. Tly ./itrrt shottlcl be./iltecl in, neutly urul legibl-v in ccnclidttte',\ be uccorcling' to the ,rr,rr,," ci'the Cttnrlit'ictrc, Jttther's t't(rM rtnd clttte o.l'birth sh<tttltl Ma t t' icul u t ion Ce rl i/i ca teThe

Be.fbre./itlirtg tlrc r44tlictttiort./itntt, plea:;e rattd NOTII given in lhe relavtrttt tttlverti'senrent'

Sepurote ttpplic:atir,tn./brtn shrttrlrl ba 'srtl'trttilteelJbr each pttst' through proper chunnel, )'rttt tvill htpe to pt'ocluc:e a 'No Ob.iecti'rt Cerri/icrtti'.fi':ont ))()ur ettry)lover rt the time oJ'intervien',./iriling tvlticlt )'tttt will not be considarecl eligible.fttr the Txtst'

4. In ca.r-e y()u (tt'e rutl ttpplVing 5.

irtfttrntntittn strppliecl b1,717" cttttclirlttlei.r riti.s,ving in c:crtuittui.ktl re.specls, 'strch u'c q/ t!rc itcrte o./- birtlt, exantintrtiott recorcl etc. tr:; r'crlttiretl in Colttnrrt No. l0 ttrul I3 tct cull hirt/her./br crgtplictrli6tt./brttt, it tvortlel not be possible'.fbr tlrc [/ttiver-sity intervielyv und lrc/slte woulrl hen,e n<t cluirn whutsoever.
I./ the

6.

please ctttuch I0 pholg.stcrt copies r2l'biodutrt/I>uhli<'uliott'.s list/trrtlt otltcr c'ktitrt (rlulv' typect) with the crpp!iccttit;tt./itrnt,Jititingwhic:h it wr;ultl tr<tt be ptt.t.sible frt prttct:ss lhc
CA)^e.

7. !1 ccr;;e tt canclidlte

Tntblished v,ork be trerrlctl us equivule,xt t() Ph-D', lrc/she rtttrst senel, ttlong tt,ilh ltis etpltlic:ution, necessury ntulerial i.e. publi.sltcrl work/ reprints etc..fitr vcri/ic,ittion r;J'lti"^/her cl<tirn. This i';, ltrtwever',./in' the prtst of'u Reoder (Jniversit.y or in tf/iliated ,,,rrt i" ttpplicctble in the cuse r1f'canrlidttle.; working itr the

clctirrs tlrut

hi.s

Colle54c.r.

g. The c.rrnclidctte g.

.shottltl itwrtriabll, inclicute nuntes ttncl cornitlele udrlres'.tc.s oJ' thc reJbrees cts |>r'oviclerl in colttntn no). I B o.l'the upplictttirtn.fbnn. Attestecl c:rspies rl'c:erliJictrte;; rtrtrl le-stitrtottitrl,s.shttttl</ invctricthbt be ultc'tclte<! u'ilh the crytplictrtictn .fbrrn. Incotrrytlete upplic'rrtions, ttol (tccotttpQttiecl bv the ttltesletl c'o|tic's, wctulcl n<tt be entertuined.
ce

10. All clairns mt.tst he silpporletl by relevtutl

,

rti/ic:ttteskktc:tttttent't'

t
I

t.

I4thite c()rresp()t!clipg witlr thi.s o1/ice, tlesigrtrttirtrt o./'gto.st ttTtpliedJttr shottld istturrittbly he rnenlioned.
po,\t:s c.c1.ty

Z. Teuching
.fbrtrt.

UGC/AICTfi/University/punjuh Got,t.

UGC 1xD, :;c'ttlt::;. Dt'urilerl t1 tutlifie'trtitttt;;

will

pre'scribctl h.v the be .rtrytStliecl rtlongwith tlrc upplic'tttirttt

tt;;

3.

Ctmclirlutes who havc trot pussecl Punjubi in lulutriculation exttntirlali()tt will he recluirecl Deparlnrcnl t6 pct.ss Pupjtrbi.ultte Mtttricultttion level or Puniubi Purbttdft.f'r'ttrn I'ctrtgrtcrS3e .tvithin nvo )'e(,rs o/' jrtirtittg oi Irunjubi Prcweshiku rt' Punjctbi (Lniversity, Ptttiolu fuiling which he/.she ,,vill not be conJit'rtted in hislher post.
trppliccrtirsns ttnrl tlxtse rece ived

14. [nctsmp;ls1e

titcr

the last dule shctll not be enterktinecl'

t5. Tlte etigihitit.v o./'ever-v c.urulitltrtc witt ha clerertttirtccl on the htt^si,'o,f tltutliJictrti<trts ,rcquirei t1, tiirrilr"r Ltp to the ltt.rt clute.fttr receipr cf'rpTslictttiott.s.

I6. It is not ohlig(ttory lo cttll

for inlerview.

every c:ttncliclute v,ho posse.s.ses the e:;,senlicrl quulific:otirtn's

17. Nrrmber ttf posts can be increasecl/tlecrec*ecl'

PU l',(O )-

()935-5'OO0/tt-08

I'tJ

P(

O)- I 093

5-

j,000/8-0lt

PTJNJABI UNIVE,FISIT\'. PATIALA

(t:stablishetl rrntler Ptrnlab Act No. 35 oi 196 l)

NAAC ***r*slATUS

BIODATA OF THE CANDIDATB

[10 Phot<tstut Copies oJ'Eiotluto (tluly ts,pecl) to be submittetl by 1fis Cuntlickrte ulongwith lhe Applic:ctlion.] (not applicatrlc) against it.] Illintbrrnati<ln askecl tbr in a co[ltnn is not applicable, please do not leave it blank, instead put N.A.

Name

of the Post Applied lor

Date
Mother'sName
Present Grade

ln the Subject of
Name o1'the Candidate
F'ather'sNarne

of llirlh

Present Designation

Ollicial Address

(with 'felephone Nurnber)

(A) ACADIIMtC QUALIFICATIONS

E.rarir inaticln Passed

Narne

ol Board/University

7o

of marks obtained

Distinction if any

Matric
I

0+2/Pre-Med./Pre-Engg

B.A.il].Sc./B.Corn. ctc.
M.A-llvl.Sc.iM.Com./M

[]A

etc

l,h.D./D.t-irt.
NETilT,.I75I,E'f

Any Other Examination

Qualiticatiorr in I'unjabi
(t]) TEACH rNC EXPnRIENCn
t.

Under-Craduatc Post-Craduate

lr.

Total l&ll
(c) ALEA OF StlEClALIZATION

Years

Months

l. ll.

Major

Minor

(D) ROSEAIICII EXPEITIENCE AF"I'ER ll{.A.lM.Sc.

'l'otal Post-Doctorate
ITESEATTCI{GUIDANC'E

Years Years

Months

M.Phil./M.Liu. Guided
Ph.D.

Under Guidance

Guided-_

__

Under Guidance

RESEARCT{ t'ROJECT'(S)

(D (iD

llandled ln Hand

(E) SEM rNArdS/CONFERENCES State

AT'rr:ND[D

National lnternational
(F) RESEARCH AWARDS/RECOGN ITION State

National lnternational

(C) PUBLICATIONS INCLUDINC THOSE lN PUNJAIII

(Sture : l'ublislrcd/.{c'cepredJir !'uhlit'ution)

(i) (ii) (iii)

flooks (Mention titles)

Ilesearch Papers

Articles

(iv) Any olher publicatiorr

(H) ANY OTHER DISTINCTION OR AWARD CONFERRII)

(I) ANY ADDITIONAL II\FORMATION WHICH STRENGTHENS THE CLAIM FOR APPOINTMINT

6l) PRESENTf,MOLUMENTS Basic Pay

Date of Next incrernenl

Allowances

Total

(K)

MINIMUM BASIC PAY ACCEPTABLE

Altach sepcratesheetwherever necessary.Allclaims mustbesupported by relevont certificuledtlocuments.

Dated

Si

gnatures ofthe Candidate