Professional Documents
Culture Documents
Advt. No .Post No............... Affix here a Post applied for.. Passport size Centre
Photograph
School of. _____________________________________________________________________________________ I INDENTIFYING DATA: 1. Name in full (in block letters) Dr/Mr/Ms........................................... 2. Date of Birth3. Fathers/Husbands Name *4. Mailing Address. .......................................... Pin Code...................................................................... Tel. No.Mobile NoE-mail 5. Permanent Address. .Pin Code . 6. Marital Status7. Nationality. 8. State of Domicile.9. Do you belong to SC/ST/OBC/PH ? ................................ II. MISCELLANEOUS DATA : 1. Are you willing to accept the minimum initial pay in the grade? If not, state reasons for claiming higher starting pay. 2. If selected for appointment, what notice period would you require for joining the post? 3. Names and Addresses of two Referees: (i) (ii).. . .
Recommendations from two Referees, not related to the applicant, who are scholars closely acquainted with the applicants academic training, accomplishments and capabilities, should preferably be obtained in sealed envelopes and attached with this application, or they be requested to send them directly to the Recruitment Cell of the University by post (not by e-mail)
Date:
(Signature of Applicant)
* In case there is any subsequent change in the contact address/telephone numbers etc., please inform the A.R. (Recruitment), Room No. 131, JNU, indicating the advertisement No. & the
Title of Ph.D. Thesis and year of submission................ Whether qualified UGC/CSIR/JRF Test . (If yes, indicate the year, and attach a photocopy of NET certificate) Details of Employment : (in chronological order starting with the most recent)
Institution Designation From Period To Nature of Duties Basic salary last drawn and pay scale
Experience: Teaching ___ years; Research (excluding M.Phil./Ph.D. research) ___ years Total : ____ years (Note: Please ensure that the periods of teaching and research experiences claimed do not overlap.) Please indicate how you satify the essential qualifications prescribed: Research Guidance: Number of scholars who have been awarded M.Phil/Ph.D. degrees under your supervision; both as Guide & Co-Guide
M.Phil Degree (a) Submitted_______________ (b) Awarded___________ Ph.D. Degree (a) Submitted_______________(b) Awarded___________ Research Projects undertaken (other than that for a research degree) Subject of Research Date of Date of Commencement Completion Emoluments Drawn Under whose Auspices
Publications : (Give the number of publications) Published (a) Books Accepted for Publication Communicated
N.B. Please attach a separate sheet listing Books/Articles under each of the above-mentioned categories. In those cases where they have been published, please mention the title, the name of the publisher/the name of the journal, the year of publication, whether written in collaboration etc. In the absence of these details, the information furnished under this column will not be given any consideration. Mention briefly your experience/activities under the following heads, including the positions held, if any: (a) University administration (b) Extra-curricular activities of students (c) Residential life of students Knowledge of languages, including Indian languages: (Underline mothertongue and indicate examination(s) passed, if any) Have you undertaken any foreign travel for academic purposes? If yes, give details below: Country/Countries visited Institution & Duration Purpose of visit
Please indicate how you fulfil the desirable qualifications, if any, indicated for the post. I hereby declare that the information given by me in the proforma is correct and no revelant information has been concealed.
Date:
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