BANASTHALI VIDYAPITH
(Notified as Deemed to be University under Section 3 of the UGC Act)
Application form for Faculty Positions
Post :
_________________________________
Subject : _________________________________
Affix self attested
passport size
Photo
GENERAL INFORMATION AND ACADEMIC BACKGROUND
1.
Name (in Block Letters)
(English) ..................................................
(Hindi) ....................................................
2.
Mothers Name
.................................................................
3.
Fathers Name
.................................................................
4.
Date of Birth & Age
.................................................................
5.
Gender (Male/Female)
.................. Marital Status ......................
6.
Domicile & Nationality
.................................................................
7.
Department, if in service
.................................................................
8.
Present Designation
.................................................................
9.
Indicate whether belongs to
Gen./SC/ST/OBC/PH category
.................................................................
10.
Address for correspondence
(with Pin code)
.................................................................
.................................................................
.................................................................
11.
Permanent Address (with Pin code)
.................................................................
.................................................................
.................................................................
12.
Telephone /Mobile No.
................................................................
E-mail
.................................................................
Academic Qualifications (Secondary & onwards):
13.
Examinations
Name of the Board/
University
Year of
passing
Percentage
of marks
obtained
Division/
Class/Grade
Subject
Secondary/
High School
Sr. Secondary/
Intermediate
Graduation
.............................
Post Graduation
(with subject)
..............................
B.Ed.
M.Ed.
NET/SLET/GATE
Other examinations,
if any
Research Degree (s):
14.
Degree
Title
Date of Award
University
M.Phil.
Ph.D.
any other
.............................
15.
Prior Employment details (in reverse chronological order) :
Designation
16.
Name of Employer
Teaching Experience (in years): P.G.:
Date of Joining
Joining
Leaving
Salary with
Grade
U.G.:
Reasons for
leaving
17.
Fields of Specialization: ..........................................................................................................
18.
Orientation/Refresher Courses attended:
S.No.
Name of Course/
Place
Duration
Sponsoring Agency
Summer School
1.
2.
Attended/paper presented in Seminar/Symposium/Workshop etc.:
19.
Title of paper
20.
Details of Seminar/Symposium/Workshop etc.
Organized by
Paper published in journal, book, conference proceedings etc.:
Title of paper with
page number
Details of journal, book, conference proceedings etc.
21.
Any other Relevant Information:
S. No.
Particulars
Published by
Note: The Candidate may increase of rows/adjust columns/use extra sheets in prescribed format, wherever required.
LIST OF ENCLOSURES: (Please attach, copies of certificates, sanction orders, papers etc. wherever necessary)
1
10
I certify that the above information provided by me is true and in case of any false information,
I shall be personally responsible.
Place :
Name & Signature of the Applicant
Date :
FOR THE USE OF CANDIDATES IN EMPLOYMENT
Certified that ____________________________________________________________ holds the
post of _____________________________ in the Department of _________________________. This
office has no objection for the consideration of his/her application and in case of selection he/she will be
relieved as per rules.
No. :____________________
Signature_____________________________
Date:___________________
Designation___________________________
Office Stamp__________________________