RAMAIAH INSTITUTE OF TECHNOLOGY, BANGALORE – 560 054
(An Autonomous Institute Affiliated to VTU)
APPLICATION FOR FACULTY POSITION
APPLICATION FOR THE POST OF PROFESSOR/ ASSOCIATE PROFESSOR/ ASSISTANT PROFESSOR
IN THE DEPARTMENT OF: …………………………………………..……..
Passport
Item 1: PERSONAL INFORMATION size photo
NAME : DATE OF BIRTH :
SEX : MALE / FEMALE AGE :
HIGHEST QUALIFICATION :
PERMANENT ADDRESS: ADDRESS FOR COMMUNICATION:
PHONE NO: E - MAIL ID:
(with STD Code)
MOBILE NO:
PRESENT POSITION: PRESENT BASIC PAY :
SCALE OF PAY :
GROSS SALARY :
SALARY EXPECTED AT MSRIT: IF OFFERED A POST, TIME REQUIRED TO JOIN
DUTY:
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Item 2:EDUCATIONAL QUALIFICATIONS
(Give Details from Undergraduate Degree onwards)
S No Course Branch/ Name of Name of the Year of Class with
Specialization the Institute Passing % of Marks
University Obtained
1
2
3
4
Note: Account for Break in Study, if any
Item 3: DETAILS OF EXPERIENCE
A: TEACHING EXPERIENCE
(Give in chronological order, starting from the most recent one)
S. No From To Name of the Institute Designation Subjects
Taught
1
2
3
4
B: RESEARCH EXPERIENCE
(Give in chronological order, starting from the most recent one)
S. No From To Name of the Institute Designation Area of
Research
1
2
3
4
C: INDUSTRIAL EXPERIENCE
(Give in chronological order, starting from the most recent one)
S. No From To Name of the Industry Designation Nature of work
1
2
3
4
Item 4: RESEARCH PUBLICATIONS
Number of Papers Number of Papers Number of Papers Number of Papers
Published in an Published in a Presented in an International Presented in
International Journal National Journal Conference National Conference
Item 5: AREAS OF INTEREST
S. No Theory Subjects of Interest to teach Areas of Research Interest
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Item 6: ADDITIONAL INFORMATION
A: Membership of Bodies :
B: Awards and Prizes :
C: Book Publications :
D: Any other information :
Item 7: State briefly what you propose to do at MSRIT, if offered the post:
I certify that the information furnished above is true to the best of my knowledge.
(Signature of the Applicant with date)
List of Enclosures:
1.
2.
3.
4.
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