E.mail : info@titsbhiwani.ac.
in PHONE : 91-1664-242561
Website : http://www.titsbhiwani.ac.in FAX : 91-1664-243728
THE TECHNOLOGICAL INSTITUTE OF TEXTILE & SCIENCES
Birla Colony, Bhiwani – 127021 (Haryana)
APPLICATION FORM FOR EMPLOYMENT
Paste here your
Passport
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Important Instructions :
1. Only the candidates applying for any Teaching post, with reference to the advertisement, must also
send one set of application to the Dean, College Development Council, Maharshi Dayanand
University, Rohtak-124001 (Haryana).
2. Applications should be sent either by Registered Post or by hand against proper receipt. Applications
by ordinary post will in no case be considered.
Advertisement Reference : Name of Newspaper : _______________________ Date : ____________
Post Applied for ______________________ Department ____________________
1. Full Name (including Surname) ____________________________________________
2. Father’s Name ____________________________________________
3. Date of Birth ____________________________________________
4. Postal Address for correspondence ____________________________________________
(Any change of address should be
communicated at once to the Institute) ____________________________________________
Telephone/Mobile No.__________________________
E-mail Address _______________________________
5. Permanent Address ____________________________________________
(mention Tehsil, District and State
you belong to) ____________________________________________
6. Were you at any time declared medically unfit;
Asked to submit your resignation; discharged or
dismissed from Govt./Semi-Govt./Autonomous
Body or Private Service? If Yes, give details in
a separate sheet. ____________________________________________
7. Academic Qualifications : (i) Please attach attested copies of certificates including Date of Birth
(ii) Give particulars in a chronological order starting with bachelor’s degree.
S.No. Degree Subject/Specialization Division/Grade/ Year University
%age of marks
8. Professional/Teaching/Research Employment (Give particulars in descending chronological order
starting with the present post. If space is insufficient, attach separate sheet).
S.No. Employer Post held Regular/ Pay Scale Total Period of
Contract Salary Employment
/Ad-hoc pm. (Month/Year)
From To
9. Research Experience :
(a) Title of your M.Tech/M.E/Ph.D Thesis with name and address of Ph.D Guide. (Enclose abstract
of thesis.)
Degree Title of Thesis Guide
(1) M.Tech/M.E
(2) Ph.D
(b) Thesis supervised : M.Tech/M.E/Ph.D (Attach separate sheet if space is insufficient) :
Degree Name of Student Title of Thesis Year Co-Supervisor, if any
Completed
(1) M.Tech/M.E
(2) Ph.D
2
(c) Sponsored Research/Consultancy Projects Completed/in Progress :
(Attach separate sheet if space is insufficient)
Sponsored Projects
Title of Project Whether Duration Amount of Sponsoring Co-Investigator
completed or in Grant Agency (if any)
progress
Consultancy Projects
(d) Publications :
(i) No. of reviewed publications. (Enclose list of publications in reviewed journals with co-
author(s), title, journals, month & year, page Nos.) :
(ii) No. of research papers presented in conferences/seminars/workshops. (Enclose list of papers
with co-author(s), title of paper and conference/seminar/workshop, month & year, page Nos.) :
(iii) No. of research papers communicated. (Enclose list of papers communicated with co-
author(s), title, journal/conference etc.) :
(iv) Review/Research/Design/Feasibility Reports.
Title No. of Agency for which prepared Co-author, if any
Pages
(e) Patents/Technology Transfer :
1.
2.
(f) Books Published :
Title Publisher Year Edition Level Reference Co-author,
if any
3
10. Teaching Experience :
(i) Total No. of Years :
(ii) Attach list of courses taught
(iii) Short-term/Refresher Courses (Conducted/Attended), Attach List :
(iv) Innovation in Teaching :
11. Any other information :
(i) Membership/Fellowship and Position of responsibility in Professional Societies :
(ii) Prizes/Medals/Awards/Distinctions :
(iii) Scholarship Received :
(iv) Any other awards/activities :
(v) Attainments in sports and extra-curricular activities (including N.C.C) :
(vi) Knowledge of foreign languages :
12. References : Give names of at least three referees with their complete postal address. Referees
should be the persons with or under whom the candidate has worked) :
1.
2.
3.
Details of documents enclosed :
(i)
(ii)
(iii)
_____________________
Signature of the Candidate
Place : ___________
Date : ___________
