B.M.S.
COLLEGE OF ENGINEERING, BANGALORE-19
Autonomous College under VTU / Approved by AICTE / Accredited by NBA
Bull Temple Road, Bangalore-560019
APPLICATION FOR FACULTY POSITION
Please Affix recent
Application No. ____________________________________________ Passport
(35 x 35 mm)
For the Post of ____________________________________________ Photograph
Department _____________________________________________
Reference _____________________________________________
(Notification Number & Date)
1. Name in Full
(In capital Letters only)
2. Father’s Name & Occupation
3. Address for Correspondence
Mobile No :
4. Contact Number & email address
Email ID :
5. Date of Birth
6. Age as on the last date of submission of
application (YY/MM/DD)
7. Place of Birth
8.Religon
9. Caste
10. Reservation Category
(Enclose copies of Certificate issued by competent
authority)
11. Languages known
Language Read Speak Write
12. Highest Educational Qualification
Details of Educational Qualification
Year of Percentage of Class
Degree Course Specialization Name of the Institution Passing Awarded
Marks
PhD
POST GRAD UATION (PG)
ME / M Tech
M.Sc.(Engg)
M.Phil/M.Sc.
UNDER GRA DUATION (UG)
BE/B.Tech
Other
13. Total No. of years of Research Experience
Details ( Use separate if required)
Period
Name of the University / Institution Area of Research
From To Total
14. Total No. of Publications ( National & International
Journals, Conferences and Books with ISBN Number if any)
For details of Publications (Please attach separate sheet giving details of journal/ impact factors and citations from
Google scholar, Scopus and web of science)
National / Year and Month of Conference /
Title of the Paper International Publication Journal
15. Teaching Experience ( Total No. of years)
Details of Teaching Experience
Period
Name of the University / Institution Designation Total
From To
Years Month
16. Industrial Experience ( Total No. of years)
Details of Industrial Experience
Period
Name of the Organization Position Held Total
From To
Years Years
17. Affiliations to Professional Organizations
Grade of Number of Year of
Name of the Professional Body Membership Membership Selection
18. Special Award / Achievements or any other information :
19. Consultancy:
(Please attach a separate sheet giving details of innovative consultancy projects executed in the last 5 years)
20. Sponsored/Collaborative Research Projects:
(Please attach a separate sheet giving details of the projects executed in the last 5 years)
21. Social Engineering:
(Please attach a separate sheet giving details of your involvement as solution provider for societal issues in the last 5 years)
22. Leadership (Applicable for Professor, Associate professor and R&D positions)
(Please attach a separate sheet indicating your role in providing leadership in any of the Academic /Research activities which
were significant in your previous organization in the last 5 years)
23. Statement of Purpose (SOP):
(Please attach a separate sheet stating your purpose to join as a faculty member in BMSCE)
24. Details of the References
Address for Communication with
Name Occupation or Position
Contact Number
(Please furnish at least 2 testimonials from the reference who are acquainted with the character and work of the applicant.
Attach the testimonials / reference letters separately)
25. Declaration :
I hereby declare that the information furnished in this application form is true to the best of my knowledge and
behalf.
Place:
Date: Signature of the candidate
26. List of documents to be attached with the application
Please tick
Title of the document No’s
Attached Not Attached
SSLC Marks Card or
age proof document
Bachelor’s Degree Certificate
Bachelor’s Degree Marks cards
Master’s Degree Certificate
Master’s Degree Marks cards
Ph.D Degree Certificate
Other Certificates ( Please Specify)
Research Experience Certificate
Teaching Experience Certificate
Industrial Experience Certificate
Research Publications/ Papers
Professional Membership Certificate
Copy of Aadhar card
Copy of PAN card
Reference Letters
Details of Fee Paid
DD No. Date Amount Bank & Branch Name
The Applicants are required to submit the filled in application form to the following address:
To
The Principal
B.M.S. College of Engineering
Post Box No.1908
Bull Temple Road
Bangalore-560019
Karnataka, India.
Phone: 080-26622130 - 35
Issued by the Office of the Principal, BMS College of Engineering, Bangalore
