School of Planning and Architecture: Vijayawada
(An institution of National Importance under the Ministry of Human Resource Development, Govt. of India)
                Survey No. 4/4, ITI Road, Vijayawada – 520 008, Andhra Pradesh, India
        Application for GIS EXPERT/ Research Associate / Research Assistant
                                   (√ Tick whichever applicable)
                                                                                                 Affix latest passport
                                                                                                     size photo.
Name of the Candidate                   :
Father’s Name                           :
Contact Address                         :
Phone                                   :
Email                                   :
Date of Birth                           :                               DD MM YYYY
Category                                :                       Gen OBC SC ST PwD
Educational Qualifications:*
Degree    Subject / Research                    % Marks           Year of          Name of the College &
          Area                                  / Grade           Passing          University
Professional / Short term                   :
courses attended, if any
Specialization in PG Course                 :
Employment record (starting from present employer if any):*
Name of the    Post Held       Functional     Pay Scale                 Period           Remarks
Organization                   activities
* Candidate to provide necessary supporting scanned images of original educational qualifications, mark-
sheets and certificates of years of experience, along with application.
Membership of Professional              :
bodies
Publications                            :
PhD / M.Tech Thesis guided              :
Sponsored research project              :
Co-curricular & Extra-                  :
curricular activities
Any other relevant information:
                                         Declaration
I hereby declare that the information furnished above is true to the best of my knowledge and
belief. If at any time I am found to have concealed any information or given any incorrect
data, my appointment, if made, may be terminated without notice or compensation.
Additional legal action may also be taken.
Date:                                             Signature of the candidate