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App Form Aits

This document is an application form for academic posts at the Atmiya Institute of Technology & Science in Rajkot, India. The form requests information about the applicant's personal details, educational qualifications, academic experience, professional experience, research experience, publications, extracurricular activities, references, and expected salary. It instructs applicants to attach certified copies of documents and provides contact information for submitting the completed form.

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138 views4 pages

App Form Aits

This document is an application form for academic posts at the Atmiya Institute of Technology & Science in Rajkot, India. The form requests information about the applicant's personal details, educational qualifications, academic experience, professional experience, research experience, publications, extracurricular activities, references, and expected salary. It instructs applicants to attach certified copies of documents and provides contact information for submitting the completed form.

Uploaded by

kaushik9595
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Atmiya Institute of Technology & Science (Managed by Sarvoday Kelavani Samaj) Yogidham, Kalawad Road, Rajkot 360 005

5 Ph. No. : (0281) 2563445 Fax No. : 91 281 2563952

APPLICATION FORM FOR ACADEMIC POSTS Instructions : 1. Separate application form is to be filled up for each post. 2. Please attach certified copies of : school Leaving Certificate, Graduation and Post-Graduation mark sheets, Degree Certificates, Experience Certificates, Prizes awards etc. 3. Please attach extra sheet if required. 4. Post for which applied ____________________________ To, The Secretary, Sarvoday Kelavani Samaj, Yogidham, Kalawad Road, Rajkot 360 005. Sir, In response to your advertisement appeared in ___________________________________ (Name of the Newspaper) dated _____________________, I hereby apply for the captioned post. My particulars are as under : [A] Personal Details : 1. Full Name : Mr. / Ms. / Mrs. / Dr. ________________________________________________
(surname) Name) (name) (Fathers / Husbands

2. Permanent Address :

Pincode : Ph. No.(R) : Ph. No. (M) : Email :

Pincode : Ph. No.(R) : Ph. No. (M) : Email :

3. Family Background : Fathers Occupation : ____________________________________ Mothers Occupation : ____________________________________ 4. Date of Birth :__________________ 6. Place of Birth : ___________________ 8. Nationality : ____________________ 5. Age : ____________ 7. Sex : ____________ 9. Marital Status : _______

10. Languages Known (Please place tick [ ] mark) English Read Write Speak [B] Educational Qualifications (Attach Mark sheets): Year University Subjects Class %Marks Remarks Hindi Gujarati Any Other[Specify]

Degree/ Diploma S.S.C. H.S.C. Graduate Postgradua te Ph. D. Any Other

[C]

Academic Experience : Period From To Basic Pay. Rs.

Designati on

Institution

Remarks

[D] Professional Experience : Designati on Organisati on Period From To Emolumen t

Remarks

[E]

Research Experience : No. of* papers presented / published

Designati on

Organisati on From

Period To

Remarks

[F]

Text Books / Reference Books Authored * :

Title

Year

Published By

* Attach a separate detailed list.

[E]

Extra-Curricular Activities (attach a separate sheet if necessary) :

Sports/Fine-Arts/Elocution Competition/NCC etc. at State/National Level. Name of Activity State/National Level Year

[F]

Name of References (other than relatives):

Pincode : Ph. No.(R) : Ph. No. (M) : Email :

Pincode : Ph. No.(R) : Ph. No. (M) : Email :

Any other relavant Information* :_______________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ *(Attach a separate sheet if necessary)

Current Basic Pay/Month Rs. ___________ Current ________ Expected Basic Salary/Month Rs. _________ Time required to join ___________

Gross

Emoluments/Month

Rs.

I, hereby declare that the above information is true to the best of my knowledge. If selected, I assure you to work most sincerely and satisfy my superiors. Thanking you, Date : Place : __________________________ Signature of Applicant Yours Sincerely,

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