Download - RApplicationForm_2014
Estd 2001
SRI VENKATESA PERUMALCOLLEGE OF ENGG & TECHNOLOGY(Approved by AICTE & Affiliated (Permanent Affiliation) to JNTUA, Anantapur; Accredited by National Board of Accreditation (NBA) New Delhi; Accredited by National Assessment & Accreditation Council (NAAC) Bangalore; 2(f) and 12(B) recognition
by University Grants Commission (UGC), New Delhi). Chinnarajakuppam, R.V.S. Nagar, K.N. Road, Puttur 517583, Chittoor Dt, A.P. Ph: 08577 – 201066Website:www.svpcet.org E-mail:[email protected]
APPLICATION FORM FOR FACULTY RECRUITMENT
BY ADVERTISEMENT AND SELECTION
NOTE: A Copy of the filled in application along with proofs of educational qualification has to be sent in a closed envelope super scribed on it “for the faculty position in Sri Venkatesa Perumal College of Engineering &Technology, Puttur” to the Principal, and another copy to be sent to the Registrar, JNTUA, Anantapuramu – 515 002, A.P before 4.00 pm on 26-04-2014
Please affix latest passport size
photograph with light back ground
1 Post applied for :
2 Faculty / Department :
3 Full Name (In Capitals) :4 Date of Birth : Gender :
(dd/mm/yyyy) (Male/Female)5 Nationality : Religion :6 Caste & Category : Sub-Category :
(SC / ST / BC / OC / PH)7 Father / Husband Name :8 Postal Address to which communication should be sent :
Present Address Permanent Address
Phone Number : Mobile :
e-mail id (s) :9 Educational Qualifications:
Name of the Name & Place Name of the Year of Percentag Class / Subjects takenof the School / Board / for
Exam/ Degree Passing e of Marks DivisionCollege University Specialization(1) (2) (3) (4) (5) (6) (7)
SSC
Inter/Diploma
UG Degree
PG Degree
M.Phil Degree
Ph.D Degree
Others, if any
Page 1 of 3
10 Give the details of your employment in chronological order:
Name and address Period Total Basic Regular/period Pay & Adhoc/of Institution / Post held Scale of pay
FromTo in each Gross Universityoffice
cadre Pay Ratified1 2 3 4 5 6 7 8
11 Have you published any papers or text books? If so, give particulars and if possible enclose copies ofpapers/books clearly mentioning the names of international/national journals in the case of papers publishedand conferences participated for presenting papers, names of publishers in the case of text books. (Attach aseparate sheet with all details)
Details National (No.) International Details National(No.) International(No) (No)
Journals Conferences
Seminars Workshops
Text books Monographs
12 Membership Name & Address of the Professional Society Nature Numberin
ProfessionalSocieties
13 No. of Ph.Ds guided, if any :(Give the details on a separate sheet)
14 Awards received, if any :(Give the details on a separate sheet)
15 Languages Speak Read WriteKnown:
16 Details of Experience:Teaching UG/PG Classes with details of subjectshandled, course, semester, year etc., (Encloseseparate sheet if required)Guiding Research
Industrial Experience
Administrative Experience
If appointed what duration of time would you requirefor joining the post?Additional information, if any, in support of theapplication: (Use Separate Sheet in necessary)
Page 2 of 3
17 Referees : (The referees should be persons residing in India holding responsible position and not related tothe applicant)S.No Name Occupation or position Address1
2
18 Details of Enclosures:a.
b.
c.
d.
e.
f.
g.
h.
i.
DECLARATION BY THE APPLICANT
I hereby declare that the information furnished above is true and correct to the best of my knowledge & belief.
Date :
Place : SIGNATURE OF THE APPLICANT
Page 3 of 3