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    Sri Tontad Siddhalingeshwar Kalyan Kendras

    Tontadarya College of Engineering(Affiliated to VTU, Belgaum & Approved by AICTE, New Delhi)

    Mundaragi Road, GADAG 582101Ph. No.: 08372-236933/232445 Fax: 08372 232446Email: [email protected] Website: www.tce.ac.in

    Running Faculty Recruitment Programme

    APPLICATION FORM

    Application for the post of ..

    In the department of ..

    AffixPassport Size

    Photo

    PERSONAL DETAILS:

    Full Name:

    Date of Birth(DD/MM/YYYY):

    Sex (M/F):

    Postal Address forCommunication:

    Contact Number(s)with STD code:

    Email ID(s):

    Religion: Caste:

    Category: Blood Group:

    EDUCATIONAL QUALIFICATIONS:(Give details from SSLC/X/10th onwards)

    Sl.No

    Course Branch/Specialization

    Name ofthe

    University

    Name ofthe

    Institute

    Year ofPassing

    Class with % ofMarks Obtained

    1

    2

    DETAILS OF EXPERIENCE:

    Teaching Experience inyears:

    Industrial Experience inyears:

    Research Experience inyears:

    No. of NationalPublications:

    No. of InternationalPublications:

    No. of Books Published:

    No. of UG Projects Guided: No. of PG Projects Guided:

    No. of Doctorate

    Students Guided:

    TEACHING EXPERIENCE (Give in chronological order, starting from the most recent one):

    Sl.No

    Institute where worked UniversityPosition

    HeldNature of

    Appointment

    Period ofAppointment

    with dates

    LastPay

    Drawn

    1

    2

    INDUSTRIAL EXPERIENCE (Give in chronological order, starting from the most recent one):

    Sl.

    NoOrganization where worked

    Position

    Held

    Nature of

    Appointment

    Period ofAppointment

    with dates

    LastPay

    Drawn

    1

    Faculty Application Form, TCE - GadagPage 1 of 3

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    2

    RESEARCH EXPERIENCE (Give in chronological order, starting from the most recent one):

    Sl.No

    From ToName of the Institute

    where workedDesignation

    Area ofResearch

    1

    2

    Projects Details:

    Sl. No Course Project Title

    1 UG

    2 PG3 Ph.D

    I certify that the information furnished above is true to the best of my knowledge.

    Place:

    Date: (Signature of the Applicant with date)

    One set of following attested documents is enclosed along with the application form:

    Sl. No DocumentEnclosed(YES/NO)

    Total NOs.

    1 Resume

    2 SSLC Marks Sheet

    3 Diploma Marks Sheet

    4 UG Degree Marks sheet

    5 UG Degree Certificate

    6 PG Degree Marks Sheet7 PG Degree Certificate

    8 Ph. D Certificate

    9 Net/Set Passing Certificate

    10 Experience Certificate

    11 Other Certificates (if any)

    For OFFICE USE only

    Post applied for:

    Branch:Category:

    Application No.:

    Inward:

    Section Clerk OS Principal

    Faculty Application Form, TCE - GadagPage 2 of 3

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    Faculty Application Form, TCE - GadagPage 3 of 3