rapplicationform_2014

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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 – 201066 Website: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 Nationalit y : 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 : Mobile :

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Page 1: 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

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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)

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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

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