St. Joseph’s College of Engineering & Technology, Palai

(Form applicable also for teaching posts in St. Joseph’s Institute of Hotel Management & Catering Technology, Palai)

(Affix recent

Passport size colour photo here)

Post Applied for :

1. Name of the applicant : (in Capital Letters)

2. Date of birth : Day Month Year

(Approved by AICTE and affiliated to Mahatma Gandhi University, Kottayam)Choondacherry P. O.,Bharananganam,Kottayam Dist., Kerala – 686 579

Ph: 04822 239301/239302, Fax: 04822 239307Email: sjcet@sancharnet.in Website: www.sjcetpalai.ac.in)

Application for Teaching Posts

3. Place of birth : (Village,Town & State)

4. Nationality :

5. Gender (üTick one) : Male Female6. Religion :

7. Caste/Community :

9. Marital Status (üTick one) : Married Single

10. Permanent Address (with PIN Code) 11. Address for Communication (with PIN Code)

Phone No. with STD Code Phone No. with STD Code

Mobile No. : Mobile No. :Email : Email :

12. Professional qualifications : (ü Tick appropriate ones)

M. Tech../ M.E./ M.S./ M.Sc / MCA / MBA / BHM / Ph.D./Others(specify)

13. Nature of highest qualification: (üTick one)

Full Time Part Time Distance Education

14. Academic Qualifications

Course Details Year of Passing

Institution Board / University Specialization (If applicable) % Marks

1 2

KM

-D03

M03

Y2K

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(Asst. Prof./Assoc. Prof./Prof. etc.)Dept:

8. If Catholic : Name of Diocese Parish

Place : Date :

2 2

15. Teaching Experience Teaching Experience in years :

Name of Institution where taught

No. of Years of Service

Subjects Taught

16. Industrial / Field Experience Industrial / Field Experience in years :

No. of Years of Service

Industry / Organization Field of Service

17. Number of Seminars / Conferences / Short Term : Courses Attended / Organized

18. Number of Papers Published in National / Inter-National Journals :19. Subjects of interest in teaching (mention any two):

1. ................................................................ 2. ...................................................................

20. Major strengths (mention best two) : 1. ................................................................ 2. ...................................................................

21. Mention two extra-curricular activities in which you are interested :1. ................................................................ 2. ...................................................................

22. Proficiency in English (üTick one) : Poor / Average / Good / Excellent23. If appointed, how long do you prefer to remain with the college? (üTick one) :

One Semester / One Year / Two Years / Indefinitely24. Names and addresses of two referees : (If Catholic, one should be the parish priest)

Note: All degrees / qualifications must be approved by AICTE & Mahatma Gandhi University. Distance education degrees are not accepted Candidates have to produce all certificates in original at the time of interview Subject knowledge, presentation skills and the general attitude and interest will be assessed during the interview. Send all applications (including HMCT) to Principal, St. Joseph’s College of Engineering & Technology, Choondacherry - 686 579, Kerala. Applications can be sent at any time of the year. I certify that to the best of my knowledge and belief, the details given above are true and correct. I also certify that if selected, I will discharge teaching and other duties assigned to me with full commitment and devotion.

Signature :

1.

2.

KM

-D03

M03

Y2K

12