Application Form for Faculty Position

Personal Information

Full Name*

Father’s / Husband’s Name*:

Date Of Birth*

Gender

Male Female

Marital Status

Married Unmarried

Aadhaar No*

Official Information

Position Applied for:

Position

Ph. D/ Non-Ph. D

Area of Specialization/ Teaching Interest

Present Organization & Designation

Educational Qualifications (in reverse chronological order)

Sl. No.	Examination /Degree	University/ Institution	Subjects	Year of passing	Regular /Part-time	% of Marks	Grade/ Division
1

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Full time Work Experience (in reverse chronological order)

Sl. No.

Name of the Employer

Period of Service

From	To

Duration of employment
(In years/months)

Position/ Designation

Temporary/ Permanent

Nature of Job

Scale of Pay & Basic Pay

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Name of the Ph.D. / Post Graduation Project Topic

Total work experience: (years/months)

Total Post-Ph.D. Teaching Experience: (years/months)

Total Post-Master’s degree Experience: (years/months)

Total Research Experience: (years/months)

Total Industry Experience: (years/months)

Details of Publications and Research works (Please give list of most significant five research works published during last five years) (Attach separate sheet for all publications):

(a) Research papers - International / National Journal

Sl. No.	Authors	Year of Publication	Title of Paper	Journal Name	Vol. No. pp.	JCR Impact factor of Journal	Scopus Citescore of Journal	ABDC
1

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Total number of papers published in peer reviewed
National Journals

Total number of papers published in peer reviewed International Journals:

(b) Total number of Books authored/edited -

Sl. No.	Name of Book	Co-authors	Publisher	Year of Publication
1

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(c) Total number of papers presented in the International Conference -
National Conference

Sl. No.	Co-authors	Year	Title of Paper	Conference	Organized by
1

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(d) Total number of FPM/Ph.D. Supervision -

Sl. No.	Scholar’s Name	Year of Regn.	FPM/Ph.D. Topic	University/ Institution	Co-super-visor(s)	Status
1

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(e) Total number of Cases (with Teaching Notes) -

Sl. No.	Name of Case	Year of Publication	Publishing House
1

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Total number of MDPs/Workshops/Seminars conducted -

Sl. No.	Topic of MDOs/Workshops/Seminars	Duration	Dates	Organisation & Place
1

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Subjects taught at P.G. Level

Sl. No.	Subject Name	No. of Students	Feedback
1

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Total number of Research Projects Completed

(Please mention Best Three. Attach extra sheet if necessary)

Sl. No.	Title of the Project	Funding Agency	Amount	Duration	Status Completed / ongoing	Role Principal Investigator / Co- Investigator
1

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Total number of Consultancy Assignments

(Please mention Best Three. Attach extra sheet if necessary)

Sl. No.	Title of the Project	Client	Amount	Duration	Status Completed / ongoing	Role Principal Consultant / Co- Consultant
1

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Major Achievement of last 3 years

(Please mention academic administration or academic outreach positions held. Attach extra sheet if necessary)

Professional References (Two)

First Reference

Name*

Designation

Organization

Relationship with self

Email*

Mobile*

Address

Second Reference

Name*

Designation

Organization

Relationship with self

Email*

Mobile*

Address

Date

Place

DECLARATION

I declare that the information provided above is true and correct to the best of my knowledge. I understand that any mis-representation in the information above, discovered at any time, may lead to my disqualification/ termination.

Date

Place

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