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Personal Information

Title*

First Name*

Middle Name

Last Name*

Date of Birth*

Age

Birth Place

Nationality*

Gender*

Male Female

Marital Status*

Married Unmarried

Caste Category*

Address*

Contact Details:

Email ID*

Mobile No.*

Tel No.*

Academic Educational Qualifications

Qualification

Examination*

Subject Arts/Sc./Com.*

University / Board*

Year of Passing*

% of marks obtained*

Class / Division*

Highest Qualification

Highest Qualification*

University /Institute*

Year of Passing*

Research Degree / s

Degree*

Title of the Award*

Date of Award*

University*

* In case of Ph.D. degrees, an attested copy of the degree and the result / notification for the same is to be attached.

Past record of Academic / Professional / Industrial service prior to current Institution / Organisation

Designation*

Nature of appointment*

Name of Employer / Institute*

Date of Joining*

Date of Leaving*

Salary with Grade*

Reason of Leaving*

Present record of Academic / Professional / Industrial service in current Institution / Organisation, if any

I am currently working in this role

Designation*

Nature of appointment*

Name of Employer / Institute*

Date of Joining*

Date of Leaving*

Salary with Grade*

Reason of Leaving

* Attach Resume (Only PDF)

Total Experience

Experience*

Year *

Fields of specialisation under the Discipline

Particulars about research work directed – PG / M.Phil. / Ph.D.

No. of Awards*

No. of working students*

Sr.No.*

Name of the Student Registered*

Registered for

Date of Registration*

Year of Award of Degree

Branch & Brief title of Research

Remarks

Research Schemes / Projects / Industrial Consultancy

Title of Project / Scheme / Consultancy*

Funding Agency / Industry*

Funds Received*

Date of Starting*

Date of Ending*

Worked as PI / Co-investigator*

Output of Project / Consultancy*

Details of publications attached to the PBAS format (for evaluation)

Sr.No.*

Nature of Publication*

Number of author/s as it appear in the publication*

Name of the Book & the Publishers / Journal, issue no. and year of publication, page nos.*

ISSN / ISBN number*

Impact Factor (in case of Journal)*

Number of Research publications in SCOPUS / WoS index journals.*

Any other relevant information (please attach additional sheet/paper if required)

API scores of last three years

Year*

Cat I*

Cat II*

Cat III*

No. of IPR / Patent

Contribution to educational innovation, design of new curricula and courses, and technology - mediated teaching learning process

Evidences in support as outstanding professional, with established reputation in the relevant filed, who has made significant contributions to the knowledge in the concerned / allied / relevant discipline, to be substantiated by credentials

Awards and Recognition

Merit Scholarships, if any

Other Academic and Corporate activities

Administrative experience

Names of person and Designations who have given testimonials

Names of Person*

Designations*

Names and address of three persons from concerned filed of studies profession of candidate to whom references may be made

Names*

Address*

Email ID*

Mobile No.*

Declarations

I have read the eligibility criteria for the post, terms & conditions and all the instructions properly. They are all accepted by me and shall abide by them.
I understand that in the event of any information being found false, incomplete or incorrect my candidature / appointment is liable to be cancelled / terminated immediately, without any reasons.
I understand that incomplete applications, applications without required enclosures and applications not submitted in the manner and procedure prescribed by the university shall be summarily rejected.
I hereby declare that all statements made by me in this applications are true, complete and correct to the best of my knowledge and belief.

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