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Examination Passed

University

Month and Year of Passing

Subj. Offered Special/
General

Marks obtained out of

Percentage of Marks

Class / Division / Grade

(i) Bachelor's Degree (BA/B.Com/BBA/BCA/

BHMTT/DHMC
T/PGDFT/LLB etc.)

(ii) Master's Degree

(iii) M.Phil. Degree

(iv) Ph.D.Degree

(v) NET/SET (CSIR)

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Salient Features

Guest

1) Full Name of the Candidate :

(Surname) (Name) (Father's/Husband's Name)

2) Address for Correspondence :

3) Pin Code :

4) Tel. No. :

5) E-Mail Address :

6) Mobile :

7) Name of the Post Applied
For :

8) Nature of the Post :

(SC, ST, DT/NT, OBC, OPEN)

9) Date of Birth :

10) Educational Qualification (Please enclose attested copies of Certificates)

11) Teaching Experience (Please enclose attested copies of the Certificates / Appointments Letters / Experience Certificate)

University / College / Institute	Designation of the post held	Subjects and classes taught	Period of appointment with date		Nature of appointment	Approved by University. Date of approval or not approved.
University / College / Institute	Designation of the post held	Subjects and classes taught	From	To	Nature of appointment

12) Professional Experience :

(Pl. give details on separate sheet)

13) Your Area of Expertise at Present:

14) Which Subject you will be able to teach :

15) What are your strength & weakness :

16) Hobbies :

17) Last Salary drawn & Salary expected :

18) Awards, Merit Certificates received to

you :

19) Articles, Research Paper or book written

By you:

20) Co-curricular, extra curricular, extension activities done by you in the past :

I hereby declare that the statement made above, in so far, as they relate to me are true and correct.