Application Form

Faculty Recruitment Application

Application for the Post

Professor Associate Professor Assistant Professor

Department

CSE CSE(AIML) CSE(Cyber Security)

Name(as per SSC):
Date Of Birth
Permanent Address
Address For Communication
Phone Nos.	Residence: Mobile:
E-Mail Id
Caste & Category	Caste: Category: OC OBC SC ST EBC

Educational Qualifications:

Degree	Branch/Specialisation	Institution	University	Year Of Pass	% of marks
M.Tech/PG
B.Tech/UG
SSC

Doctorate Information(Ph.D)

Completed Registered Not Registered

If Completed(Ph.D)
Doctorate Topic
Doctorate Completed Year
University
If Registration for(Ph.D)
Ph.D Topic
Date of Registering
Guide Name(with Desg)
Registered University

Qualified in:

GATE NET APSET

YEAR / SCORE:

Experience Summary

Teaching: Industry: Research: Total:

Experience Details

S.No.	College	University	Designation	Duration From	Duration To	Exp. In Yrs	Salary Drawn Basic & Gross
1

Salary Details:
Scale of Pay	Present Basic Pay	Present Gross Pay

No of SCI Publications

No of Book Chapters

No of Scopus

No of Patents

No of Conferences (Scopus/SCI)

Publications/Conferences : (order of latest publications first and old publications at last and maximum five publications/conferences/Book Chapters)

National/International Publications/Conferences:

Title	Journal Name	Date of Publication	ISSN Number	Type	Indexed In	Upload File (ABSTRACT PAGE - .PDF Only)
				Journal Conference

National/International Book-Chapter:

Chapter Title	Book Title	Publisher	Year of Publication	Indexed In

National/International Patent:

Patent	Type	Title	Date of Issue	Issued By	Upload File (ABSTRACT PAGE - .PDF Only)
	Publisher Granted

Upload Resume (PDF only, size less than 2MB): Upload Academic Credentials, Experience, Salary in Single File (Not More Than 2MB): Select photo to Upload (size less than 1MB): Select Signature of the Candidate to Upload (size less than 1MB):

I hereby declare that the information given above is true and correct to the best of my knowledge and belief. If I am selected, I agree to abide by the Rules and Regulations of the college.