Sri Krishna College of Engineering and Technology

An Autonomous Institution, Accredited by NAAC with A Grade

Kuniamuthur, Coimbatore 641 008

Approved by AICTE and Affiliated to Anna University, Chennai

Application for the post Assistant professor

1. Name (in block letters)

2. Name of the Parent

Recent
Photograph

3. Address for Communication :

Present

Permanent

Phone :..

Mobile Number :..

E-mail ID :.

4. Date of Birth

Age :

5. Marital Status

Spouse Name :

6. Place of Birth

District :

7. Mother Tongue

Caste :

8. Religion

State :
Community :
Nationality :

% of
Marks

Cleared all
the papers
in single
attempt
(Say Yes /
No)*

Name of the
Institution

F / P / D **

Specialization

Class

Degree/
Diploma

Medium of
Instruction

9. Academic Qualifications: (Starting from Highest Qualification)

University

Month &
Year of
Passing

* If No please provide the details in the following format

** Note : - F / P / D State Whether Full-Time (F), Part-Time (P), D Distance Education

9. b.
Sl.
No.

If passed the Degree with arrears provide the following details

Degree

Semester in
which arrear
occurred

Name of the Arrear subjects

No. of attempts
to clear

Semester in
which cleared

10 Professional / Teaching / Research Experience (Starting from Present Experience)

Gross
Pay

From
Date

To
Date

Months

Period of Employment
Name of the Employer /
Institution

Years

Name of
the post
held

Sl.
No

Teaching/
Industrial/
Research

11 Membership of Professional Bodies:

12 Publications (Attach separate sheets, if necessary):
13 Present Salary Details

Basic : Rs

Scale of Pay :

Total Gross Monthly Emoluments: Rs..

14 Expected Salary

15 Joining Time Required :

16 Name and address of the persons to whom reference can be made about the applicant:

1.

2.

17 Any other information the applicant wishes to state:

Place :
Date :

Signature of the Applicant

Attach Xerox Copies of the following:

1.
2.
3.

Educational Qualifications
Community Certificate
Salary Proof