GOVERNMENT COLLEGE CHITTUR

CHITTUR COLLEGE PO, PALAKKAD, KERALA-678104

(AFFILIATED TO UNIVERSITY OF CALICUT)
PHONE 04923222347/207010 Email: gccprincipal@gmail.com
APPLICATION FOR THE APPOINTMENT OF GUEST LECTURERS 2016-2017
1

Name (in Block Letters)

Age & Date of Birth

Religion and caste

Permanent Address (with Pin Code)

Phone No

Email Id

Educational Qualification
(subject/class/percentage of marks/year of
pass/university)

Additional Qualification
(M Phil/PhD)/year (Qualified)/University

NET Qualification(Year)

10

Qualifications as to computer application

(Course/Year)

11

Teaching Experience at College and university

Level (Years)

12

Any other relevant information

Place:
Date:

Signature with Date