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Maulana Azad Road, Srinagar 190001 Regional Centre: Sidhra (Near Batra Hospital, Jammu 180017
APPLICATION FORM-1
Advertisement Notice No. 1 of 2012 dated: 21-08-2012 Post Applied for: i. ii. iii. Professor Associate Professor Assistant Professor
iv. Communication and Behavioural Sciences v. Rural Development vi. Social Sciences
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Photograph
1.
Name in full (In Capital Letters): FIRST NAME MIDDLE NAME SURNAME Fathers/ Husbands Name:
2.
3.
Date of Birth:
DD
MM
YY
4.
Marital Status
: Unmarried Other
Married
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5.
i) Permanent Address: _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ ii) Address for Correspondence _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________
6.
7. 8. S. No.
Area of Specialization:__________________________________________________ Academic Qualifications: (Higher Qualification first) Add separate sheet, if necessary: Degree Subjects Year of Passing Name of Institution/University %age of marks/Grade Remarks
9. 10.
Whether qualified UGC/ CSIR-NET examinations: _______________________________ Title of Ph.D. Thesis and the Year of submission:_________________________________ ____________________________________________________________________________
11.
Experience:
12.
Research Guidance (Titles of M.Phil / Ph.D degrees under your supervision): i) M.Phil ii) Ph.D. a) submitted_________ a) submitted_________ b) awarded___________ b) awarded___________
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Details of employment (in chronological order starting with the most recent) Institution Designation Duration Nature of work Basic salary last drawn and pay scale
S. No. i. ii. iii. 16. S. No. i. ii. iii. 17. S. No. i. ii. iii. 18. S. No i.
Area of Research
Duration
Amount of Grant
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ii. iii. 19. Publications (Books/Original Research Papers/ Reviews in referred journals): Please enclose reprints of your five best papers. S. No. i. ii. iii. iv. v. 20. 21. 22. 23. Awards and Recognitions: ___________________________________________________ Any additional information that you consider relevant:_______________________________ Any innovation in teaching that you wish to propose: (maximum two pages) Names, addresses, e-mail and telephone numbers of any two referees competent to comment on your professional abilities: i. ii. _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ Title Year Complete reference of Journal Publisher
Note: Use separate sheets wherever required and in the format indicated for items 11 through 18. All annexures must be consecutively arranged and must bear your name and signature.
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Jammu & Kashmir Institute of Management, Public Administration and Rural Development (IMPA&RD) Main Campus: Maulana Azad Road, Srinagar 190001 Regional Centre: Sidhra (Near Batra Hospital, Jammu 180017
1.
2.
Date of Birth
3b. Disciplines: i. Financial Management ii. Industrial Management iii. Public Administration 4. S. No. i. ii iii. iv. v. vi. vii. iv. Communication and Behavioural Sciences v. Rural Development vi. Social Sciences
Year of passing
Stream/subject
5.
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Employment (starting with the present employer) Employer Post held Pay scale Period of employment
7.
S. No.
ii) S. No.
Class/Field
8. No. of Publications: a). b). c). d). e). 9. Any other relevant information like number of publications
Signature of Candidate
State whether research was carried on the capacity of student, teacher or official. If research was carried on a student preparing for a degree, mention the degree also in the column. In case research was done in the capacity of an official, give designation. Please give separately the number of different kinds of publications. The titles of the publications are not needed in this statement. Against (a) give the number of original research papers, against (b) the number of magazines articles, against (c) the number of textbooks, against (d) the number of monographs, against (e) the number of reviews. If you have no publication of a particular kind. Write nil in the appropriate space. For instance, if you have no text books to your credit, write nil against (c) similarly, if you have to your credit any publication not coming under the categories mentioned above, specify the nature and given their number. Please note that only what have already been published should be given here. If some papers, articles or books, which are in the press or have been accepted for publications, but have not yet already, been published are included in this column; this must be specifically indicated. The details of the papers etc. which have been sent to a journal/magazine but not yet accepted for publication, or papers which you propose to write should not be given. The titles of doctoral thesis or postdoctoral work supervised by the candidate may be listed separately.
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