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Angallu, Madanapalle 517325 Tel: 08571 280888 Fax : 08571-280888 E-mail: svistmpl@gmail.com website: www.vist.ac.in APPLICATION FORM FOR FACULTY POSITIONS ----------------------------------------------------------------------------------------------------------------------Post applied for: Lab Assistant Dept: Electronics & Communications -----------------------------------------------------------------------------------------------------------------------1 2 Name (in capital) Permanent Address M.B.CHANDRASEKHAR BABU Address for correspondence c/o konakondla munaiah, : Kaalava Gadda, : near Housing board Colony : Guntakal, ANANTAPUR dt. Res. No : Mobile No :080994 66637 chandrasekharbabu82@gmail.com 10/08/1980 OBC Guntakal.
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7. Education Include Educational and professional qualifications chronologically S.No 1 Degree Specialization If any Class / Percentage Year of passing Name of institution / University Awards
2 3 4 8. Employment Record (Please list your previous employment details starting with the latest) Name of the Employer Post held Period From To Scale of Pay Total Emoluments
S.No 1 2 3 4
Total Experience
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As on date how many years have you been teaching ___________ Years ___________ Months 10. Please indicate Post Graduate teaching experience, if any and the subjects taught
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Please provide details of publications, unpublished research projects, if any, in which worked and also any additional information which you may consider will be of interest to the Selection Committee, viz., Co-curricular and Extra-curricular activities . (Use additional sheet you should required).
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15. S.No 1
Referees (Please give the two referees whom the institute may consult confidentially) Referees Name, Address and Telephone Number 2
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A short write up on why I consider myself suitable for the post applied
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Enclosures: 1. Copies of Ph.D, M.Tech and B.Tech certificates 2. Experience Certificate 3. Last pay drawn (Form No: 16 to be enclosed) DECLARATION
The information provided above is true to the best of my knowledge and belief.
Date:
Signature