VIT

UNIVERSITY
(Estd. u/s 3 of UGC Act 1956)

Recent Passport size Photograph

Name of the post applied for _________________________________________________________ Name in full (Block letters) : Mr. / Ms. / Dr. Address for Communication Permanent Address

Phone No. (Off.) Mobile :

(Res.) Email : Date of Birth M Y Phone No. Age Y Y Y Nationality

Present Position : ________________________________________ 1. Academic & Technical Qualifications: [Most recent first]
R/C/ PT *

Name of Degree

Subject / Branch / Specialization

Name of the College / University / Institution

Year of Passing (Month & Year)

Overall % of marks / CGPA

Class obtained

Originals produced (Y / N) **

* R Regular / PT Part Time / C Correspondence

** Y Yes / N - No 1

2. Previous Experience: [Most recent first] Name of the Organization where served Post held and scale of pay Period From
(Month & Year)

To
(Month & Year)

No. of years of Service

Last Salary drawn

Whether the Service Certificates are produced (Y / N)

3. Research Experience (If any): ____________________________________________________________________

Particulars of Research guidance No. of Scholars awarded No. of Scholars currently working for : :

M.Phil

Ph.D

4. No. of Papers Published: ___________ [International Journals : ___________ & National Journals : __________ ] (During last 5 years) 5. Books Published: Title & Publisher to be specified (Please attach separate sheet if needed) :

6. Language Proficiency (Please write Good/Fair/Nil) Name of the Language (Other than English) Writing

: Reading Speaking

7. Strengths: [Please identify your major strengths]

8. Weakness: [Please identify your major weaknesses]

9. Career Goals & Aspirations:

10. Why do you wish to work for VIT?

11. Special points: [Any special points you wish to bring to the notice of VIT in support of your candidature?]

12. Names & contact information of two persons of professional reference who have worked with you in your current assignment. Please note that the referees will be contacted by the University before the regular appointment order is issued, in case you are selected. 1. Name of the Officer: Designation: Name of the Organization with address: 2. Name of the Officer: Designation: Name of the Organization with address:

Phone: ________________Cell: __________________ Email: 13. Present Salary (Total Amount) : _____________________

Phone: Email:

Cell:

Salary Expected : _____________________

14. Whether you are willing to join duty immediately, if you are given an offer: _______________________________ DECLARATION I declare that all the statements made in this application are true to the best of my knowledge and belief and if found incorrect, I am prepared to bear the consequences.

Signature with date -------------------------------------------------------------------------------------------------------------------------------------------------------OFFICE USE