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M.D University Campus, Rohtak - 124 001 Application Format for Faculty Position Post applied for: Associate Professor Nature of position applied: Regular/Contract/Guest Name of the Candidate (full name)* First Name: Middle Name Surname: Fathers/husbands name* Nationality* State of domicile Place of birth (district) Date of Birth* Marital status Present job Employer Present Pay Scale: Present Basic Pay: Gross Salary: Day Month Year
Area:
Marketing Regular
Address for communication House Name/No.* Place* City/District/Post Office* State* Pin Code* Permanent Address* (Same as above House Name/No.* Place* City/District/Post Office* State* Pin Code* Phone Number Mobile Number E-mail ID Educational Qualifications (Start with your present or most recent degree and work backwards)
Exam./Degree Institution From To Name of Board/Univ. %Marks Class/Div Year of Completion Specialization
Employment History (Start with your present or most recent position and work backwards) Academic (a)Teaching
Name of Employer Position Nature of position Years worked From To (dd/mm/yy) (dd/mm/yy) Courses taught Pay Scale Gross salary
(b) Research
Name of Employer Position Years worked From To (dd/mm/yy) (dd/mm/yy) Areas of research Pay Scale Gross salary
Research Publications (Top Five) (Research papers, cases, books, working papers and Articles) (Start with your most recent publication and work backwards)
Core Title of the paper/article/book/case Year of publication Publishing country Authors Name of the Journal/Book with volume and issue* Publishers Name
* Attach copies of your two best publications, of which at least one should be a journal paper.
Funded by
* Names of those who are familiar with your professional work may be included Declaration I hereby declare that the information/data given in this application are true and correct to the best of my knowledge and belief, that I have understood the general conditions of service at IIM Rohtak and that, if selected, I will abide by all the rules, policies and norms governing my service at IIM Rohtak.