Application No.

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Initial of Clerk THIAGARAJAR COLLEGE OF ENGINEERING
(A Govt. Aided ISO 9001-2000 Certified, Autonomous Institution Affiliated to Anna University)
MADURAI-625 015



Application for
Post
(SELF-FINANCE)
Discipline





1. a) Name in full (in Capital Letters) :

b) Sex :

2. Address :

a) Permanent Address: b) Communication Address with Phone No./
Mobile No. /E.mail ID :







c) Fathers / Husbands Name :

Address :


3. Age & Date of Birth :

4. a) Nationality : b) Religion :


c) Community : SC/ST SCA MBC / DNC BC GT


d) Sub Caste :

5. Educational Qualification - Starting from basic degree (Attach Photocopies of Mark sheets) :

Degree Area of
Specialisation
Institute / University Month & Year
of passing
Class % of Marks /
Equivalent



























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6. Details of Thesis:

Course Title of the Project / Thesis Brief Details

M.Tech/M.E./M.Sc.,


Ph.D.,


7. Experience (Starting from current Position):

a) Academic * :

Period No. of Years Designation /
Nature of job
Last Pay Drawn Institute /Organisation
From To










b) Research * :

Period No. of Years Designation /
Nature of job
Last Pay Drawn Institute /Organisation
From To










a) Industrial * :

Period No. of Years Designation /
Nature of job
Last Pay Drawn Institute /Organisation
From To











8. Publications

Total No. of Publications:

8.1 Books Published *:

Sl. No. Title Area Publishers Year









-3-

8.2 Publications in Journals *:

Sl. No. Title Area Name of the
Journal
National /
International
Year / Vol.








8.3 Publications in conference *:

Sl. No. Title Area Name of the
Journal
National /
International
Year / Vol.








9. a) Seminars /Schools/Conferences/Workshops Organised:

Sl.No. Title Period Place Remarks








b) Seminars /Schools/Conferences/Workshops Attended *:

Sl.No. Title Period Place Remarks








10) Special /Invited Lectures Delivered *:

Topic Area Delevered at Year / Date Remarks












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11) Sponsored Projects Done *:

Title Sponsoring
Agency
Year Details of
Project
Responsibility Amount
Sanctioned








12) Consultancy & Testing Work done:
Nature of
work
Interacted
Industry /Institute
Year Details Facilities
utilised / co-
workers
Revenue
Earned








13. Academic Research Guidance / Supervisorship:

Name of Research
Scholars
Course / M.Phil / Ph.D Area of Research / Work Status








14. Membership in professional societies:

Name of the Society Details of Membership Nature of Tech. activities
done through the society
Remarks







15. Prizes, Medals and honours received, if any:

Details Awarded for the work Status Remarks











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16. Contribution to the College (Internal candidates only)*:

Date of joining Year of Experience Responsibilities held Nature of activities for the
betterment of the college.








17. Computer knowledge (Specify in particular) :

18. References :1.

2.

19. Testimonials :

20. Any other relevant information :

21. List of enclosures :

1.
2.
3.
4.
5.

DECLARATION

I hereby declare that the information provided in this form are true to the best of my
knowledge and belief


Signature of the Candidate












*Additional Sheets may be used if necessary