Anugraha Institute of Social Sciences

Nochiodaipatti, Natham Road Dindigul - 624 003 Tamilnadu, India

PHONE: 0451 2550105, 2550106

Mail: anugraha.college@yahoo.com

APPLICATION FORM FOR FACULTY POSITION

Affix Photo
Post :
Department :

Reference : Advertisement in ______________________ appeared on _____________

PERSONAL DETAILS

1. Name:

2. Father / Husband Name:

3. Date of Birth: 4. Age:

5. Sex: Male Female 6. Nationality:

7. Religion: 8. Community : FC / BC / MBC / SC / ST

10. Marital status : Married / Un-
Married

9. Caste: If married, Spouse : Employed /

Unemployed

No. of Children :
Address for Communication

Phone No. with STD Code:

Mobile No :
Email id. :

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ACADEMIC QUALIFICATIONS *

Year Full time /

Agg. University
Part time / Class /
No Degree Specialization of %/ Institution
Distance Position
Passing CGPA
Education

1.

2.

3.

4.

5.

6.

* Attach Photo copy of relevant certificates.

PROFESSIONAL EXPERIENCE *

Teaching (in Engineering Colleges only) chronological order

Duration Experience
Sl.No. Designation Institution
From To (in years)

1.

2.

3.

4.

TOTAL
* Attach Photo copy of relevant certificates.

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Others (Industry, Research, Teaching in Arts College / Polytechnic / School) chronological order

Sl. Designation Duration Experience

Institution (in years)
No. From To

6 TOTAL

SKILL DEVELOPMENT PROGRAMMES [FDP / STTP / WORKSHOPS ATTENDED]

Sl. Programme Duration Institution

No. From To
1

* Attach Photo copy of relevant certificates.

PUBLICATIONS

Book Publications 1.
(give the title, publisher & year of publication) 2.
3.

Paper : Journal Publication International :

(give the no. of publications) National :

Paper : Conference Publication International :

(give the no. of publications) National :

* Attach Photo copy of relevant certificates.

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SEMINARS / CONFERENCES

Seminars / Conference Organised

(give the Conference Theme and the date)

Seminars / Conference attended International :

(give the number) National :

* Attach Photo copy of relevant certificates.

ANY OTHER INFORMATION

Sponsored Research Projects Undertaken Yes No

If 'yes', provide details

Membership in Professional bodies 1.

2.

3.

Awards & Achievements (if any)

I declare that the above particulars furnished by me are true to the best of my knowledge

Place :
SIGNATURE OF THE CANDIDATE
Date : [With Name]

* Attach Photo copy of relevant certificates / documents wherever necessary.

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 Office Use

Date of Interview:

Selected or Not:

YES NO

If Selected,

Salary details:

PRINCIPAL DIRECTOR [Estt.]

INSTRUCTIONS TO CANDIDATES

01. The filled in applications should be sent to the Principal with in 10 days from

the date of advertisement.

02. Interview letter will be sent only for the suitable candidates and not for all.

03. Salary will be fixed as per the AICTE norms based on qualifications and

experience.

04. Written test will be conducted before personal interview if needed.

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