Application for

Faculty Position

Contact Information:
Human Resource Office
Birla Institute of Management Technology
Plot No. 5, Knowledge Park – II
Greater Noida – 201306.
Phone: +91-120-232301 to 10 (Ext. 305)
Uttar Pradesh, INDIA.
E-Mail: hr@bimtech.ac.in

www.bimtech.ac.in

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Application for Faculty Position Birla Institute of Management Technology, Greater Noida
 Application for Faculty Position
BIMTECH, GREATER NOIDA

GUIDELINES FOR FILLING APPLICATION:

a. Please fill out the application form carefully and FULLY; if questions are not applicable, enter “NA.” Do not
leave questions blank.

b. Curriculum vitae will be accepted as additional information it may contain, but not as substitute of a
completed application. The candidature will not be considered without completed Application Form.

c. Send the application form from your own E-mail id only.

d. If you need additional space for any item, please attach annexure.

Date: _____________

A. Personal Information
Legal Name (first, middle, last)

Current Address (street, city, state, Pin code)

Permanent Address (street, city, state, Pin code)

Home Phone Work Phone

Other Phone E-mail

Marital Status Date of Birth: Date_ , Month _ , Year_

Father/Husband’s Name Mother’s Name

Nationality Category: General , OBC, ST, SC (Tick the right

option)
PAN No. Aadhaar No.:

What position are you seeking? Faculty Position: Part-time or full-time?

Subject? (Specify one specialized area only): When can you join?

How were you referred to BIMTECH? (Please Tick one)

Newspaper ________________________ Walk-in_____________________ Web___ _______________

Referred by friend/relative_____________________Other__________________________

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Application for Faculty Position Birla Institute of Management Technology, Greater Noida
 B. Educational Qualifications (In Reverse Chronological order, starting from latest
Ph.D to earliest qualifications)
Qualificat % of Indicat
ion total Duration e *FT /
(Degree/D marks / Major PT /DL
iploma/C University and Institution’s Year CGPA Fro Subjects
ert.) Name and Location Conferred m To of Study

* FT (Full Time/ PT (Part Time)/ DL (Distance Learning)

C. Academic Employment Record (Full Time only)

(List most recent position first. If you were ever employed in any position under a different name, for
each position give the name used. Curriculum Vitae alone will not serve this purpose.)
Institution – Name and Position/Rank Dates of Name of Courses taught
Location Employment
From To

TOTAL TEACHING
EXPERIENCE (No. of Years):

D. Industry Experience Record (Full Time only)

(List most recent position first. If you were ever employed in any position under a different name, for
each position give the name used. Curriculum Vitae alone will not serve this purpose)
Organization – Name and Position/Rank Dates of Job Profile in brief
Location Employment
From To

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Application for Faculty Position Birla Institute of Management Technology, Greater Noida
 TOTAL INDUSTRIAL
EXPERIENCE (No. of Years):

E. Intellectual Contributions/Academic or Professional Engagements

(Please fill up Annexure-1)

F. Emoluments

Present Allowances & Perks

Present CTC Per Month

Expected CTC Per Month

G. How would you like to contribute to the institution building during the next 5
years, if selected?

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Application for Faculty Position Birla Institute of Management Technology, Greater Noida
I hereby affirm and certify that all of the statements made in this employment application are
true and complete, to the best of my knowledge and belief. I understand that falsification,
misrepresentation or omission of any fact will be sufficient cause for elimination of my
consideration for employment or cause for my dismissal from the Birla Institute of
Management Technology-Greater Noida, if I am hired, as determined by the Director of
BIMTECH.

Date:

Name and Signature of Applicant

(Not required if sending via E-mail) Place:

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Application for Faculty Position Birla Institute of Management Technology, Greater Noida