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 Form No. ______

Maharshi Karve Stree Shikshan Samstha’s

Cummins College of Engineering for Women,
Karvenagar, Pune -411 052.
Date :- _______________
To,
The Secretary,
Maharshi Karve Stree Shikshan Samstha,
Karvenagar,Pune -411 052
Sub.:- Application for the Post of Professor / Assistant Professor / Lecturer
(Please tick for appropriate post.)

Branch _____________________
Sir,
I _________________________________ the undersigned would like to apply for
the above mentioned post with the reference to the advertisement published in
______________ dated ____________. My bio-data is as given below.

Thanking you, Yours faithfully,

Signature
Bio-Data
All fields are Mandatory.
Name

Address

Res. Mobile - E-mail -

Phone
Date of Birth :- Age :-

Caste Open SC ST DT (A) NT OBC SBC

(Please tick in
the appropriate
box)
Sub Caste
 Page - 2

Whether Present Basic Pay :-

Employed
pl provide the Rs. ______________
details
S. Degree Branch University/ Year of % Marks &
N. Board passing Class
1 Ph.D.

2 M.Tech./M.E
M.Sc.

3 B.E.
B.Sc.
GATE
NET/SET
etc.
4
H.S.C.

5 Other

Please attach separate sheet if required.

Total Experience No. of Years

Teaching Experience

Industrial Experience

Other Experience

Subjects taught No.of At which Labs

times level conducted
 Page - 3

Major Administrative __________________________________________________

Responsibilities:-
( Job Profile ) _________________________________________________)

Research Work / Projects undertaken Publications

Memberships of the Professional Bodies :- ________________________________

Areas of Interest /Specialization: - ________________________________________

Please attach the separate sheet.

References :- 1) ____________________________________________________
Name,Phone,Address

2) ____________________________________________________

How can you contribute to MKSSS’s Cummins College as an employee?

Any other Information :-

Date :-
Place :- Name & Signature