GokarajuRangaraju Institute of Engineering and Technology

Bachupally, Kukatpally, Hyderabad – 500 090

Tel: +91 7207344440, 7207714441 Fax : (040) - 23040860
E-mail: careers@griet.ac.in , website: www.griet.ac.in
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APPLICATION FORM FOR FACULTY POSITIONS Photograph
Professor / Associate Professor / Asst. Professor/ Adjunct Faculty
Department:

1. Full Name (As per SSC Certificate):

First Name Middle Name Last Name

2. Father / Husband’s Name:

3. Date of Birth (Age in years):

4. Gender & Marital Status:

5. Category: GEN / SC/ ST/ PH/ OBC/ Minority:

6. PAN Number: Aadhaar Number: JNTUH Registration ID:

7. Address(In capital letters):

Mailing Address Permanent Address

Email: Phone No #

8. Education Qualifications:
Degree Cours Branch/ Year % of Division Board / University
e Specializatio of Marks
Studie n passin /
d g CGPA
10th /
Equivalent
Inter /
Equivalent
UG

PG

M.Phil

Ph.D
*Please attach relevant proofs
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9. Post- Doctoral Qualification, OtherQualifications:

 Title of Thesis/Dissertation (If published, give details on a separate sheet):

 Particulars of NETor Equivalent Exam:

10. Employment Record (Please list your previous employment details starting with the latest)

Name of the Post Held, Nature Classes Taught Period (give date) Total
Employer Basic Pay of work Length of
(University / & Pay Band Experienc
College/ with e
Industry) Grade Pay /
Academic Under Post From To
Grade Pay graduat Graduat
e e

*Please attach relevant proofs

Description of duties of the present job in brief:

Administrative Experience:

Salary expected
(Gross in Rupees)
Time required for Joining

11. Details of Research Publications / Books: List Enclosed

(Enclose list of publications / books / research articles in chronological order stating the Citation
Index & Impact Factor of the journal with ISBN/ ISSN Number and enclose to the application)
Description National Internationa Total in
l number
Book / Book Chapters
Research Publications
Full Papers in Conference / Symposia Proceedings
Research Papers presented in Conferences, Seminars,
Workshops, Symposia etc.
*Please attach relevant proofs
2
 Please provide details of publications, unpublished research projects, if any, in which
worked and also any additional information which you may consider will be of interest to
the Selection Committee, viz., Co-curricular and Extra-curricular activities. (Enclose
additional sheet, if required).

12. List the subjects of your proficiency in both UG level & PG level:

1 2 3
4 5 6
7 8 9

13. Brief on your Accomplishments:

Accomplishment 1:

Accomplishment 2:

Accomplishment 3:

Accomplishment 4:

Accomplishment 5:

14. Membership in National / International Institutions and other professional bodies:

15. Referees (Please give the two referees whom the institute may consult confidentially)

Referees Name, Address and Telephone Number

1 2

16. A short write up on why I consider myself suitable for the post applied

3
 17. Why I want to join GRIET?

Enclosures:
1. Copies of Ph. D, M. Tech and B. Tech certificates
2. Experience Certificate
3. Last pay drawn (Form No: 16 to be enclosed)
4. PAN &Aadhaar card proofs

18. DECLARATION

I hereby declare that all the entries made by me in this application are true to the best of my knowledge
and belief. If anything is found false at any stage, my candidature may be cancelled without assigning
any reason thereof.

Date: Signature of the applicant