Scribd Logo
Upload

Welcome to Scribd!

  • 10 views

    Application

    Uploaded by

    Sivakumar C
    ok

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Application

    Uploaded by

    Sivakumar C
    10 views4 pages
    ok

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    ok

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    10 views4 pages

    Application

    Uploaded by

    Sivakumar C
    ok

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    You are on page 1of 4

    F99 Rev 01 13.08.

    21

    NAIPUNNYA INSTITUTE OF MANAGEMENT AND INFORMATION TECHNOLOGY

    PONGAM, KORATTY-680308, KERALA, INDIA


    Tel. 0480-7335573, 730341
    Website: naipunnya.ac.in

    Application for Employment Affix your


    recent

    1.Name of the Post Applied: _


    2. Applicant Information
    Applicant Name:

    Permanent Address with mobile no.


    and email-id:
    Phone:
    E-mail Id:

    Mailing Address
    (if different from Permanent address)

    Age & Date of


    Birth Nationality:
    CATEGORY

    GENERAL [ ] SC [ ] ST [
    ] SPECIALLY ABLED
    PERSON [ ]

    GENDER MALE [ ] FEMALE [ ] TRANSGENDER []

    MARITAL STATUS
    (A) MARRIED [ ] UNMARRIED [ ]

    (B) IF MARRIED, NAME OF THE SPOUSE………………………………………

    1
    3. Educational Qualification (Please attach self-attested copies of certificates)

    Sl. Examinati Name of Year Universit Marks Percentag CGPA(If


    No. on Passed Examinatio and y/ Board obtaine e grading
    n/ Month d/ Total is
    Qualificati of Marks applicabl
    on passing e)
    Matric/X/
    Equival
    ent
    10+2/
    Equivalent
    Bachelor’s
    Degree
    Master’s
    Degree (Post-
    graduation)
    Any Other M.Phil
    Qualification
    NET
    Ph.D

    4. CHRONOLOGICAL LIST OF THE TEACHING EXPERIENCE (INCLUDING THE


    CURRENT POSITION / EMPLOYMENT)

    Name and Designation Period of Experience Nature Reason


    address of From To (Date No. of of Work for
    the (Date of of years/Mont Leaving
    employer joining) Leaving) hs

    5. PUBLISHED PAPERS IN JOURNALS/FULL PAPERS IN CONFERENCE PROCEEDINGS


    Sl. Title with Page No. Journal/ ISSN/ Peer UGC
    No. Conference ISBN Reviewed/ Care/
    Proceeding No. Impact Scopus
    Factor
    if
    any

    6. BOOKS, CHAPTERS IN BOOKS, OTHER THAN REFEREED JOURNAL ARTICLES.


    Sl. Titl Type of ISSN/ISBN No. Publishe No. of
    No. e Book r Author
    (Text s
    /
    Reference
    )

    2
    3
    7. PAPER PRESENTATION IN CONFERENCE/SEMINARS, ETC. (IF ANY)

    Sl. Title of Paper Year Name of Conference National / Organizers


    No. International

    8. ANY OTHER ACADEMIC ACHIEVEMENT AND EXTRA-CURRICULAR


    ACTIVITIES [PLEASE ATTACH SEPARATE SHEET(S) IF REQUIRED]

    9. ANY OTHER INFORMATION / QUALIFICATION RELEVANT TO THE POST


    APPLIED FOR (PLEASE ATTACH SEPARATE SHEET(S) IF REQUIRED)

    10. GIVE LIST OF THE SELF ATTESTED COPIES OF THE TESTIMONIALS


    ATTACHED (ORIGINALS TO BE PRODUCED AT THE TIME OF
    INTERVIEW)

    11.AVAILABILITY

    a) If hired, on what date can you start working? / /


    b) Are you available to work overtime, if required by the management? [ ] Y or [ ] N
    c) Salary desired (monthly): Rs.

    12.REFERENCES:
    Name/Title Address Phone

    1.

    2.

    DECLARATION
    1. I, Son / Daughter
    of do hereby
    declare that all the statements and entries made in this application are true, complete and
    correct to the best of my knowledge, belief and understanding. In the event of any information
    being found false or incorrect or ineligibility being detected before or after the Selection, the
    Institution authorities may cancel my candidature / appointment.
    2. I further declare that all the research publications / articles / conference certificates
    submitted by me along with my application are genuine and published in the same Journal /
    Periodicals/Books which are claimed as such. In case any of the publications / articles /
    certificates so submitted by me are found to be false, I shall be responsible for the same and I
    understand my selection will stand cancelled and I shall be bound to refund all the monetary
    benefit drawn by me as a consequences of such a selection.

    Place:
    Date: Signature of the
    applicant
    4

    You might also like

    pFad - Phonifier reborn

    Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

    Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


    Alternative Proxies:

    Alternative Proxy

    pFad Proxy

    pFad v3 Proxy

    pFad v4 Proxy