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Modern College of Engineering: Application Form

The document is an application form for various teaching positions at the Modern College of Engineering in Pune, India. It requests information such as the applicant's name, contact details, educational qualifications, work experience, publications, awards, current salary, and availability. Applicants must submit photocopies of certificates and be prepared to provide original documents at an interview. The form notes that backward class candidates must submit a caste validity certificate and those from outside Maharashtra will be considered open category.

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52 views2 pages

Modern College of Engineering: Application Form

The document is an application form for various teaching positions at the Modern College of Engineering in Pune, India. It requests information such as the applicant's name, contact details, educational qualifications, work experience, publications, awards, current salary, and availability. Applicants must submit photocopies of certificates and be prepared to provide original documents at an interview. The form notes that backward class candidates must submit a caste validity certificate and those from outside Maharashtra will be considered open category.

Uploaded by

qsashutosh
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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P.E.

Societys

MODERN COLLEGE OF ENGINEERING


1186 A, SHIVAJI NAGAR, PUNE 411 005 Tel.: 020 25533638 / 25533648 / fax: 25530957

APPLICATION FORM
1) 2) 3) Post Applied For: - Professor / Associate Professor/ Assistant Professor Department:Category: Caste:SC ST NT (B) DT (A) SBC OBC OPEN Others

* All backward class candidates must produce an original copy o f caste validity certificate at the time of interview. All candidates domiciled outside Maharashtra State would be treated as open category candidates. 4) Name in Full (IN BLOCK LETTERS)
Name : First Name Address for Correspondence: Middle Name S u r n a m e /last name

City: E-mail Id :-

Taluka:

Dist.:

Pin:

Telephone No. : Date of Birth: (DD/ MM/YY) 4) Age:

Mobile N o .

5)

Academic qualification: (Enclose Attested Photo Copies of the certificates)

Sr.No.

Name of degree

Name of University

Month of Year of Passing

Class Obtained

Marks %

1 2

Ph.D ME or Equivalent M.Sc/ M Equivalent BE or Equivalent Any Other

3 4

Total Experience 1) Teaching :2)

:- (attach separate Sheet)

Industrial /Research :-

Area of Specialization if any:

6) Number of Publication:a) b) Conference ----Journals -------National: -------National: -------International ------International -------

(Publication in Original to be produced at the time of Interview) 7) Achievements /Awards:

7) 8)

Present Salary: - (attach current month salary slip) Time required for Joining: Any other information relevant the post: (Attach Separate Sheet If Required )

Please produce all original copies of certificates and documents at the time of interview. I hereby certify that the information given above is true, complete and correct to the best of knowledge and belief and if any of the information is found false, I will be personally responsible for the consequences arising thereby.

Place:

Signature:

Date: Name: ---------------------------------------------------------------------------------------------------------------------------FOR OFFICE USE ONLY Scrutinized by: Remark Date:-

Name:

Signature

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