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App Form Aitsds

This document is an application form for academic posts at the Atmiya Institute of Technology & Science. It requests information such as personal details, educational qualifications, academic experience, research experience, publications, and references from applicants. It provides instructions for applicants to fill out a separate application for each post, and to attach certified copies of documents like mark sheets, degree certificates, and experience certificates. Applicants are to specify the post applied for, and whether they are applying for Head of Department or Lecturer positions.

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Anonymous n30qTRQPoI
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38 views5 pages

App Form Aitsds

This document is an application form for academic posts at the Atmiya Institute of Technology & Science. It requests information such as personal details, educational qualifications, academic experience, research experience, publications, and references from applicants. It provides instructions for applicants to fill out a separate application for each post, and to attach certified copies of documents like mark sheets, degree certificates, and experience certificates. Applicants are to specify the post applied for, and whether they are applying for Head of Department or Lecturer positions.

Uploaded by

Anonymous n30qTRQPoI
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Atmiya Institute of Technology & Science

for Diploma Studies


(Managed by Sarvoday Kelavani Samaj)
Yogidham, Kalawad Road, Rajkot 360
005
Ph. No. : (0281) 2563445
Fax No. : 91 281 2563952

APPLICATION FORM FOR ACADEMIC POSTS


Instructions :
1. Separate application form is to be filled up for each post.
2. Please attach certified copies of : school Leaving Certificate, Graduation
and Post-Graduation mark sheets, Degree Certificates, Experience
Certificates, Prizes awards etc.
3. Please attach extra sheet if required.
4. Post for which applied ____________________________
5. Post Applied (please put a tick mark [] under

H.O.D.

LECTURER

anyone)
To,
The Secretary,
Sarvoday Kelavani Samaj,
Yogidham, Kalawad Road,
Rajkot 360 005.
Sir,
In response to your advertisement appeared in
___________________________________
(Name of the Newspaper)
dated _____________________, I hereby apply for the captioned post.
My particulars are as under :
[A] Personal Details :
1. Full Name :
Mr. / Ms. / Mrs. / Dr. ________________________________________________
(surname)

(name)

Name)

2. Permanent Address :

Pincode :
Ph. No.(R) :
Ph. No. (M) :

Pincode :
Ph. No.(R) :
Ph. No. (M) :

(Fathers / Husbands

Email :

Email :

3. Family Background :
Fathers Occupation : ____________________________________
Mothers Occupation : ____________________________________
4. Date of Birth :__________________

5. Age : ____________

6. Place of Birth : ___________________

7. Sex : ____________

8. Nationality : ____________________

9. Marital Status : _______

10. Languages Known (Please place tick [] mark)


English

Hindi

Gujarati

Any Other[Specify]

Read
Write
Speak
[B]

Educational Qualifications (Attach Mark sheets):

Degree/
Diploma
S.S.C.

Year

University

Subjects

Class

%Marks

Remarks

H.S.C.
Graduate
Postgradua
te
Ph. D.
Any Other

[C]

Academic Experience :

Designati
on

Period

Institution
From

To

Basic Pay.
Rs.

Remarks

[D] Professional Experience :


Designati
on

[E]

Organisati
on

Period
From

To

Remarks

No. of*
papers
presented
/
published

Remarks

Research Experience :

Designati
on

Period

Organisati
on
From

[F]

Emolumen
t

To

Text Books / Reference Books Authored * :

Title

* Attach a separate detailed list.

Year

Published By

[E]

Extra-Curricular Activities (attach a separate sheet if necessary) :


Sports/Fine-Arts/Elocution Competition/NCC etc. at State/National
Level.
Name of Activity

[F]

State/National Level

Year

Name of References (other than relatives):

Pincode :
Ph. No.(R) :
Ph. No. (M) :
Email :

Pincode :
Ph. No.(R) :
Ph. No. (M) :
Email :

Any other relavant Information* :_______________________________________________


__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
*(Attach a separate sheet if necessary)

Current Basic Pay/Month Rs. ___________ Current


________
Expected Basic Salary/Month Rs. _________
Time required to join ___________

Gross

Emoluments/Month

Rs.

I, hereby declare that the above information is true to the best of my knowledge.
If selected, I assure you to work most sincerely and satisfy my superiors.
Thanking you,
Date :

Yours Sincerely,

Place :
__________________________
Signature of Applicant

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