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National Institute of Technology Mizoram: Chaltlang, Aizawl (Mizoram) - 796012 Trainee Teachers

This document is an application form for trainee teacher positions at the National Institute of Technology Mizoram. The 4-page form requests information such as the applicant's personal details, educational qualifications from Class 10 onwards, B.Tech thesis or project details, participation in conferences, awards received, referees' details, and a declaration. It collects contact information, educational history, work experience, research experience, and other relevant qualifications from applicants.

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Hemam Prasanta
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76 views4 pages

National Institute of Technology Mizoram: Chaltlang, Aizawl (Mizoram) - 796012 Trainee Teachers

This document is an application form for trainee teacher positions at the National Institute of Technology Mizoram. The 4-page form requests information such as the applicant's personal details, educational qualifications from Class 10 onwards, B.Tech thesis or project details, participation in conferences, awards received, referees' details, and a declaration. It collects contact information, educational history, work experience, research experience, and other relevant qualifications from applicants.

Uploaded by

Hemam Prasanta
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 4

NATIONAL INSTITUTE OF TECHNOLOGY MIZORAM

CHALTLANG, AIZAWL (MIZORAM) 796012


(Application Form for TRAINEE TEACHERS)

Advertisement No. & Date : NIT-MZ/RECRUIT(TTS)/01/2014; 26/03/2014


Department (applied for) : Please paste self
attested recent
passport size colour
photograph

1. Full Name(in block letters) :


2. Fathers/Mothers Name :
3. Date of Birth (DD/MM/YYYY) : 4. Age (as on last date):
5. Nationality : 6. Gender: Male/Female
7. Category (GEN/OBC/SC/ST/PWD) :
8. Marital Status (Married/Unmarried) :
9. Native Place (Village/Town, District & State) :
10. Postal Address for correspondence :

Pin Code:
Phone No.: Mob. No.:
Email-ID:
11. Permanent Address :
(Mention Village/Town, District and
State you belong to)

Pin Code:
Phone No.: Mob. No.:
Email-ID:
12. Are you a B.Tech graduate from :Yes/No
CFTIs/pursuing your study in any of Name of Institute:

the CFTIs (like IIT, NIT, IIIT, etc.), if Address:

yes, mention the Institutes name &


address

13. Required for candidates from non-CFTIs Yes/No Percentile/Marks:


Do you have a valid GATE score (If Year:
yes, please furnish the details)
14. Do you belong to Top 15% of the : Yes/No
students in your Institute Your Rank in your branch:

Page 1 of 4
15. Educational Qualifications (matriculation onwards and each semester B. Tech result (i.e., from I st to
VIIIth)):

Sl. Examination Name of the Year of Subject/ Branch % of Marks/ Rank


No. Passed Board/ Institute/ Passing Specialization/ Grade (CGPA)
University
1. Class-X

2. Class-XII

3. BTech - Ist Sem

4. BTech IInd Sem

5. BTech - IIIrd Sem

6. BTech - IVth Sem

7. BTech - Vth Sem

8. BTech - VIth Sem

9. BTech - VIIth Sem

10. BTech VIIIth Sem

11.

16. (a) Details of B.Tech. Thesis/Project:

Title of the Thesis Ongoing / Completed Name of the Supervisor Paper presented /
Published (if any)

Page 2 of 4
(b) Give details of the summer training (if any)

Sl.No. Name of the Duration Title of the Project/ Remarks (If any)
Organization (From to...) Training Programme

(c) Conference/Seminar (National and International level) participated:

Sl. Name of the National or International Month/ Venue Title of the paper presented (if any)
No. Conference/Seminar Year

17. Prizes, Awards, Distinction received etc. (if any): ......

........

18. Extra Curricular Activities/Hobbies:..

................................................................................................................................................................................

19. Please give details of two referees:

(i) Name: (ii) Name:


Designation: Designation:
Full Address (Office): Full Address (Office):

Contact No.: Contact No.:


Email: Email:

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20. Any other relevant information:.......

DECLARATION

I declare that the statements made in this application are true to the best of my knowledge and belief.
I understand that any misleading or wrong information supplied by me may lead to summarily rejection of
my application /appointment (if found subsequently).

Date: ------------------------------------
(Full Signature of Applicant)
Place:

Page 4 of 4

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