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Thiagarajar College of Engineering MADURAI-625 015: Application No

This document is an application form for a post or program at Thiagarajar College of Engineering. It requests information such as the applicant's name, address, date of birth, educational qualifications, experience, publications, research guidance, honors received, and computer skills. The applicant must also provide references and testimonials, and sign a declaration that the information provided is true. Additional sheets may be attached if needed to fully respond to questions.

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kannan2030
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111 views6 pages

Thiagarajar College of Engineering MADURAI-625 015: Application No

This document is an application form for a post or program at Thiagarajar College of Engineering. It requests information such as the applicant's name, address, date of birth, educational qualifications, experience, publications, research guidance, honors received, and computer skills. The applicant must also provide references and testimonials, and sign a declaration that the information provided is true. Additional sheets may be attached if needed to fully respond to questions.

Uploaded by

kannan2030
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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Application No.

Affix your
recent

Date of Receipt Passport size

Photo here

Initial of Clerk THIAGARAJAR COLLEGE OF ENGINEERING


(A Govt. Aided ISO 9001-2000 Certified, Autonomous Institution Affiliated to Anna University)

MADURAI-625 015

Post Discipline
Application for (Aided / Self-finance)

1. a) Name in full (in Capital Letters) :

b) Sex :

2. Address :

a) Permanent Address: b) Communication Address with Phone No./


Mobile No. /E.mail ID :

c) Father’s / Husband’s Name :

Address :

3. Age & Date of Birth :

4. a) Nationality : b) Religion :

c) Community : SC/ST SCA MBC / DNC BC GT

d) Sub Caste :

5. Educational Qualification (Starting from basic degree) :

Degree Area of Institute / University Month & Year Class % of Marks /


Specialisation of passing Equivalent
-2-

6. Details of Thesis:

Course Title of the Project / Thesis Brief Details

M.Tech/M.E./M.Sc.,

Ph.D.,

7. Experience (Starting from current Position):

a) Academic * :

Period No. of Years Designation / Last Pay Drawn Institute /Organisation


From To Nature of job

b) Research * :

Period No. of Years Designation / Last Pay Drawn Institute /Organisation


From To Nature of job

a) Industrial * :

Period No. of Years Designation / Last Pay Drawn Institute /Organisation


From To Nature of job

8. Publications

Total No. of Publications:

8.1 Books Published *:

Sl. No. Title Area Publishers Year


-3-

8.2 Publications in Journals *:

Sl. No. Title Area Name of the National / Year / Vol.


Journal International

8.3 Publications in conference *:

Sl. No. Title Area Name of the National / Year / Vol.


Journal International

9. a) Seminars /Schools/Conferences/Workshops Organised:

Sl.No. Title Period Place Remarks

b) Seminars /Schools/Conferences/Workshops Attended *:

Sl.No. Title Period Place Remarks

10) Special /Invited Lectures Delivered *:

Topic Area Delevered at Year / Date Remarks


-4-

11) Sponsored Projects Done *:

Title Sponsoring Year Details of Responsibility Amount


Agency Project Sanctioned

12) Consultancy & Testing Work done:


Nature of Interacted Year Details Facilities Revenue
work Industry /Institute utilised / co- Earned
workers

13. Academic Research Guidance / Supervisorship:

Name of Research Course / M.Phil / Ph.D Area of Research / Work Status


Scholars

14. Membership in professional societies:

Name of the Society Details of Membership Nature of Tech. activities Remarks


done through the society

15. Prizes, Medals and honours received, if any:

Details Awarded for the work Status Remarks


-5-

16. Contribution to the College (Internal candidates only)*:

Date of joining Year of Experience Responsibilities held Nature of activities for the
betterment of the college.

17. Computer knowledge (Specify in particular) :

18. References :1.

2.

19. Testimonials :

20. Any other relevant information :

21. List of enclosures :

1.
2.
3.
4.
5.

DECLARATION

I hereby declare that the information provided in this form are true to the best of my
knowledge and belief

Signature of the Candidate

*Additional Sheets may be used if necessary

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