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    Mizoram University: Aizawl: (Application Form - Prescribed Format)

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    atomsunil
    This document is an application form for a position at Mizoram University. It requests information such as the applicant's name, contact details, education history, work experience, publications, specializations, references, and a certification that the information provided is accurate. The form notes that all information must be supported by relevant documents and that applicants for certain positions must also submit additional sheets regarding their academic performance and achievements.

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    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd

    Mizoram University: Aizawl: (Application Form - Prescribed Format)

    Uploaded by

    atomsunil
    28 views4 pages
    This document is an application form for a position at Mizoram University. It requests information such as the applicant's name, contact details, education history, work experience, publications, specializations, references, and a certification that the information provided is accurate. The form notes that all information must be supported by relevant documents and that applicants for certain positions must also submit additional sheets regarding their academic performance and achievements.

    Original Title

    Applicationformat

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    This document is an application form for a position at Mizoram University. It requests information such as the applicant's name, contact details, education history, work experience, publications, specializations, references, and a certification that the information provided is accurate. The form notes that all information must be supported by relevant documents and that applicants for certain positions must also submit additional sheets regarding their academic performance and achievements.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    28 views4 pages

    Mizoram University: Aizawl: (Application Form - Prescribed Format)

    Uploaded by

    atomsunil
    This document is an application form for a position at Mizoram University. It requests information such as the applicant's name, contact details, education history, work experience, publications, specializations, references, and a certification that the information provided is accurate. The form notes that all information must be supported by relevant documents and that applicants for certain positions must also submit additional sheets regarding their academic performance and achievements.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 4

    For Office Use Only ANNEXURE – II

    Entry No:
    Paste 1(one)
    passport size
    MIZORAM UNIVERSITY : AIZAWL colour photograph
    (Application form – Prescribed format) (Do not staple)

    1. Name of post applied with code no:

    2. Name of Department applied for :


    (For Academic Departments Only)

    3. Category of post applied for :

    4. Advertisement No. & Date : No.1/1/2010-RC(T)/21464 – ‘559 dt. 25.01.2011

    5. Demand Draft No.____________________ Date:______________ Amount: Rs.___________

    6. Name of the applicant (in block letters):

    7. (a) Sex: (b) Religion:

    8. Father’s Name :

    9. Date and Place of Birth :

    10. Whether belongs to SC/ST/OBC :

    11. State of Domicile :

    12. Permanent address :

    13. Address for correspondence (with Phone No./Fax No./E-mail):

    contd. 2/-
    …2…

    12. Academic records beginning with High School Examination:

    Sl. Examination Division (with Subject(s) Year Board / Distinction


    No. Passed % of marks) University Achieved if any

    13. Technical qualifications, if any:

    14. Work experience, with particulars of posts held:

    Sl. Post Held Employer Last Basic Pay Drawn Nature of Period with dates
    No. with pay scale work From: To:

    contd. 3/-
    …3…

    15. Teaching Experience:

    (a) Post Graduate : ________ Years

    (b)Under Graduate : ________ Years

    16. Research Experience :

    (a) No. of years after Ph.D. :

    (b) Research Guidance :

    i) Completed : Ph.D. ______ nos. M.Phil. ______ nos.

    ii) On-going : Ph.D. ______ nos. M.Phil. ______ nos.

    (c) Research Projects :

    i) Completed : ______ nos. (with amount & funding agency)

    ii) On-going : ______ nos. (with amount & funding agency)

    (d) Publications* :

    i) Research papers : ______ nos.

    ii) Books : ______ nos.

    iii) Articles : ______ nos.

    * Citation index and impact factor should be provided.

    17. Specialization :

    18. Other relevant experience :

    (a) Seminar, Symposium, Conference attended / organized.

    (b) Administrative Experience / Experience of University Corporate Life.

    (c) Contribution to Design of Curriculum.

    (d) Extra Curricular Activities.

    (e) Any other.

    contd. 4/-
    …4…

    19. Names and addresses of two referees (one may be the present employer):

    (a)

    (b)

    20. List of Enclosures :

    Note: All particulars should be supported by relevant documents.

    I certify that the foregoing information is correct and complete to the best of my
    knowledge and belief. I am not aware of any circumstances which may impair my fitness for
    employment in the Mizoram University.

    Date :

    Place : Signature of the Candidate

    Applicants are required to submit completed Datasheet (for Assistant


    Professor) and API Scoresheet (for Associate Professor, Professor, Deputy
    Librarian and Librarian) along with their application

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