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Devi Ahilya Vishwavidyalaya, Indore (R.N.T. MARG INDORE-452001)

1. The document is an application form for a contract teacher position in a university teaching department. 2. It requests information such as personal details, educational qualifications, teaching experience, research experience, and publications. 3. Supporting documents such as degree certificates, marksheets, experience certificates, and research papers are to be enclosed with the application.

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Jeshi
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62 views

Devi Ahilya Vishwavidyalaya, Indore (R.N.T. MARG INDORE-452001)

1. The document is an application form for a contract teacher position in a university teaching department. 2. It requests information such as personal details, educational qualifications, teaching experience, research experience, and publications. 3. Supporting documents such as degree certificates, marksheets, experience certificates, and research papers are to be enclosed with the application.

Uploaded by

Jeshi
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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DEVI AHILYA VISHWAVIDYALAYA,

INDORE
(R.N.T. MARG INDORE-452001)

Please paste
Your Recent
Passport
Size
Photograph
Here

APPLICATION FORM FOR THE CONTRACT TEACHER IN UNIVERSITY TEACHING


DEPARTMENT
(To be filled by the candidate in his/her own handwriting)
1. Name of School:
2. Whether claiming reservation under SC/ST/OBC category?....................
(Please note that the benefit of reservation can only be claimed by the candidates when the
post(s) has been reserved as such and the candidate has furnished the requisite certificate)
3. Details of Demand Draft:
Amount.D.D. No..Date./.../Bank.
4. Full Name: (In English Block Letters).
(In Devnagiri/Hindi).
5. (a) Fathers/Husbands Name:.
(b) Mothers Name:....
6. (a) Postal Address:..
..
...
Pin Code..Phone No./Mobile No.
Email
(b) Permanent Address:...
Pin Code...Phone No./Mobile No
7. Date & Place of BirthAge as on 01-11-2014.year...month.....days
8. Nationality:...
9. Sex: Male/Female:
10. Marital Status: Married/Unmarried:.
11. Whether belonging to ST/SC/OBC:.
(If yes, please attach certificate from the appropriate authority) ENCL. No.----12. Name of the State of which you belong(Domicile):..

13. Present Position:


Post held

Date
of Salary
appointment
grade
present

and Dearness and Date of next ENCL. No.


at other
Increment
allowances

14. Present employer with the full address:.


..
15. Languages Known:..
16. (A) Academic record:
(Please mention details from Metric/higher secondary level onwards, attested copies of
certificates, mark sheets should be enclosed)
Subject
Year of
Class/Division/Grade Name of
ENCL. No.
Examination offered
Passing
Obtained with % of
Board/University
passed
marks

16(B): Details of GATE/NET/SLET (Encl. No.- ):


.
.

17. (a). Teaching Experience:


S. No. Name
of Post Held
Institution

Salary
Scale

Date

Period

From To

Year Month

Encl. No.

Total Teaching Experience- Post Graduate


Total Teaching Experience- Graduate
17(b) : Research Experience:
S. No. Name
Institution

of Post Held

Salary
Scale

Date

Period

From To

Year Month

Encl. No.

17 (C ) Research Publication:
S.
Title of the paper
No.

Name of Journal

Volu
me
No.

Year

Page No.

From To

Imp
act
Fact
or

18. Industrial Experience:


S. No. Name
of Post Held
Institution

Salary
Scale

Date

Period

From To

Year Month

Encl. No.

Total Industrial Experience: ..


Note: If the space is insufficient for the purpose mentioned in any or the above points,
applicant may attach separate sheet of paper.
DECLARATION
I declare that the entries made in this form from point(1) to (18) & the supporting documents are
true and correct to the best of my knowledge and belief.
Date:..
Place:..

(Signature of the candidate)


Name:

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