Last date: 20-01-2014

INDIRA GANDHI DELHI TECHNICAL UNIVERSITY FOR WOMEN

KASHMERE GATE, DELHI - 100006

APPLICATION FORM FOR TEACHING POSTS

1. Fill in all the information in block letters only.
2. Attach separate sheet in case of insufficient space in any column.
3. Attach copies of all educational qualification and experience certificates only.
Space for
self attested
Photograph
1. Post applied for : 1. Professor
2. Associate Professor
3. Assistant Professor

2. Discipline/Specialization : 1. Basic & Applied Scs. 2. Computer Sc.& Engg/IT 3. Elect. & Com. Engg.
(Fill separate Application 4. Mechanical & Automation Engg. 5. Humanities &Management Studies.
Form for each discipline
applied for)

3. Bank Draft/ Pay Order No.: Date:

(If applicable) (Please write your Name, Post Applied for…., Address & Contact No. etc. on the backside of DD/PO)

4. Name & address of the :

Issuing bank

5. Candidate’s name in full :

6. Address for correspondence

PIN

7. Permanent residential address:

PIN
8. (a) Telephone No. (with STD Code) :

(b) Mobile No. :

(c) Fax No. (with STD code) :

9. E-mail address :

10. Date of Birth : (Day) (Month) (Year)

Age as on last date of receipt of application: Years Months Days

11. Father’s/ Husband’s name:

12. Marital status: 13. Sex:

14. Nationality :

15. Category (Gen./OBC/ SC/ST/PWD*):

16. Designation & complete postal :

Address of current employer

PIN
* Persons With Disabilities Contd..2
 -2-
17. Educational Qualifications:
Examination University/ Board Year of % age of Subjects
Passing/ Division
marks/
Award grade
Metric /SSC/
10th Class

10+2 or
equivalent

*Graduation or
equivalent…….

………………..
* Post Graduation
or equivalent…...

……………….. ** Title of Ph.D. Thesis

M. Phil

Ph. D. **

Any other

* Indicate Degree Awarded

18. Date of submission of
Ph.D. Thesis : (Day) (Month) (Year)

19. i) Month & year of passing of

NET//GATE or similar test : (Month) (Year)

ii) Roll No.:

20. Field of specialization: _____________________________________________________________________

21. Experience (Please start with the latest):

Name of the Post Pay scale / Last basic Period Nature of Reasons for
institution/ held PBwithpay work leaving
organization AGP(in Rs.) From To (wherever applicable)

Contd. Pg..3
 -3-

22. Teaching/ Research Experience:

(a) Total teaching experience (UG & PG both) : (Year) (Months)

(b) Guidance/supervision of Ph.D. Thesis :

(i) No. of candidates registered for supervision at present :

(ii) No. of candidates who have successfully completed Ph.D. :

(iii) No. of candidates who have successfully completed M. Phil :

(c) Research :
(i) Number of years :

(ii) Name of the institution(s) where work done :

23. a) Number of publications ( Please provide as per format given below in Nos. only & attach separate list also) :

Accepted
Under
Publications Capacity Published for
Preparation
Publication
Independently
(a) Books
Jointly

(b) Papers/ Independently

Articles Jointly

Independently
(c) Abstracts
Jointly

Independently
(d) Patents
Jointly

b) Attach reprints of 3 best papers/articles published in reputed Journals

24. Language(s) Known Read Write Speak

(Please tick)
(i) Hindi
(ii) English
(iii)
(iv)

25. Present Basic Pay: Rs. ______________ in the Pay Scale of Rs. ___________________________

26. Basic Pay acceptable: Rs. ___________________________

27. Period required for joining, if selected: ______________________________

Contd…Pg.4
 -4-

28. Sponsored Research Project: Title, Sponsoring Agency, Sanctioned Amount and Duration (in the Last Three Years)

__________________________________________________________________________________________________

___________________________________________________________________________________________________

29. Workshop/Training Programmes/Summer/Winter Schools/Conferences Attended/Organized : (in the Last Three Years)

____________________________________________________________________________________________________

_____________________________________________________________________________________________________

30. Mention briefly your experience/contributions made under the following heads and positions held, if any:

a) Academic and Administrative responsibilities and duties performed

b) Extra-curricular activities of students

c) Extra-Mural duties performed

d) Contributions made towards improving the corporate life of the organization/Institute/University

31. Any other relevant information you wish to give in support of your candidature:_____________________________________

_____________________________________________________________________________________________________

32. Name and address of two persons (other than relatives) to whom references can be made:

1).

2)

33. Certified that the information given by me in this application form is complete and correct to the best of my knowledge &
belief and nothing has been concealed there from. I also understand that in case any information is found to be false, my
services shall be liable to be terminated without notice.

I have read the instructions and guidelines issued for the candidates.

Date:

Place Signature of the candidate

34. Recommendation of the employer (to be submitted by those who are in employment) – (if applicable)

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

Date :
Place:

Signature & Seal of the employer

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General Instructions and Guidelines
1. Separate application form is to be submitted for each post.
2. No column of application should be left blank. Strike out those columns, which are not
applicable.
3. All applicants who are presently employed in Government/ Semi Govt./ Public Sector
Undertaking/ University/ Recognized Educational Institute etc are required to submit
application through proper channel or submit a ‘No Objection Certificate’ from present
employer. However, those in private employment may submit application directly.
Fulfillment of conditions of minimum qualification shall not necessarily entitle any applicant
4. to be called for interview.
Full name may be mentioned in application form. If there was change of name at any stage
5. of time, original name may also be mentioned.
Please write your Name, Post Applied for…., Address & Contact No. etc. on the backside of
6. Demand Draft/Pay Order( if applicable).
All appointments shall be made on temporary basis.
7. The claim for permanent employment shall be considered as per rules of University.
8. In case an applicant is not short-listed, no claim for refund of cost of application or
9. processing fee shall be entertained.
Employment of the University shall be governed by the rules and regulations, service
conditions, as may be notified by University from time to time.
10. In addition to basic pay, employee shall be entitled to other allowances as per rules and
regulations of University.
11. No applicant having more than one living wife/husband is eligible for appointment.
Candidature of applicant shall be subjected to verification of testimonials at a subsequent
12. stage.
13. No TA/DA shall be payable to applicant for any journey performed for attending the
interview.
14. Canvassing in any form shall attract disqualification.
No enquiry personal or in writing for recruitment shall be entertained.
Legal disputes shall be subject to jurisdiction of Delhi Courts.
15. In case of SC/ST/OBC/PWD Category the applicant should be in possession of appropriate
16. certificate issued by competent authority.
17. The envelope should be super scribed as “Application for the post of ………………..….
18.
Discipline/ Specialization ……………………… Category (Gen/SC/ST etc.)……………….…”.