Scribd
Upload
18 views

Proforma 3 for-AF

This document is an application form for an Academic Fellow position at AUD. It requests information such as the applicant's area of specialization, contact details, educational qualifications including degrees earned and subjects studied, experience including positions held and organizations worked for, publications, languages known, and other relevant information. The completed form should be sent as a PDF or Word attachment to the provided email address, with the subject line specifying it is an application for an Academic Fellow.

Uploaded by

desi_devika
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
18 views

Proforma 3 for-AF

This document is an application form for an Academic Fellow position at AUD. It requests information such as the applicant's area of specialization, contact details, educational qualifications including degrees earned and subjects studied, experience including positions held and organizations worked for, publications, languages known, and other relevant information. The completed form should be sent as a PDF or Word attachment to the provided email address, with the subject line specifying it is an application for an Academic Fellow.

Uploaded by

desi_devika
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 4

(Ref: Advt. No. AUD/3-9(20)/AF/2013 Dated 19.06.

2013)

PRO FORMA 3

APPLICATION FORM FOR


ACADEMIC FELLOW
Note 1. Fill in application in block letters or type.
2. Attach separate page(s) in case of insufficient space in any column.
3. Completed forms should be sent through e-mail as pdf or word attachment to
[email protected] OR (Write outside the in email subject box : Academic Fellow (On contractual
Basis).
4. See website (www.aud.ac.in) for details about schools, programme structures,
etc.
1.

2.

Nature of Desired Engagement:

Contractual Appointment

a) Schools/programmes:

___________________________________________

b)Area(s) of specialization:

___________________________________________

3. Name in full

____________________________________________

4. Address for correspondence : ___________________________________________

___________________________________________

5. (a) Tel. no. (with STD code):

(b) Mobile no.

(c) E-mail address

(Day)

: ____________________________________________________

(Month)

(Year)

6. Date of birth

7. Nationality/citizenship

8. Educational qualifications (attach additional pages if necessary):


Examination/Degree

University/

Year

Board

Awarded

Division

Percentage

Subjects

marks/ grade

Graduation or equivalent
Post Graduation or equivalent
MPhil (other details in 9.
below)
PhD (other details in 10.
below)
Other (NET)

9. Title of MPhil thesis: ______________________________________________________________


__________________________________________________________________________________
10. Title of PhD thesis: ______________________________________________________________
__________________________________________________________________________________
Discipline/area in which awarded: _____________________________________________________
Name(s) of the PhD supervisor(s): ______________________________________________________
__________________________________________________________________________________

11. Experience (starting with the most recent, attach additional pages if necessary):
Name
the

of Post held

Pay scale

Period

Nature of Last basic pay


work

(in Rs.)

institution/
organizatio
n
From

To

12. Publications: Provide details of books (single author and co-authored or edited),
journal

articles/papers,

other

professional

writing

or

accomplishments

(e.g.,

performances, recordings, films, official reports). Details should include publisher /


journal names, volume numbers, publications dates, page numbers, ISBN numbers, etc.
(Attach additional pages if necessary).
_______________________________________________________________________________

13. Language(s) known :


Language (s) known
(Please tick)
(i) English
(ii) Hindi
(iii)
(iv)

Read

Write

Speak

14. Other relevant information you wish to provide (e.g., membership of professional bodies;
editorships; membership of national / international committee; technical / professional /
artistic credentials; government commendation, etc.).
_________________________________________________________________________________
_________________________________________________________________________________

15. Certified that the information given by me in this form is complete and correct to the
best of my knowledge and nothing has been concealed. I consent to the University verifying
information given in this form.
Date:
Place:

Signature

You might also like