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Ref. No: AUD/3-9(43)/Temp./2014-15/dated 15.04.2014 P r o f o r ma 1

APPLICATION FORM
FOR A FACULTY POSITION

Note: 1. Fill the application in block letters only or type.
2. Attach separate page(s) in case of insufficient
space in any line/box.
3. Details of necessary qualifications, conditions of Space for Photograph
appointment, etc. are available on the AUD website.
4. Candidates must submit a separate application
for each post applied for.


1. Position applied for :____________________________________________________________
2. a) School : ____________________________________________________________
b) Area(s) of specialization:__________________________________________________________

3. a) Name in full :



b) Fathers/Husbands Name :


4. Marital status : ______________________ 5. Male/Female: ___________


6. Permanent residential address:




7. Address for correspondence:



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

(b)Mobile no. :

(c) E-mail address : ____________________________________________________________

9. Date of birth :

10. Nationality/citizenship :













(Day)

(Month)

(Year)

2

11. Category (SC/ST/Physically Disabled [PD]/Gen.): __________________________________


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

Examination / Degree University / Board Year
awarded
Division Percentage
marks / grade
Subjects
Matric./SSC/
10
th
Class

10+2 or equivalent

BA/BSc/BCom or equivalent

MA/MSc/MCom/M.Ed/MBA
etc. or equivalent

MPhil (other details in 13.
below)


PhD (other details in 14.
below)


Other


13. Title of MPhil thesis: ________________________________________________________________
________________________________________________________________________________________
14. Title of PhD thesis: ________________________________________________________________
________________________________________________________________________________________
Discipline/area in which awarded:
_____________________________________________________________
Name(s) of the PhD supervisor(s): __________________________________________________________
15. Qualification in NET/equivalent test
i) Name of the test: __________________________________________________________
ii) Month & year of passing

iii) Roll/registration no. :


(Month)

(Year)

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

Name of the
institution/
organization
Post held Pay Band Period
(Give Exact Dates)
Nature of
work
Last pay drawn
(Basic +AGP)
(Rs.)
From To





17. Minimum salary acceptable in the Pay Band of the post applied for:
_______________________________________________________________________________________

18. Publications: (Attach one copy each of three publications which you consider most important. Under all
subheads below indicate first the number of publications. Detailed lists or descriptions should be attached on
additional pages)

a. Books: with details of authorship (independently/jointly), book title, place of publication, name of
publisher and year of publication, ISBN number.

___________________________________________________________________________

b. Articles/Papers:
(i) If in an edited book provide details as above for books.
(ii) If in a journal provide title along with journal name, volume, no., year of publication, page no.

___________________________________________________________________________

c. Abstracts: provide details similar to those for Articles/Papers above.


___________________________________________________________________________

d. Official reports, surveys, etc.


___________________________________________________________________________

e. Other professional/creative/pedagogical material (e.g., videos/films,
learning aids such as workbooks, recordings, websites, etc.), performances or creative
expressions, writing for non-academic audiences, etc.

____________________________________________________________________________

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19. Language(s) known (attach additional page if necessary):











20. Details of research supervision. (Attach a list of candidates supervised for PhD)
____________________________________________________________________________________

21. Research projects completed. (Provide a list specifying projects titles, funding agencies and
years of completion.)
___________________________________________________________________________________

____________________________________________________________________________________


22. Other relevant information you wish to provide (e.g., membership of professional bodies; editorship;
membership of national/international committees; professional credentials; etc.). Attach pages if necessary.












Language (s) known
(Please tick)
Read Write Speak
(i) English

(ii) Hindi

(iii)

(iv)

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23. Write 500 words on your vision for AUD and how your own professional aspirations fit into this vision.
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24. Name, professional affiliation, address, phone no. and email address of two referees.

1.




2.





25. 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 have attested the copies of all certificates
submitted along with the form. I consent to the University verifying information given in the
application.



Date:

Place:

Signature of the applicant


Additional instructions:

I. Attach off prints or pdf copies of at least two of your recent publications.
II. If additional pages are included in response to the questions/items above, be sure to identify item
numbers: e.g., Addendum, Item 18 (Publications) .
III. Self attested copies of certificates supporting information given under items 11, 12, 15 & 16 must be
attached. Candidates submitting applications electronically should attach digital scans of
certificates/documents.
IV. Completed application forms should be sent through e-mail as pdf or word attachment to
[email protected].