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PDFO Application

The document is an application form for teaching posts at Kurukshetra Institute of Technology & Management. It requests information such as name, father's name, date of birth, educational qualifications, experience, publications, membership in professional bodies, and accommodation needs. The form must be submitted along with attested photocopies of certificates and documents. Furnishing incorrect information or concealing facts could lead to cancellation of selection or appointment. Current employees must also submit a no objection certificate from their present employer.

Uploaded by

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

PDFO Application

The document is an application form for teaching posts at Kurukshetra Institute of Technology & Management. It requests information such as name, father's name, date of birth, educational qualifications, experience, publications, membership in professional bodies, and accommodation needs. The form must be submitted along with attested photocopies of certificates and documents. Furnishing incorrect information or concealing facts could lead to cancellation of selection or appointment. Current employees must also submit a no objection certificate from their present employer.

Uploaded by

Ruthvik Reddy
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
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Sr. No..

Kurukshetra Institute of Technology & Management


Kurukshetra- Pehowa Road, Kurukshetra (Haryana) 136 119
Approved by AICTE, DTE & Affiliated to KURUKSHETRA UNIVERSITY, Kurukshetra

Ph. No.01741-283841-842, Fax: 01741-283843, 098963-24240

Email: [email protected] , Website: www.kitm.in

Advt. 01/2012
APPLICATION FORM

(for Teaching Posts)

POST APPLIED FOR

______________________________

1.

Name (in Block letters)

______________________________

2.

Fathers Name

______________________________

3.

Date of Birth

______________________________

4.

Marital Status

______________________________

5.

Category to which belongs


(General/SC/BC)

______________________________

Correspondence Address

______________________________

6.

Paste your
Recent
Photograph

______________________________
______________________________
7.

Permanent Address

______________________________
______________________________

8.

Phone No. (with STD Code)

_______________________ Mobile No. ____________________


E-mail ID ____________________________________________

9.

Educational Qualifications

Exam Passed

Board/University

Ph.D

M.Tech./M.E.(
M.Sc.(
M.A. (
B.Tech./B.E. (
B.Sc./B.A.
3 Yrs. Diploma in
(
10+2
10th

) /
) /
)
)

Year of
Passing

Marks
Marks
Obtd.

Max.
Marks

% age of
Marks

Division

10. Experience

S. No.

Institute / Organization

Designation

Experience
From

11. Publications
(attach sheet separately if necessary)

To

Period
Year

Month

_________________________________
_________________________________

12. Membership of Professional Bodies

_________________________________
_________________________________

13. Accommodation required in campus :


14. Any Other Information

Y/N
_________________________________
_________________________________

I CERTIFY THAT THE FOREGOING INFORMATION IS CORRECT AND COMPLETE TO THE BEST OF
MY KNOWLEDGE AND BELIEF.

SIGNATURE OF THE CANDIDATE


PLACE: _____________________
DATE : _____________________
LIST OF ENCLOSURES:
1.

4.

2.

5.

3.

6.

NOTES:
i)

ATTACH ATTESTED PHOTOCOPIES OF ALL THE CERTIFICATES / DOCUMENTS

ii) FURNISHING OF INCORRECT INFORMATION AND CONCEALMENT OF FACTS WILL LEAD TO


CANCELLATION OF SELECTION / APPOINTMENT.
iii) THE CANDIDATES WHO ARE PRESENTLY IN SERVICE SHOULD SUBMIT NO OBJECTION
CERTIFICATE FROM THE PRESENT EMPLOYER.

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