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Indian School of Mines

1. The document is an application form for a faculty position at the Indian School of Mines in Dhanbad, India. 2. It requests personal information like name, address, contact details, education history, employment history, publications, and objectives. 3. Applicants are asked to fill out sections on caste/tribe if applicable, specialization areas, research experience, awards received, and provide references.

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Mukesh Kumar
Copyright
© © All Rights Reserved
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
57 views

Indian School of Mines

1. The document is an application form for a faculty position at the Indian School of Mines in Dhanbad, India. 2. It requests personal information like name, address, contact details, education history, employment history, publications, and objectives. 3. Applicants are asked to fill out sections on caste/tribe if applicable, specialization areas, research experience, awards received, and provide references.

Uploaded by

Mukesh Kumar
Copyright
© © All Rights Reserved
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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INDIAN SCHOOL OF MINES

DHANBAD-826004
JHARKHAND,INDIA
(Please Fill in BLOCK LETTERS)
Advertisement No.
Post Applied for
epartment
Ban! raft No." ate
#.Name in F$ll (First S$rname)
(Please ti%!)
&. Address' Present
Permanent
FA(
E)mail
Telep*one + ,o-ile Offi%e' Residen%e'
.. ate of Birt* /. Nationalit0'
a0 ,ont*

1ear
2. Present Emplo0ment
esi3nation
Or3ani4ation
ate of 5oinin3
S%ale of Pa0 (Rs).
Basi% Pa0 (Rs.)
Total Emol$ments
(Per mont*)(Rs.)
6. Basi% Pa0 e7pe%ted (Rs.) 8888888888888888888888888888888888888888888888
Affi7 *ere
re%ent
passport si4e
p*oto3rap*
,arried Sin3le ,ale Female
Applicatio !o" Fac#lt$%
A&'ii(t"ati)* +o(itio
Applicatio !o" Fac#lt$%
A&'ii(t"ati)* +o(itio
9. (a) Ti%!)mar! t*e appropriate -o7 if 0o$ -elon3 to reserved %ate3or0
(Please atta%* ne%essar0 %aste %ertifi%ate iss$ed -0 an a$t*ori4ed offi%er onl0.)
SC ST OBC P:
;. Total 0ears of t*e e7perien%e after attainin3 essential <$alifi%ation
=. Areas of Spe%iali4ation
#>. C$rrent Areas of Resear%*'

(Onl0 for a%ademi% positions)
##. A%ademi% Re%ord startin3 ?it* se%ondar0 ed$%ation (Please atta%* (ero7 %opies of e3ree Certifi%ate)
E7amination Bran%*+
Spe%iali4ation
Colle3e+@niversit0
+Anstit$te
1ear Per%enta3e
+Brade
Class+
ivision
#&. Emplo0ment' (parti%$lar of 0o$r past position (s))
Emplo0er Position *eld ate of Coinin3 ate of
Leavin3
Pa0 ?it* S%ale
of pa0
#..:ave 0o$ ever -een dis%*ar3ed+s$spended d$rin3 0o$r earlier emplo0mentD
Af 0esE state reasons'
#/ Spe%ial A?ards+:ono$rs re%eivedE if an0'
1ear Name of A?ard+:ono$r Name of Or3anisation
#2 ,em-ers*ip of Professional Bodies'
Name of t*e Bod0 Stat$s of ,em-ers*ip' Life+Ann$al
#6 Please mention -elo? -est five resear%* p$-li%ations and atta%* separate list of all
p$-li%ations'
Sl.No 1ear Title of P$-li%ation Name of Co$rnal
#.
&.
..
/.
2.
#9Names and addresses of three Referees (at least one of t*em s*o$ld -e familiar ?it* 0o$r re%ent ?or!s)
(#) (&) (.)
Name
O%%$pation or
position
Address
Fa7
E)mail
P*one No.
#; Statement of O-5e%tives (to -e filled $p in CandidateFs o?n *and ?ritin3)
a) Please indi%ate as to ?*0 0o$ ?is* to 5oin AS,E *an-ad.
-) :o? in 0o$r opinion do 0o$ meet t*e 5o- re<$irements as advertisedD
%) A s*ort para3rap* a-o$t t*e resear%* +tea%*in3+development pro5e%ts 0o$ ?o$ld
li!e to $nderta!e and t*e %o$rses t*at 0o$ ?o$ld li!e to *andle at @B and PB
levels.

#= A *ere-0 de%lare t*at A *ave %aref$ll0 read and $nderstood t*e instr$%tions and
parti%$lars s$pplied to meE and t*at all entries in t*is form as ?ell as atta%*ed s*eets
are tr$e to t*e -est of m0 !no?led3e and -elief.
T*ere are atta%*ed s*eets alon3 ?it* t*is form.
ate'
Pla%e'
(Signature of Applicant)
Not*, -(* (*pa"at* (.**t i! *c*((a"$ !o" a$ o! t.* a/o)* it*'(0
Indian School of Mines, Dhanbad
(All particulars to be filled by the applicant)
(Grite f$ll mailin3 address on reverse and affi7 ne%essar0 posta3e stamps)
Name (in BLOCK LETTERS)8888888888888888888888888888888888888
Post Applied for 88888888888888888888888888888888888888
epartment 88888888888888888888888888888888888888
88888888888888888888888888888888888888888888888888888888888888888888888
8
(for office use only)
Re%eived on 88888888888888 88888888888888888888888
Si3nat$re of Re%eiver
ACKNOWLEDGEMENT

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