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Alagappa University: KARAIKUDI - 630 003

The document is an application form for a job posting at Alagappa University in Karaikudi, India. It requests information from applicants such as personal details, educational qualifications, employment history, research and teaching experience, languages known, references, and enclosures. Applicants are asked to declare that the information provided is true and acknowledge that wrong information could lead to rejection or disciplinary action. The form is 7 pages long and requests 28 items of information to consider applicants for the open position.

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Jeshi
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73 views8 pages

Alagappa University: KARAIKUDI - 630 003

The document is an application form for a job posting at Alagappa University in Karaikudi, India. It requests information from applicants such as personal details, educational qualifications, employment history, research and teaching experience, languages known, references, and enclosures. Applicants are asked to declare that the information provided is true and acknowledge that wrong information could lead to rejection or disciplinary action. The form is 7 pages long and requests 28 items of information to consider applicants for the open position.

Uploaded by

Jeshi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 8

ALAGAPPA UNIVERSITY

(A State University established by an Act of the Govt. of Tamil Nadu)

(Re-accredited with A Grade by NAAC)

KARAIKUDI 630 003


Advertisement No. _________________________________
(Please mention the Advertisement No. as given in the
Advertisement)

No.

Application for the Post of ___________________________


(Please indicate the Sl.No. and Name of the Post as advertised)
Demand Draft for Rs.____________ DD No.____________
Date ____________ Bank __________________________

1.

Name in full (in BLOCK letters)

2.

(a) Age and Date of Birth


(b) Place of Birth and District

3.

Sex

4.

Name of the Father/Husband

5.

Nationality and Religion

6.

Community
(Certificates must be enclosed for
BC/MBC/DNC/SC/SCA/ST)

7.

Whether the applicant belongs to


Persons With Disabilities (PWD)
category

If yes, please specify

Disability (%)
i) Visually Impaired

___________

ii) Hearing Impaired

___________

Page 1 of 7

iii) Orthopaedically Handicapped ___________


(Certificate obtained from
competent Medical Authority iv) Others, if any
___________
should be attached as evidence)
8.

Permanent Address

Phone/ Mobile:
E-mail:
9.

Address for Communication

Phone/ Mobile:
E-mail:
10.

(a) Educational Qualification

Programme of
Study

Name of the
Institution/University

Major Subject(s)

Regular or
Month Class % of Marks
Distance or and Year
(exact - 2
Open
of
decimals)
University
Passing
System

Ph.D.
M. Phil.
PG ______
UG ______
HSC
SSLC
Others, if any

10. (b) Details of Qualifying Level Test


Name of the
Qualifying Level
Test

Name of the Institution

Page 2 of 7

Subject

Month & Year of


Passing

NET
SLET/SET

11.

Area of Specialisation

12.

Employment details
Name of the
University/College/
Institute

Designation held

Date of
Joining

Date of
Leaving

*Salary details
(Basic Pay and
Allowances)

*Service Certificate(s) with Salary details to be enclosed.

13.

14.

Teaching Experience

Research Experience
(a) Research Guidance

(b) Research Projects


(details to be enclosed)

i) Graduate Level

years

ii) Post Graduate Level

years

iii) Others (specify)

years

Total No. of Years __________


M.Phil. Completed

Ongoing

Ph.D.

Ongoing

Completed

Completed
Page 3 of 7

Ongoing

(c) No. of Research Publications/


Books (details to be enclosed
including ISBN/ISSN Nos.)
15.

Administrative Experience
(Give details)

16.

Any other experience that can be


counted

17.

Participation in extra-curricular and


sports or athletic activities during
your educational career

18.

Languages known (Please underline your mother tongue)


Read only

Speak only

years

Read and Speak

19.

Any Special Programmes attended


(Give details)

20.

Membership of Academic or
Scientific Bodies

21.

Travel Abroad

Countries Visited

Duration of Visit
Page 4 of 7

Read, Write and


Speak

Month & Year

Examination passed,
if any

Purpose of Visit

22.

Prizes, Awards, Special Achievements,


if any

23.

The period of time required to join the


duty, if the post is offered

24.

Have you ever been


dismissed/suspended from
service/employment?
If yes, give full details
Were you involved in any legal
case?
If yes, give full details
Is any legal case pending against
you in the court?
If yes, give full details

25.

Any additional information that


the applicant may wish to be
considered

26.

Copies of Testimonials (from persons under whom the applicant has studied or worked)
Name

Designation

1.
2.
3.
Page 5 of 7

Address

27.

References (Should be persons in responsible positions who are intimately acquainted


with the applicants character and work, but not relations)
Name

Designation

Address

1.
2.
3.
28. Enclosures (in the following order):
i) First page of SSLC Book/Transfer Certificate
ii) HSC Mark Statement
iii) Degree Certificates starting from highest degree
iv) Mark Statements for PG Degree(s)/M.Phil.
v) NET/ SLET/ SET Certificate(s)
vi) Community Certificate, if applicable
vii) Service Certificate from the present employer
viii) Copies of certificate(s) for previous employment
ix) List of Publications
x) Copies of Testimonials
xi) Others

I, ________________________________ hereby declare that the information


given in this form are true to the best of my knowledge and belief. I also understand that
suppression of facts or deliberate furnishing of wrong information will entail summary
rejection of application and, if detected after appointment is made, lead to disciplinary
action or termination of appointment.
Place:
Date:

Signature of Applicant

REMARKS OF FORWARDING AUTHORITY

Page 6 of 7

Place:
Date :

Signature with Seal

Page 7 of 7

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