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Application Form - Latest-New

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0% found this document useful (0 votes)
85 views3 pages

Application Form - Latest-New

Uploaded by

nivetha
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
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Recent Passport

size

Name of the post applied for_____________________________________________________

Name in full (Block letters): Mr. / Ms. / ____________________ Ph No:

Address for Communication ____ Permanent Address ____

________________ ________________
Date of Birth: Age: Nationality:
DD MM YYYY

Present Position:
1. Academic & Technical Qualifications: [Most recent first]

Year of Overall
R/C/ Passing % of Originals
Subject / Branch / Name of the College / Class produced (Y /
Name of Degree
PT * Specialization University / Institution DD-MM- marks / obtained N) **
YYYY CGPA

** R – Regular / PT – Part Time / C – Correspondence


** Y – Yes / N - No Medium of Instruction: 10 th ________________ 12 th ____________________

2. Work Experience: [Most recent first]

Period No. of Whether the


Name of the Last
Post held and scale years Service
Organization where Salary
of pay From To of Certificates are
served drawn
DD-MM- DD-MM- Service produced (Y / N)
YYYY YYYY
3. Family Member details:
Marital Status: __________________ No. of Children: ____________________

Name of the Family Member Gender


(M/F) Relation DOB & Age Occupation

4. Area of Specialization: ……………………………………………………………………

5. Research Experience (If Any) ……………………………………………………………………………..

6. Particulars of Research Guidance Ph. D M. Phil


 No of Scholars Awarded:

 No of Scholars Currently Working For:

7. No of Papers Published ………… [International Journals] …………………


[National Journals] ……………….(During Last 5 Years)

8. Books Published: Title & Publisher to be specified:


(Please attach separate sheet if needed)

9. Average Impact Factor (Mandatory) :

10. Language Proficiency (Please write Good/Fair/Nil) :

Name of the Language Writing Reading Speaking


(Other than English)

11. Strengths: [Please identify your major strengths]

12. Weakness: [Please identify your major weaknesses]


13. Career Goals & Aspirations:

14. Why do you wish to work for VIT?

15. Special points: [Any special points you wish to bring to the notice of VIT in support of your
candidature?]

16. Name & contact information of two persons of professional reference who have worked with you in your current
assignment. Please note that the referees will be contacted by the Institution before the regular appointment
order is issued, in case you are selected.
1. Name of the Officer: 2. Name of the Officer:
Designation: Designation:
Name of the Organization with address: Name of the Organization with address:

Phone: ___________________ Cell:____________________ Phone: ___________________ Cell:__________________

Email: _________________________________________ Email: _________________________________________

Present Salary (Total Amount) : ___________________ Salary Expected : ______________________________

17. Whether you are willing to join duty immediately, if you are given an offer: _____________________________

18. Please let us know if your spouse/relative working in anyone of our campuses _____________________________

DECLARATION

I declare that all the statements made in this application are true to the best of my knowledge and belief
and if found incorrect, I am prepared to bear the consequences.

Signature with date


OFFICE USE

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