/ सर्वं धर्मे प्रतिष्ठितम्
Everything in the Universe is founded on Dharma - Mahabharata 12-222-47b /

Affix a recent Passport size photo here

Estd.: 2012

Bhavan’s N.A.Palkhivala Academy for Advanced Legal Studies and Research

Ramanattukara, Kozhikode, Kerala – 673 633
Ph: 0495 2440604, 2443222 Fax: 0495 2443221
Web: Email:

Application for the Post of Asst. Professor / Associate Professor / Professor

Important Notes:

(1) All entries in boxes shall be in CAPITAL letters.

(2)Write one letter in each box and keep one box blank between two words or two parts of name.

(3)If space in the Form is not sufficient attach additional sheet and mention it in the format.

(4) Tick (√) correct entry wherever necessary.

(5)Enclose self attested Photostat copies of your testimonials.

1. Post Applied for: ______Subject: ______(Law / Management / Commerce / English)

2.Full Name:

3. Postal Address for correspondence:

Pin Code
Land Phone Number with NSD Code: / 0
Mobile No. (Contact will be by phone. Ensure correctness) / 0

4 . (a) Correct Email ID of applicant: ______

(b) Above Email ID in CAPITAL LETTERS: ______

5. Date of Birth:

d / d / m / m / y / y / y / y

6. Sex (√):

Male / Female

7. Marital Status (√):

Single / Married / Divorced

8.

(a) Name of Spouse:
Employment:
(b) Name of Father:
Employment:
(c) Name of Mother:
Employment:

9. Academic Qualifications(Fill the following and attach Self attested Photostat Copies of Mark lists &Certificates)

Qualification / Year of pass / Marks / Total / Subjects / Aggregate % of marks / Duration of Course / Board/ University / Rank if any
Std. X / SSLC .
Plus Two/Pre-Degree/equivalent.
Degree : Specify ______
Law Degree ______
PG. Specify: ______
Other Qualifications (Specify):
Whether qualified NET. If Yes, give details and attach proof

Note: If instead of Marks, grades are given in the mark list, the equivalent marks are to be worked out and furnished.

10. Religion: / 11. Caste: / General / OBC/OEC / SC / ST

12.Skill in Arts (Music/Dance/ Drama / Literary etc.), Sports or Oratory:

13. Experience [In India & abroad, if any]:

Post held / Name of the
Institution / Court / Period / Completed
Years / Months / Subject &
Class taught / Pay drawn / Income p.m.
From / To
Bar experience, if any, with Courts appeared and field of practice(Civil /Criminaletc.)

14. No. of Seminars / Workshops Attended (To produce Certificates when asked): ______

15. No. of Paper presented in Seminars (Give Titles):

Mention best five among your Papers with the mention of Organizer and Topic of Seminar:

i.
ii.
iii.
iv.
v.

16. Publications Nos.: ______

Mention most important among your publications naming the topics & name of Journal / Periodical:

i.
ii.
iii.
iv.
v.
vi.

17.(a) Mother Tongue:______(b) Teach in English: (Able / Unable) (c) Other Languages known:

18. Any other relevant data about candidate worth mentioning: ------

DECLARATION

The testimonials attached to prove my qualifications claimed are true self attested Photostat copies of the originals with me. All statements and information furnished herewith are true and correct to the best of my knowledge and belief. If the information or part thereof is found incorrect or false later on, action can be taken against me and my candidature / appointment can be cancelled or terminated.

Place: ------

Date: ------

Name & Signature of the Applicant

------x------

ENCLOSED SELF ATTESTED PHOTOSTAT COPIES OF TESTIMONIALS:

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

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