Dr. Jivraj Mehta Institute of Technology

(An Institute approved by AICTE, New Delhi Affiliated to

Gujarat Technological University, Ahmedabad)

Managed by: Charuttar Education & Navrachana Trust

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APPLICATION FORM (Teaching Post)

Post applied for:______

Specialization in : ______

Advertisment reference: ______

  1. Full Name (in block letters): ______
  2. Date of Birth: ______
  3. Age (as on date): ______
  4. Nationality : ______
  5. Sex: ______
  6. Marital Status: ______Category: ______
  7. Religion : ______E-Mail: ______
  8. Phone No.: ______Mobile No.: ______
  9. Present Address : ______

______

______

  1. Permanent Address: ______

______

______

  1. Academic Qualification (Begin with the recent) :

Sr. No. / Examination / Degree / Board / University / Year of Passing / % /(CPI)/CGPA / Class/Devision / Main Subject
  1. Experience : (YearsMonths)

Experience / Academics / Research / Industry / Others / Total
  1. Details of Experience : (Begin with the recent)

Sr. No. / Organization / Period (From-To)
(DD-MM-YY) / Designation / Salary
(Gross) / Reason For Leaving
  1. Numbers of paper published in journal:

National (SCI) / International (SCI) / National (Non-SCI) / International (Non-SCI)
  1. Numbers of paper presented in conference:

National (SCI) / International (SCI) / National (Non-SCI) / International (Non-SCI)
  1. Details of Books/Book Chapters Published:

Title of the Book / Name of Author(s) / Name of the Publisher / ISBN No. / Year of Publication / Reprint No./ Edition No.
  1. Details of Patent:

Name of Patent / Awarding Organization / Registration No. / Date & Year of Award / Submitted if any
  1. Seminar/STTP/Workshop/Conference attended: (Begin with the recent)

Sr. No. / Title / Held at : (Name of the Institute) / Month & year / Remarks
  1. Subjects Taught: (Begin with the recent)

Sr. No. / Subject / Discipline / Semester/Year
  1. No. of Research & consultancy Project (If any) :
  2. No. of Collaborative / Sponsored Research Projects (If any) :
  3. Academic Administrative Experience and your Contributions (If any) :
  4. Professional Membership (If any) :
  5. Other Achievements (If any) :
  6. Extra/Co-Curricular Activities (ECE/CCA) (If any) :
  7. Present Employment Details:

Post Held: ______

Name & Address : ______

______

______

  1. References:

Name:______Name:______

Designation:______Designation:______

Organization:______Organization:______

Contact. No.:______Contact. No.:______

Email : ______Email : ______

DECLARATION

I hereby, solemnly declare that the information furnished in this application are true and correct to the best of my knowledge and belief. If at any time I am found to have concealed/ suppressed any material/ information or given any false details, my appointment shall be liable to be summarily terminated without notice of compensation.

Place: ______

Date: (SignatureofApplicant)

INSTRUCTIONS TO THE CANDIDATES

  1. Separateapplicationshouldbesubmittedforeachpost.
  2. Copies of certificates, marksheets, photograph, testimonialsetc. should be attached with the application (attested bytheapplicant himself) andtheoriginals mustbeproduced atthetimeof interviewandatthetimeofjoining,ifselected.
  3. Documentsto beenclosedwiththeapplicationformmay securelybe taggedto avoidlossin handling, photographsmaybeproperlyattached.
  4. Applyingforthepostdoesnotentitlethatthecandidatesshouldbecalledforaninterview.
  5. Wronginformation andMisleading informationmayleadtosummarily rejectionofapplication /appointment,iffoundsubsequently.
  6. TheInstitutereservestherighttofillupornottofillupanyofthepost(s)advertised.
  7. Applications notaspertheprescribed formatorreceived afterthelastdateorwithout completeinformationwillnotbeconsidered.
  8. NoTADAwillbepaidforthejourneysmadefortheinterview/screeningtestetc.
  9. FresherStaffmaybeappointedonAdhocbasisandfixedsalary.
  10. Experienced staff will be appointed at appropriate grade or higher grade depending on their credentials.PayscaleandotherbenefitswillbesameasperAICTE/GTUnorms.
  11. Forpoints14through25as"Attachseparatesheet,ifrequired"

Note-Following documents(only as applicable) should be attachd by the candidae to the online application

  1. HSC School Leaving Certificate
  2. For identity–

PAN Cardcopy / License / AadharCard / Passport ( any One Photo id Compulsory).

  1. Photo of applicant shall be scanned and attached with application in JPG format not more than 50kb size.
  2. Degree Certificate(s).
  3. Last Two semester’s marksheet.
  4. All experience letters (ifapplicable).
  5. Last pay certificate or letter from concerned institute where candidate is working or has worked at last before date of application.
  6. Govt. Gazette Copy/ Marriage Certificate for confirmation of candidate name.(if applicable).
  7. Other University Endorsement Letter(if applicable).
  8. UGC approval letter for the degree awarding universities out

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DJMIT College Campus, NH-8, Village : Mogar, Dist : Anand,Gujarat-388 340.●Tel.:02692 221000

● Email: / ●Website: