ANJUMAN COLLEGE OF ENGINEERING AND TECHNOLOGY

SADAR, NAGPUR

Application Form for the Post of Assistant Professor (Adhoc)

To,

The Administrator,

Anjuman Hami-E-Islam

Nagpur – 440001

I

General Details – Application for the Post of Assistant Professor(Adhoc)
Department

II

Personal Particulars
Full Name / First Name / Middle Name / Surname
Marital Status
Nationality
Date of Birth
Address for Correspondence
Permanent Address
Contact Number
Email Address

III

Education Qualification(In chronological order starting from highest)
Degree / Discipline / Name of College/University / Year of passing / % of marks / Class/Div

IV

Professional Experience(Years).(In chronological order start from present employment)
Teaching Experience (Please mention the status whether Adhoc or Regular appointment)
Industrial Experience
Research Experience(Approved R & D laboratories/Research Assistant)
From / To / Organisation / Job Profile / Position & Status / Approval no.

*Approval letters of the concerned authority be enclosed (If any)

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V

Research Publication
Publication details / International Journal(In Number)
Journal paper (Google Scholar Indexed)
Journal paper (SCI Indexed)
Journal paper (Scopus Indexed)
Journal paper (Refereed/ Peer reviewed)

Journal paper:-

Sr. No / Author(s), Title, Journal Name, Publisher, Volume no., Year, Page no., Impact Factor, No. of Citation
1
2
3

VI

Membership of Professional bodies
Sr. No. / Name of Professional Body / Membership no. (if any) / Duration of Membership
1
2

VII

Awards/Recognitions

*Please attach properly indexed relevant documents point wise. All the certificates should be duly attested.

Declaration by the Candidates

I, hereby certify that all the information submitted is true and in case the information provided by me is found to be false, the college reserves the right to cancel the candidature and take appropriate action.

Date:

Place: Signature of the candidate

List of the Document Attached(True Copy)

Sr. No / Name of Document / Page No.

Strictly NOTE:

·  It is mandatory for candidates to submit application in prescribed format only

·  Application should filled in FONT: TIMES NEW ROMAN, SIZE = 11

·  Management reserved all rights to accept or reject the application

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