/ / DELHI INSTITUTE OF ADVANCED STUDIES
(NAAC Accredited ‘A’ Grade Institute)
(Approved by AICTE and Affiliated with GGS Indraprastha University, Delhi)
(An ISO 9001:2015 Certified Institution)
Plot No. 6, Sector-25, Rohini, Delhi-110085
Phone: 27932742, 27934011, 27934400, Fax: 011-27934200
Website: http://www.dias.ac.in ; Email:

APPLICATION FOR THE POST ______

Note: / 1. / Attested Copies of experience and qualification certificates, degrees, testimonials etc., should be attached with the application and the originals must be produced at the time of interview and at the time of joining, if selected.
2. / Except where otherwise indicated, applicants who are called for interview, should be ready to come at their own expense.
3. / The appointing authority may consider the name of any person for appointment though he may not have applied.
1.  / Full Name: ____________
2.  / Father’s Name: ______
Spouse’s Name: ______ / Mother’s Name: ______
3.  / Date of Birth: ______ / Age: _____ / Marital Status: ______ / Religion: ______
4.  / Category (SC/ST/OBC/SBC/PH/Gen) : ______ / PAN No.: ______
AADHAR No.; ______
5.  / Address
i) / Postal: ______
______
ii) / Permanent:______
______
6. / Telephone:______ / Mobile:______ / Email:______
7.  / Educational Qualifications:
Examination / Specialization Area / Year / Board/ Univ. / Medium of Instruction
English/ Hindi / Regular/ Distance / Div. / % of Marks
Matric/ SSC/ 10th Class
10+2 or equivalent
Graduation : ______
Post Graduation : ______
NET
M.Phil
Ph.D. / Topic : ______
Any Other
______
______
8.  / Teaching/Industry Experience: (start from Current Employment)
Institution / Designation / Nature of Duties / From ______
To ______ / Length of Experience / Reason for Leaving

9. Recognized as Faculty by GGSIP University or any other University

N

University Status Year

10. Seminars/ Workshops / Refresher Courses (Attended during last one year)

S.No / Programme Nature / Place / Period / Sponsoring Agency

Total Attended till date ______

11. PUBLICATIONS

i) Research Papers (Published during last one year)

S.No / Title / Journal / Refereed / Non Refereed

Total Published till date ______

ii) Books (Published during last one year)

S.No / Title / Publishers / Text / Reference / Edition / Year

Total Published till date ______

12. MDPs/ FDPs/CONSULTANCY (conducted during last one year)

S.No / Programme Nature / Institution / Period

Total conducted till date ______

13. GUIDING RESEARCH: M.Phil/ Ph.D, etc. (during last one year)

S.No / Programme / Associated Institution / Completed/ In progress / Period

Total Degrees Awarded till date M.Phil, Ph.D.______

14. / Objective of Joining DIAS: (Attach separate sheet (s), if necessary)
Short-term::
Long-term:
15.  / (a) Present Employment:
(i) / Designation: ______
(ii) / Institution: ______

(b) Present Emoluments /Pension or its equivalent:

(i) / Grade: ______
(ii) / Basic Salary: ______
(iii) / Allowances: ______
(iv) / Total: ______
16.  / Expected Emoluments: ______
17.  / References: / 1. ______
2. ______
18. / Any other Relevant Information /Achievement

Date: (Signature of the Candidate)

Note: - Additional sheets may be attached if required.