Sri Krishna College of Engineering and Technology

An Autonomous & ISO 9001:2008 Certified Institution

Kuniamuthur, Coimbatore 641 008

Affiliated to Anna University - Chennai
Accredited by NBA-AICTE (BE-Mech, ECE, CSE, EEE, MCT B.Tech, IT & MCA)

An ISO 9001-2008 Certified Institution

Application for the post Assistant professor

1. Name (in block letters) 2. Name of the Parent

: :

Recent Photograph

3. Address for Communication :

Present

Permanent

Phone :..

Mobile Number :..

E-mail ID :.

4. Date of Birth 5. Marital Status 6. Place of Birth 7. Mother Tongue 8. Religion

: : : : :
Cleared all the papers in single attempt (Say Yes / No)*

Age : Spouse Name : District : Caste : State : Community : Nationality :

9. Academic Qualifications: (Starting from Highest Qualification)

F / P / D **

Degree/ Diploma

Specialization

Class

% of Marks

Name of the Institution

University

Month & Year of Passing

* If No please provide the details in the following format ** Note : - F / P / D State Whether Full-Time (F), Part-Time (P), D Distance Education

9. b. Sl. No.

If passed the Degree with arrears provide the following details Name of the Arrear subjects Semester in which arrear occurred No. of attempts to clear Semester in which cleared

Degree

10 Professional / Teaching / Research Experience (Starting from Present Experience)

Months Years

Sl. No

Name of the post held

Period of Employment Name of the Employer / Institution Gross Pay

From Date To Date

Teaching/ Industrial/ Research

11 Membership of Professional Bodies: 12 Publications (Attach separate sheets, if necessary): 13 Present Salary Details : Scale of Pay :

Basic : Rs 14 Expected Salary 15 Joining Time Required : :

Total Gross Monthly Emoluments: Rs..

16 Name and address of the persons to whom reference can be made about the applicant:

1.

2.

17 Any other information the applicant wishes to state:

Place : Date :
Attach Xerox Copies of the following: 1. 2. 3. Educational Qualifications Community Certificate Salary Proof

Signature of the Applicant