Ambala College of Engineering and Applied Research (ACE)

Devsthali (Near Mithapur), Ambala-Jagadhari Highway, P.O. SAMBHALKHA-133101(Ambala) Approved by Haryana Government and All India Council for Technical Education (AICTE) Affiliated to Kurukshetra University, Kurukshetra Ph: 0171-2821833, 2822001 - 003, Telefax: 2822002 Website: www.ambalacollege.com, Email: info@ambalacollege.com
. APPLICATION FORM

Post Applied For

1. 2. 3. 4. 5. 6.

Name (in block letters) Date Of Birth Marital Status Correspondence Address Permanent Address Contact No.

: : : : : :

JAI BHAGWAN 20 T H DECEMBER, 1984. MARRIED . H. NO. 142, V.P.O. KAKROD, DISTT. JIND, HARYANA Phone (With STD Code) Mobile 01684-286413 09996229490

7. 8.

Email Educational Qualification

jbsheokand@gmail.com

Name of Institute

Exam Passed

Board/ University

Year of Passing

Marks/ Obtained

Percentage of Marks

Division

S.D.D.I.E.T. Barwala

M. TECH. K. U. K .

2012

9.

Experience

S.No.

Institute/ Organization

Designation

Period

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Ambala College of Engineering and Applied Research (ACE)

10. Publications (Attach separately if necessary) 11. Membership Of Professional Bodies 12. Any Other Information : : . . . : . . PERSONAL DETAILS 1. Fathers Name and Occupation : . . 2. Spouses Name and Occupation : . . 3. 4. Home Town Name/ Age of immediate Dependant : : . . . 5. 6. 7. 8. If you are selected. Where you will stay? : Will you stay on campus? : . .

To impart high quality practical education, the faculty is expected to undertake research projects assigned by the college. Will you take up such projects? Yes / No Do you suffer from any Medical Problem?: (Please elaborate) .

.. Name of the person filling the form

.. Relationship with Applicant

I certify that information provided above is correct. Any false information will result in immediate dismissal / disqualification.

Signature of person filling the form

Signature of Applicant

. Date

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