WALCHAND INSTITUTE OF TECHNOLOGY, SOLAPUR

APPLICATION FOR EMPLOYMENT Please paste

Passport size
photograph &
staple two
photographs
separately

Post Applied For : __________________ Department : __________________

PERSONAL DETAILS

1) Name (In Block Letters):__________________________________________________________

(Surname) (Name) (Father's Name)

2) Present Address : _________________________________________________________

__________________________Pin ____________Phone ___________

3) Permanent Address : __________________________________________________________

_________________________Pin ____________Phone ____________

4) Date of Birth :_________________ 5) Age : _______________ 6) Gender :_____________

7) Email ID : ___________________________________________________________________

8) Nationality :______________________ 9) Domicile : ______________________________

10) Religion : _______________ 11) (a) Caste : ____________ (b) Sub-Caste _____________

12) Category/Caste Grouping _________ (SC/ST/VJ/NT/OBC/SBC/OPEN etc.)

13) EDUCATIONAL QUALIFICATIONS:-

Examination Institution/College University/Board Year Class Percentage

S.S.C.

H.S.C.

Diploma

Graduation
B.E.________
(Subject)

P.G. ________
(Course Subject)

Ph.D. ________
(Subject)

Others
 :2:

14) WORK EXPERIENCE :

a) TEACHING EXPERIENCE : Total _________ years.

Name of the Post Held Salary drawn Period Reason for leaving
Institute

b) INDUSTRIAL EXPERIENCE: Total _________ years.

Name of the Post Held Salary drawn Period Reason for leaving
Company

15) ACADEMIC ACHIEVEMEN :

16) EXTRA CURRICULAR ACTIVITIES:

17) Salary Expected :

18) Other Information | 19) Language

| Speak Read Write
|1.___________________ [ ] [ ] [ ]
| (Mother tongue)
|2. __________________ [ ] [ ] [ ]
|
20) Area of Interest |3 . __________________ [ ] [ ] [ ]
|
|4. ___________________ [ ] [ ] [ ]
|
|

21) Why I think myself suitable for the post : ____________________________________________

Note:- 1) Two Photographs + Attested Copies of the mark sheets, experience certificate,
Aadhaar Card, PAN Card etc. must be enclosed.
2) For additional information use separate sheet, if required.

The above information is true to the best of my knowledge and belief.

Place :
-----------------------------------
Date : Signature of the Applicant