VELALAR COLLEGE OF ENGINEERING AND TECHNOLOGY

THINDAL (PO), ERODE 638012. Phone : (0424) 2244201, Fax:2244205 E-Mail: principal@velalarengg.ac.in S.No. : APPLICATION FOR THE POST OF DISCIPLINE 1. 2. 3. 4. 5. Name (in Capital Letter) Fathers / Husbands Name Sex Date of Birth & Age Address : b) Communication Address.
Add1.: Add2.. City State... Pin..

: : : : : : Male / Female Affix Passport Size Photograph

a) Permanent Address.
Add1.:.. Add2 City.. State. Pin

6. 7. 8. 9. 10. 11. 12.

Contact Phone No. with STD Code E-Mail ID Nationality Religion Sub Caste Community Fathers Husbands occupation and with Phone Number

: : : : : :

Mobile:

OC / BC / BCM / MBC / SCA / SC / ST

: :
Year of Passing Percentage of Marks Class / Division

13. Qualifications
S.No. Degree / Diploma / Cert. Course University

College / School

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

Ph.D M.E / M.Tech / MS/ M.Sc., B.E / B.Tech / B.Sc., H.S.C / P.U.C S.S.L.C OTHER COURSES

14.

Experience Details a) Teaching

Institution From

S.No .

Designation

To

Experience Years

Months

Days

Last Drawn Salary Basic Total

TOTAL EXPERIENCE b).

S.No .

Field / Practical Experience

Institution From To Experience Years Months Days Last Drawn Salary Basic Total

Designation

TOTAL EXPERIENCE c).

S.No .

Research Experience
Institution From To Experience Years Months Days Last Drawn Salary Basic Total

Designation

TOTAL EXPERIENCE d). Total Experience Years Months Days

Experience Teaching Field / Practical Research Total

15.

Publications a) International Journals

Co- Authors Title Name of Journal, Year & Month of Publications

S.No.

b)
S.No.

Indian Journals
Co- Authors Title Name of Journal, Year & Month of Publications

c)

International Conference / Symposia / Workshops

d)

In National Conference / Symposia / Workshops

e)

Other Publication (Books, Tables, Charts, Lecture Notes etc.,)

16.
S.No.

Participation in Summer Schools / Winter Schools / Conferences / Symposia / Workshops

Details of Conference etc Organizer From To No. of Days

17.
S.No

Co-Curricular Activities
Nature of Activity From To Years Experience Months Days

18.
S.No

Extra Curricular Activities

Nature of Activity From To Years Experience Months Days

19.

Any other information

# Add additional sheets if necessary

DECLARATION
I .. hereby declare that the information furnished above by me are true and correct to the best of my knowledge. PLACE Date : : Signature of the Applicant

Note: 1. 2. 3.

Separate applications must be submitted for different posts. Duly filled in application should reach the Principal, Velalar College of Engineering and Technology, Erode - 638012 on or before 31.03.2012. Enclose attested Xerox copies of the certificates for qualification, experience etc.