JAYARAM

COLLEGE OF ENGINEERING AND TECHNOLOGY Pagalavadi, Thuraiyur (Tk), Tiruchirappalli (Dt) - 621014
Estd: 1994

(Approved by AICTE, New Delhi & Affiliated to Anna University, Chennai) (NBA Accredited)

ISO 9001:2000 Certified

JOB APPLICATION FORM

OFFICE USE ONLY Application No. Interview Date: Selected : Affix Recent Passport Size Photograph

YES

NO

Reference: Advertisement in ........................................................ dated

1. Name of the Applicant: ______________________________________________ 2. For the post of:

Professor Associate Professor Assistant Professor

3. In the dept. of:

Civil

CSE

ECE

EIE

EEE

MECH Chemistry 4. Qualifications: (from UG onwards)

IT MCA

English M

Maths

Physics

Degree

Specialization

Year of Passing

FT/PT Distance Edn.

Class/ Position

Aggregate % or CGPA

Institution

University

5. Experience
a).Teaching Experience (in Engineering Colleges / Institutes of Higher Education only) Attach additional sheets, if necessary. Sl. No.

Designation

Institution

Period

Experience (in years & months)

b).Other Experience (Industry, Research, Teaching in Arts & Science Colleges / Polytechnic) Attach additional sheets, if necessary. Sl. No. Designation Period

Institution

Experience (in years & months)

6. Publications:
a). Books published Sl. No. Title of the book Year of publication

Name of the Publisher

b). Papers: Journal Publications (Give number of publications) International c). National

Papers: Conference Publications (Give number of publications) International National

7. Seminars / Conferences: a). Seminars / Conferences organized:

Sl. No.

Date

Theme

Venue

b). Seminars / Conferences attended (Give number of Seminars / Conferences attended) International National

8. Sponsored Research Projects undertaken, if any: Yes If 'YES' provide details:

No.

9. Membership in Professional bodies:

10. Awards and Achievements (if any) TechnicalTe Technical

Technical General
11. Languages Known

To Read To Write To Speak

12. Any other information

13. Personal Details a) Age & Date of Birth : b) Fathers Name : :

c) Gender (M/F)

d) Marital Status
e) Nationality f) Caste

:
: : : :

g) Religion h) Community i) j)

Provident Fund No. : Address for Communication k. Permanent Address:

l) Phone (Res) : m) E-mail :

Mobile: n) Fathers Occupation: p) Passport No.

o) Blood Group :

14. References: (One from the organization last worked with or institution last attended)

1.

2.

15. Last drawn monthly salary 16. Salary Expected 17. Declaration:

: ___________________ : ___________________

I declare that the above particulars are true to the best of my knowledge and belief. Place: Date: Signature of the Candidate