| 1. |
Personal Information : |
| 2. |
Full Name of the Candidate : |
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(Surname first name middle name ) |
| 3. |
Address : |
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Pin :
Telephone :
Mobile : |
| 4. |
Category [(OBC, OPEN, SC, ST, DT/NT] : |
| 5. |
Educational Qualifications : |
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| Examination |
University |
College / Institute |
Marks obtained out of |
% of marks |
Class |
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| 6. |
Teaching Experience (Please enclose attested copies of the Experience Certificate Certificates / Appointments Letters): |
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| College / University/ Institute |
Subjects and
classes taught |
Designation of the post held |
Duration in years |
Approval by University |
Class |
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| 7. |
Area of specialization : |
| 8. |
Professional experiences (if any) : |
| 9. |
Articles, Research Paper : |
| 10. |
Books Published : |
| 11. |
Co-curricular, extra curricular, extension activities : |
| 12. |
Any other information not included above : |
| 13. |
I hereby declare that the information is complete and true per best of my knowledge. |