SLC FORM

Application for the Post of Assistant Professor ( Purely Temporary)

Application for appointment as *

Applied for Teaching Subject: *

First Name *

Last Name

Date of Birth *

Category *

Gender *

Mobile No. *

Email Id *

Residential Address *

Street Address

Address Line 2

State/Province/Region

City

Country

Postal Zip

Same as Residential

Permanent Address *

Street Address

Address Line 2

State/Province/Region

City

Country

Postal Zip

Subject of Post-graduation *

Academic Qualification:

UG - Examination *

University *

% of Marks *

Year of Passing *

PG - Examination*

University *

% of Marks *

Year of Passing *

M.Phil

University

% of Marks

Year of Passing

Ph.D

University

Year of Award

Research Experience ( other than Ph.D & M.Phil )

NET Certificate *

Adhoc Panel Category *

Adhoc Panel No.*

Year *

Teaching Experience (UG / PG)

UG : Year

Month

Days

PG : Year

Month

Days

Research Experience

Year

Month

Days

Last Employment Details

Designation

University

Duration (From )

Duration (To)

Upload

Photo* (Max Size 50 KB)

Upload Category Certificate (Max Size 200 KB)

Upload Date of Birth Certificate/PAN Card (for Retired Teachers only)* (Max Size 200 KB)

Please upload ad-hoc panel scanned copy Alongwith ad-hoc panel category & Panel No.* (Max Size 200 KB)

Upload UG Certificate* (Max Size 200 KB)

Upload PG Certificate* (Max Size 200 KB)

Upload M.Phil. Certificate (Max Size 200 KB)

Upload Ph.D. Degree (Max Size 200 KB)

Upload NET Certificate (Max Size 200 KB)

Upload Teaching Experience Certificate (Max Size 200 KB)

Upload Research Experience Certificate (Max Size 200 KB)

Upload Retirement / Service Letter issued by College / University (Max Size 200 KB)

Signature* (Max Size 50 KB)

Declaration:

I certify that the information given above is correct and factual to the best of my knowledge and belief.

I understand that my application shall be summarily rejected if any of the above stated information is found incorrect/false and penal action as applicable under the law shall be carried out against me.