ISLAMIAH INSTITUE OF TECHNOLOGY

(Affiliated to VTU)

APPLICATION FOR FACULTY POSITION

APPLICATION FOR THE POST OF LECTURER / ASSISTANT PROFESSOR / PROFESSOR

IN THE DEPARTMENT OF: ..

Passport
size photo
Item 1: PERSONAL INFORMATION

NAME : DATE OF BIRTH :

SEX : MALE / FEMALE AGE :

HIGHEST QUALIFICATION :

PERMANENT ADDRESS: ADDRESS FOR COMMUNICATION:

PHONE NO: E - MAIL ID:

(with STD Code)

MOBILE NO:

PRESENT POSITION: PRESENT BASIC PAY :

SCALE OF PAY :
GROSS SALARY :

SALARY EXPECTED AT IIT: IF OFFERED A POST, TIME REQUIRED TO JOIN

DUTY:

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Item 2: EDUCATIONAL QUALIFICATIONS
( Give Details from Undergraduate Degree onwards)

S. No Course Branch/ Name of Name of the Year of Class with % of

Specialization the Institute Passing Marks Obtained
University
1
2
3

Note: Account for Break in Study, if any

Item 3: DETAILS OF EXPERIENCE

A: TEACHING EXPERIENCE
( Give in chronological order, starting from the most recent one)

S. No From To Name of the Institute Designation Subjects

where worked Taught

B: RESEARCH EXPERIENCE
( Give in chronological order, starting from the most recent one)

S. No From To Name of the Institute Designation Area of

where worked Research

C: INDUSTRIAL EXPERIENCE
( Give in chronological order, starting from the most recent one)

S. No From To Name of the Industry Designation Nature of work

where worked

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Item 4: RESEARCH PUBLICATIONS

Number of Papers Number of Papers Number of Papers Number of

Published in an Published in a Presented in Papers
International Journal National Journal An International Presented in
Conference National Conference

Item 5: AREAS OF INTEREST

S. No Theory Subjects of Interest to teach Areas of Research Interest

Item 6: ADDITIONAL INFORMATION

A: Membership of Bodies :

B: Awards and Prizes :

C: Book Publications :

D: Any other information :

I certify that the information furnished above is true to the best of my knowledge.

(Signature of the Applicant with date)

List of Enclosures:

1.
2.
3.
4.

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