Institute of Business Management & Research
Approved by AICTE, Govt. Of India & Permanently Affiliated to University of Pune
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Mandatory Disclosure
Proposal for Shikshan Shulk Sameti - MBA
Proposal for Shikshan Shulk Sameti - MCA
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APPLICATION FORM FOR LECTURER / ASST. PROFESSOR/ PROFESSOR/ /DIRECTOR.
(
*
) Denoted Fields Are Mandatory
*
Full Name of the Candidate :
(Surname) (Name) (Father/Husband Name)
Address for Correspondence:
Pin Code :
*
Tel. No. :
*
E-Mail Address :
Mobile :
*
Name of the Post Applied For :
Nature of the Post (SC, ST, DT/NT, OBC, OPEN) :
Date of Birth (DD/MM/YYYY) :
Educational Qualification (Please Enclose Xerox Copies of Certificates & Mark Sheets)
Examination Passed
University
Month and Year of Passing
Subj. Offered Special/
General
Marks obtained out of
Percentage of Marks
Class / Division / Grade
(i) Bachelor's Degree (BA/B.Com
/BBA/BCA/
BHMTT/DHMC
T/PGDFT/LLB etc.)
(ii) Master's Degree
(iii) M.Phil. Degree
(iv) Ph.D.Degree
(v) NET/SET (CSIR)
Teaching Experience (Please Enclose Xerox Copies of the Certificates / Appointments Letters / Experience Certificates)
University / College / Institute
Designation of the post held
Subjects and classes taught
Period of appointment with date
From
To
Nature of appointment
Approved by University. Date of approval or not approved
Professional Experience (Please give details on separate sheet
):
*
Your Area of Expertise at Present:
Which Subject You Will Be Able To Teach:
What Are Your Strength & Weakness:
Last Salary Drawn & Salary Expected:
Awards, Merit Certificates Received By You:
Articles, Research Paper or Book Written By You:
Co-curricular, Extra Curricular, Extension Activities Done By You In The Past:
I hereby declare that the statement made above, in so far, as they relate to me are true and correct.
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+91 9422009209/10/12
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