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SHRI MATA VAISHNO DEVI UNIVERSITY KATRA
Sub-post Office, SMVD University – 182 320 (J&K)
Registration No. _____________
(To be filled by SMVDU)
Application Form For An Academic Position
Advertisement No. ______________________________________________ Field of Specialisation __________________________
Post Applied for ________________________________________________ Deptt./ Centre ________________________________ Signed Photo
To be returned to the Assistant Registrar (Establishment), Shri Mata Vaishno Devi University Katra,
Sub-Post Office, SMVD University – 182 320 (Jammu & Kashmir)
Appointments are made on the recommendations of Statutory Selection Committees.
1. Full Name (including Surname)
(in block letters)
Date and Place of Birth
______________________________________________________
2. ______________________________________________________
3.
4.
5.
Sex
Marital Status
Nationality
Male/ Female (Strike off whatever is not relevant)
Married/ Unmarried (Strike off whatever is not relevant)
________________________________________________________________
6. (a) Mother’s Name & Address ________________________________________________________________
________________________________________________________________
(b) Father’s Name & Address ________________________________________________________________
________________________________________________________________
7. Postal address for correspondence
(any change of address should be communicated at once
to the University)
________________________________________________________________
_________________________________________________________________
_________________________________________________________________
Pin Code _________________________________________________________
Phone: Landline(with STD code) _______________Mobile__________________
Telex No. : ______________________________________________________
E-mail : _________________________________________________
8. Permanent Address
(Mention Tehsil, District & State, you belong to)
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
Pin Code __________________ Phone (with STD code) _________________Mobile ________________
9. Were you at any time declared medically unfit; asked to submit your resignation;
discharged or dismissed from Govt./ Semi-Govt./ Autonomous Body or Private Service? If,
yes, give details in a separate sheet.
Academic Qualifications:
________________________________________________________________
(i)
(ii)
Please attach attested copies of certificates including Date of Birth.
Give particulars in a chronological order starting with Bachelor’s Degree.
11.
S. No. Degree Subject/Specialisation Division/Grade/% of Marks Year University
SMVD University _ Application Form -1-
10. Whether qualified UGC/CSIR NET Examination: __________________________________________________________________
Draft Details (No., Date, Amount, Bank etc.) _____________________________________________________________________________________
Category: (Please Tick) 1) General 2) SC/ST 3) OBC
12. Professional/ Teaching/Research Employment (Give particulars in descending chronological order starting with the present post. (If space is insufficient, attach
separate sheet).
Period of Employment (Month/ Year)
S. No. Employer Post held Pay Scale Basic Pay From To
13. Research Experience:
(a) Title of your M.Tech./Ph.D. Thesis with name and address of Ph.D. Guide (Enclose abstract of thesis)
Degree Title of Thesis Guide
(b) Thesis supervised : M.Sc./MBA/M. Tech./M.Phil (Attach separate sheet)
Ph.D. (if space is insufficient attach separate sheet)
Degree
Ph.D.
Name of Student Title of Thesis Year Completed Guide
(1)
(2)
(3)
(c) Sponsored Research/ Consultancy Projects – Completed/ In progress.
(If space is insufficient attach separate sheet)
Title of ProjectWhether completed or inDuration
progress
Amount of Grant Sponsoring Agency Co-Investigator(s), if
any
(1)
(i) Sponsored Projects
(1)
(2) (3) (4) (5) (6)
(2)
(3)
(ii) Consultancy Projects
(1)
(2)
(3)
SMVD University _ Application Form -2-
(d) Publications:
(i)
(ii)
No. of reviewed publications. [Enclose list of publications in Reviewed Journals (mention co-author(s), Title, Journals, Month & Year, Page Nos.)]
No. of research papers presented in Conferences, [Enclose list of papers presented in Conferences (mention co-author(s), Title, Conference, Month & Year, Page
Nos.)]
No. of research papers communicated [Enclose list of papers communicated (mention co-author(s), Title, Journal/Conference)]
Review/Research/Design/Feasibility Reports
No. of Pages Agency for which prepared Co-Author, if any
(iii)
(iv)
Title
(1)
(2)
(3)
(e) Patents/ Technology Transfer:
(1)
(2)
(3)
14. Books Published:
Title Publisher Year Edition Level Reference Co-author, if any
(1)
(2)
(3)
15.
(a)
Teaching Experience:
Teaching at University level:
(i)
(ii)
(iii)
Total No. of years
Attach list of courses taught at B.E./M.E. level
Short-term/ Refresher Courses (Conducted/Attended) (attach list)
(b)
(c)
Any other teaching – No. of years:
Innovations in teaching:
16. Any other information relevant to the post applied for, such as:
(i) Membership/Fellowship and position of responsibility in Professional Societies:
(1)
(2)
(3)
(ii) Prizes/Medals/awards/Distinctions:
(1)
(2)
(3)
(iii) Scholarship received:
(1)
(2)
(3)
(iv) Any other awards/activities:
(1)
(2)
(3)
(v) Attainment in sports and extra-curricular activities (including N.C.C.)
(1)
(2)
(3)
SMVD University _ Application Form -3-
(vi) Knowledge of foreign languages:
(1)
(2)
(3)
17. References: At least names of three referees with their complete postal address. Referees should be persons with, or under whom, the candidate has worked)
_____________________________________________________________________________________________
_____________________________________________________________________________________________
____________________________________________________________________________________________
_____________________________________________________________________________________________
18.
(i)
(ii)
(iii)
(iv)
(v)
(vi)
Copies of documents enclosed:
Signature of the Candidate
Place:
Date:
Note: Candidates already employed should forward the application through their employer
SMVD University _ Application Form -4-
SHRI MATA VAISHNO DEVI UNIVERSITY KATRA
Sub-post Office, SMVD University – 182 320 (J&K)
ACKNOWLEDGEMENT CARD
Advt. No. _________________________ Registration No. _________________________________
Sub: Recruitment to the post of ______________________________ Deptt./ Centre ________________________________
Received an application from Dr./Mr./Ms. ___________________________________________________________________
(Candidate to write his/her name in capital letters)
for the above mentioned post. For any correspondence in future, candidate must quote the registration number given above.
(Establishment Section)
Date: ______________________
To
_______________________________________________
_______________________________________________
_______________________________________________
(To be filed by the candidate)
SMVD University _ Application Form -5-

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Format_ApplicationForm_1

  • 1. SHRI MATA VAISHNO DEVI UNIVERSITY KATRA Sub-post Office, SMVD University – 182 320 (J&K) Registration No. _____________ (To be filled by SMVDU) Application Form For An Academic Position Advertisement No. ______________________________________________ Field of Specialisation __________________________ Post Applied for ________________________________________________ Deptt./ Centre ________________________________ Signed Photo To be returned to the Assistant Registrar (Establishment), Shri Mata Vaishno Devi University Katra, Sub-Post Office, SMVD University – 182 320 (Jammu & Kashmir) Appointments are made on the recommendations of Statutory Selection Committees. 1. Full Name (including Surname) (in block letters) Date and Place of Birth ______________________________________________________ 2. ______________________________________________________ 3. 4. 5. Sex Marital Status Nationality Male/ Female (Strike off whatever is not relevant) Married/ Unmarried (Strike off whatever is not relevant) ________________________________________________________________ 6. (a) Mother’s Name & Address ________________________________________________________________ ________________________________________________________________ (b) Father’s Name & Address ________________________________________________________________ ________________________________________________________________ 7. Postal address for correspondence (any change of address should be communicated at once to the University) ________________________________________________________________ _________________________________________________________________ _________________________________________________________________ Pin Code _________________________________________________________ Phone: Landline(with STD code) _______________Mobile__________________ Telex No. : ______________________________________________________ E-mail : _________________________________________________ 8. Permanent Address (Mention Tehsil, District & State, you belong to) _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ Pin Code __________________ Phone (with STD code) _________________Mobile ________________ 9. Were you at any time declared medically unfit; asked to submit your resignation; discharged or dismissed from Govt./ Semi-Govt./ Autonomous Body or Private Service? If, yes, give details in a separate sheet. Academic Qualifications: ________________________________________________________________ (i) (ii) Please attach attested copies of certificates including Date of Birth. Give particulars in a chronological order starting with Bachelor’s Degree. 11. S. No. Degree Subject/Specialisation Division/Grade/% of Marks Year University SMVD University _ Application Form -1- 10. Whether qualified UGC/CSIR NET Examination: __________________________________________________________________ Draft Details (No., Date, Amount, Bank etc.) _____________________________________________________________________________________ Category: (Please Tick) 1) General 2) SC/ST 3) OBC
  • 2. 12. Professional/ Teaching/Research Employment (Give particulars in descending chronological order starting with the present post. (If space is insufficient, attach separate sheet). Period of Employment (Month/ Year) S. No. Employer Post held Pay Scale Basic Pay From To 13. Research Experience: (a) Title of your M.Tech./Ph.D. Thesis with name and address of Ph.D. Guide (Enclose abstract of thesis) Degree Title of Thesis Guide (b) Thesis supervised : M.Sc./MBA/M. Tech./M.Phil (Attach separate sheet) Ph.D. (if space is insufficient attach separate sheet) Degree Ph.D. Name of Student Title of Thesis Year Completed Guide (1) (2) (3) (c) Sponsored Research/ Consultancy Projects – Completed/ In progress. (If space is insufficient attach separate sheet) Title of ProjectWhether completed or inDuration progress Amount of Grant Sponsoring Agency Co-Investigator(s), if any (1) (i) Sponsored Projects (1) (2) (3) (4) (5) (6) (2) (3) (ii) Consultancy Projects (1) (2) (3) SMVD University _ Application Form -2-
  • 3. (d) Publications: (i) (ii) No. of reviewed publications. [Enclose list of publications in Reviewed Journals (mention co-author(s), Title, Journals, Month & Year, Page Nos.)] No. of research papers presented in Conferences, [Enclose list of papers presented in Conferences (mention co-author(s), Title, Conference, Month & Year, Page Nos.)] No. of research papers communicated [Enclose list of papers communicated (mention co-author(s), Title, Journal/Conference)] Review/Research/Design/Feasibility Reports No. of Pages Agency for which prepared Co-Author, if any (iii) (iv) Title (1) (2) (3) (e) Patents/ Technology Transfer: (1) (2) (3) 14. Books Published: Title Publisher Year Edition Level Reference Co-author, if any (1) (2) (3) 15. (a) Teaching Experience: Teaching at University level: (i) (ii) (iii) Total No. of years Attach list of courses taught at B.E./M.E. level Short-term/ Refresher Courses (Conducted/Attended) (attach list) (b) (c) Any other teaching – No. of years: Innovations in teaching: 16. Any other information relevant to the post applied for, such as: (i) Membership/Fellowship and position of responsibility in Professional Societies: (1) (2) (3) (ii) Prizes/Medals/awards/Distinctions: (1) (2) (3) (iii) Scholarship received: (1) (2) (3) (iv) Any other awards/activities: (1) (2) (3) (v) Attainment in sports and extra-curricular activities (including N.C.C.) (1) (2) (3) SMVD University _ Application Form -3-
  • 4. (vi) Knowledge of foreign languages: (1) (2) (3) 17. References: At least names of three referees with their complete postal address. Referees should be persons with, or under whom, the candidate has worked) _____________________________________________________________________________________________ _____________________________________________________________________________________________ ____________________________________________________________________________________________ _____________________________________________________________________________________________ 18. (i) (ii) (iii) (iv) (v) (vi) Copies of documents enclosed: Signature of the Candidate Place: Date: Note: Candidates already employed should forward the application through their employer SMVD University _ Application Form -4-
  • 5. SHRI MATA VAISHNO DEVI UNIVERSITY KATRA Sub-post Office, SMVD University – 182 320 (J&K) ACKNOWLEDGEMENT CARD Advt. No. _________________________ Registration No. _________________________________ Sub: Recruitment to the post of ______________________________ Deptt./ Centre ________________________________ Received an application from Dr./Mr./Ms. ___________________________________________________________________ (Candidate to write his/her name in capital letters) for the above mentioned post. For any correspondence in future, candidate must quote the registration number given above. (Establishment Section) Date: ______________________ To _______________________________________________ _______________________________________________ _______________________________________________ (To be filed by the candidate) SMVD University _ Application Form -5-