SRI KRISHNA COLLEGE OF ENGINEERING AND TECHNOLOGY, COIMBATORE - 641 008

Application for the post Assistant professor1. Name (in block letters) :

2. Name of the Parent :

3. Address for Communication :

4. Date of Birth

:

Age :

5. Marital Status :

Spouse Name :

6. Place of Birth :

District :

State :

7. Mother Tongue: Caste :

Community :

8. Religion

:

Nationality :

9. Academic Qualifications: (Starting from Highest Qualification)

Degree/

DiplomaSpecializationMedium of InstructionClass% of MarksCleared all the papers in single attempt (Say Yes / No)*Name of the InstitutionF / P / D **UniversityMonth &

Year of Passing

* If No please provide the details in the following format** Note : - F / P / D State Whether Full-Time (F), Part-Time (P), D Distance Education

9. b.If passed the Degree with arrears provide the following detailsSl. No.DegreeName of the Arrear subjectsSemester in which arrear occurredNo. of attempts to clearSemester in which cleared

10 Professional / Teaching / Research Experience (Starting from Present Experience)Sl.NoName of the post heldName of the Employer / InstitutionGross PayPeriod of EmploymentTeaching/

Industrial/

Research

From

DateTo

DateYearsMonths

11 Membership of Professional Bodies:

12 Publications (Attach separate sheets, if necessary):

13 Present Salary Details :

Basic: Rs Scale of Pay :

Total Gross Monthly Emoluments: Rs..

14 Expected Salary :

15 Joining Time Required :

16 Name and address of the persons to whom reference can be made about the applicant:

1. 2.

17 Any other information the applicant wishes to state:

Place :

Date :

Signature of the ApplicantAttach Xerox Copies of the following:

1. Educational Qualifications

2. Community Certificate

3. Salary Proof

Sri Krishna College of Engineering and Technology

An Autonomous Institution, Accredited by NAAC with A Grade

Kuniamuthur, Coimbatore 641 008

Approved by AICTE and Affiliated to Anna University, Chennai

Recent

Photograph

Present

Permanent

Phone :.. Mobile Number :..

E-mail ID :.