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SUS Group of InstitutionsTangori, Mohali (Punjab)

Application Form for Teaching / Non Teaching Posts

NOTE Separate applications forms must be sent for separate Posts.

Attested copies of all certificates testimonials should be attached.

Persons in employment should send their application through theiremployers. They may however send a copy in advance but it must be onthe prescribed proforma complete in all respect.

Application received after due date or found incomplete may not beconsidered.

1 Name of College / Institute

2 Post applied for

3 Name (Block letters)

4 Fathers Name (Block letters)

5 Mother s Name (Block letters)

6 Present Postal Address (Block letters)

7 Permanent Home Address (Block letters) ......

Email id ..... Contact number

8 a Nationality : .

b Whether belong to SC ST

BC Ex Serviceman attach proof : .

c Marital Status : .

9 Date of Birth : .

Affix yourrecent

photograph

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10 Educational Qualifications (from Matriculation onwards)ExamPassed

UniversityBoard

Year ofPassing

Marksobtained/ Total Marks

Percentage Division/Class

MajorSubjects

11 Field of Specialization 12 Research Publication (list to be attached) (For Teaching Post)

Publications Published / Accepted for Publication

1. Books

2. Papers in International Journals

3. Papers in Indian Journals

4. Papers in Conferences Symposiaand Seminars etc

13 List of previous employment (beginning with the most recent)Name ofEmployer

Post Held Pay scale PeriodFrom To

Brief descriptionof Duties

Reason forLeaving

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14 a) Total teaching experience as Lecturer.... as Astt Professor Reader

b) Other Experience / research / administrative etc

15 a Have you ever been prosecuted sentenced by the Court of law

If so give details .....

b Have you ever been dismissed from service?

If so give details .

16 Any other relevant information..

17 a Present Basic Pay Rs .b Present Scale Rs ..

c Date of Next Increment .. d Basic Pay acceptable Rs ..

e Period required for joining the post...

18 References: These should be professionally competent persons who are well

acquainted with the applicant s education, training accomplishment, capabilities& the character but they must not be his / her relations. Two references shouldbe listed and at least one of them should be a citizen of India. For applicantshaving post graduate or post doctoral research the research supervisor must beone of the references.

i Name .. Occupation or Position...

Address

ii Name .. Occupation or Position...

Address

19 List of certificates and testimonials (attested copies to be attached)

i ii

iii iv

v vi

vii viii

I hereby certify that aforesaid information is correct and complete to the best ofmy knowledge and belief

Place .

Dated (Signature of the applicant)FOR OFFICE USE ONLY

Check List:

1 Does the candidate fulfill essential qualifications Yes / No

2 Does the candidate have the required minimum experience Yes / No3 Eligible / Not eligible

Signature

Note: If selected, the candidate will be required to furnish a Medical Certificate at the time of joining.