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Application Form: Please Do Enclose Curriculum Vitae Also With This

This document is an application form for the position of Assistant Professor in the Mechanical Department. The applicant, Prince Jeya Lal, is applying with his personal details, educational qualifications, employment history, technical papers published, and references listed. He is currently employed as an Assistant Professor but seeking the position for higher studies and a full-time PhD program.

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Jeyalal
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35 views7 pages

Application Form: Please Do Enclose Curriculum Vitae Also With This

This document is an application form for the position of Assistant Professor in the Mechanical Department. The applicant, Prince Jeya Lal, is applying with his personal details, educational qualifications, employment history, technical papers published, and references listed. He is currently employed as an Assistant Professor but seeking the position for higher studies and a full-time PhD program.

Uploaded by

Jeyalal
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
You are on page 1/ 7

Old Mahabalipuram Road

Thalambur
Chennai - 603 103
Tamil Nadu, India

Application Form
CONFIDENTIAL

Phone : 044 - 2743 5528, 2743 5627


Fax : 044 - 2743 5769
Email : mail@act.edu.in
Website : www.act.edu.in
App No (office use only)

Please type or complete the application form in DARK INK.


Please do enclose curriculum vitae also with this.
Vacancy details
Job applied for

ASSISTANT PROFESSOR

Department

MECHANICAL

Job Reference
No

Personal details:
Name
PRINCE
JEYA LAL
Age 28
Present
Address

Telephone :
Mobile Phone
9940137263
Email address
Permanent
Address
Marital Status

Title
Date of Birth

Mr.

13-11-1987

1/216 Gangaiamman koil Street, Padur

Home

Pin code

603103

Pin code

629001

Office
Fax

princejeyalal@gmail.com
215 A Paul Steet, Vadasery, Nagerkoil-1
Married

Present or most recent employment


Please give details of your current or most recent employment
(If you have more than one job, please provide details on a separate sheet)
Name of
Employer KCG COLLEGE OF
TECHNOLOGY
Address Karapakkam, chennai

Date of appointment 17-6-2013

Pin code
600097
Job Title
ASSISTANT
PROFESSOR
Salary 29,456

Brief summary of main duties


2 Subjects + 1Lab, Question paper
setting, Lab manual Preparations,
University
portal
entry,
Course
st
coordinator for 1
year Cad lab,
Engineering Graphics and Engineering
Mechanics, Project guidance

Date of leaving (if applicable) 4-5-2015

Period of
notice1
month

Reason for leaving (if currently unemployed)


Full Time Ph.d
Additional employment
Do you have any employment which will continue if you are appointed?

No

Please provide details if Yes


Previous employment
Please list your previous employment starting with the most recent first.
Please continue on a separate sheet if necessary.

Date from

Date to

Employer

Job Title

Reason

Jun
e

201
3

MA
y

Y
201
KCG College of
5 Technology, Chennai

Assistent
Professor

Scale of
Pay /
Salary

for
Leaving

29456

Higher
Studies

Qualifications
Please give details of Educational and Professional qualifications that you have
gained or are currently working towards, which are relevant for the job for which you
are applying. (In Reverse Chronological Order)
Date from
Date to
M
Y
M
Y
Sep
201 Apri 201
tem
1
l
3
ber
Aug 200 Apri 200
ust
5
l
9
Jun
e
Jun
e

200 Mar 200


4
ch
5
200 Mar 200
2
ch
3

Degree

College / University

M.E Engineering
Design

KCG College of
Technology

B.E Mechanical
Engineering
XII HSC
X

St.Xaviers Catholic
College of
Engineering
Scott Christian Hr.
sec. school
Scott Christian Hr.
sec. school

Full or
Part-time

Grade/
Class

Full Time

Ist
Class

Full Time

Full Time
Full Time

Ist
Class
with
distinct
ion
Ist
Class
Ist
Class

Training programs/ Seminars / Conferences organised


Please list any program(s) which you have organised which are relevant to the job.
Date

Program Title

Brief Details

Please continue on a separate sheet if necessary


Training programs / Seminars / conferences attended
Please list any program(s) which you have attended which are relevant to the job.
Date

Program Title

Brief Details

Please continue on a separate sheet if necessary


Technical / Research Papers Published
Please list any technical / research papers published in National / International level
Journals which are relevant to the job.
Title of Paper

Name of Journal

Brief Details

Please continue on a separate sheet if necessary


Technical / Research Papers Published
Please list any technical / research papers published in National / International level
Conference which are relevant to the job.
Title of Paper

Name of Conference

Brief Details

Please continue on a separate sheet if necessary

Professional Membership
Professional Body

Type of Membership

Date
Admitted
M
Y

Software Skills

Books Published
Title and Publisher

Year of Publication

Expiry Date
M

Support Information
Please give details of relevant skills, knowledge and experience gained in either paid
or unpaid work.

Please continue on a separate sheet if necessary


References
Please give details of two people who are willing to give you a reference. One of
these must be your present or most recent employer.
Relationship to
Name
you
Address
Tel No
Fax No

E-mail

Job Title
Can we take up a reference at this stage?
Name

Yes
Relationship to
you

No

Address
Tel No
Fax No

E-mail

Job Title
Can we take up a reference at this stage?

Yes

No

Declaration
I confirm to the best of my knowledge that the information given on this form is
accurate and that I have not omitted any facts, which may have a bearing on my
application for employment.
Signature

Date

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