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Punjab Engineering College Chandigarh (Deemed To Be University)

This document is an application form for faculty positions at Punjab Engineering College. It requests information such as the applicant's name, address, date of birth, nationality, gender, category, areas of specialization, current research areas, academic record, research degrees if any, list of referees, previous experience, courses taught, thesis supervision, sponsored projects, consultancy projects, publications, seminars/conferences attended, and short courses completed. The applicant must sign to declare that all information provided is true and include a list of enclosures with the application.

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Chandni Khatana
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72 views3 pages

Punjab Engineering College Chandigarh (Deemed To Be University)

This document is an application form for faculty positions at Punjab Engineering College. It requests information such as the applicant's name, address, date of birth, nationality, gender, category, areas of specialization, current research areas, academic record, research degrees if any, list of referees, previous experience, courses taught, thesis supervision, sponsored projects, consultancy projects, publications, seminars/conferences attended, and short courses completed. The applicant must sign to declare that all information provided is true and include a list of enclosures with the application.

Uploaded by

Chandni Khatana
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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PUNJAB ENGINEERING COLLEGE CHANDIGARH

(DEEMED TO BE UNIVERSITY)

Application Form for the Temporary Engagement of Faculty Positions at the Level of
Assistant Professor on Contract for Three Years

Department/Center Applied For

1. Name in Full:

2. Address
For correspondence Permanent
__________________________ ____________________
Affix
__________________________ ____________________ passport
size
__________________________ ____________________ photograph
_______ ________ __________
Phone Fax No. E-mail

3. Date of Birth: 4. Nationality: 5. Gender:

6. Category: General/SC/ST/OBC :
(Attach relevant certificate from the authority prescribed under government rules)

7. Areas of Specialization 8. Current Areas of Research

9. Academic Record (starting with Higher Secondary or equivalent)


Degree Institution Year Marks & Remarks
Division
(State Branch/area of
specialization)

9A. Research Degree(s):


Degrees Topic of thesis Date of Award University

Ph.D.
D.Sc/D.Litt

9B. List of referees: (At least three names of referees with their complete addresses along with e-mail
id. Referees should be persons with or under whom the candidate has worked and one of the referees
should be from the last organization/ institute served. Referees should not be close relative of the
candidate.)
1. ………………………..

2. ………………………..
3. ………………………..

I hereby declare that all entries in this form as well as in the attached sheets are true to best of my knowledge and
belief.

There are…………enclosures with total of……………………pages attached along with this application form.

Date Signature
Place

For items 10 through 13use separate sheets for each sub-heading in the format indicated. All annexures should be
consecutively arranged and must bear your name and authenticated with your signature. A separate list of
enclosures item-wise with page numbers should precede the enclosures.

10. Previous Experience (in reverse chronological order)

Designation Organization Period Duration Nature of experience Pay scale


from to / responsibility

10 A. Courses Taught
Course No. & Title Level (UG/PG) Number of Times Course developed by

10 B. Thesis (MTech/PhD) Supervision (at all the organizations that you have worked in)
S.No. Name of scholar Year of completion Title of thesis Principal Guide and
Co-guides (if any)

10 C. Sponsored Projects
S.No. Period Sponsoring Organization Title of Project Amount of Name of Principal
Grant Investigator and
Co-investigators (if
any)

10 D. Consultancy Projects
S.No. Period Organization Nature of work Names of Principal
Consultant and Co-
consultant

11. Publications
A. Papers in refereed journals (International) (List those published and accepted separately)
S.No. Author(s) (in correct Title Year Complete Reference of journal
order) (Name/Vol/Page nos / Publisher/
Place/SCI/Scopus/ Impact Factor)

B Papers in refereed journals (National) (List those published and accepted separately)
S.No. Author (s) (in correct order) Title Year Complete Reference of journal
(Name/Vol/Page nos / Publisher/
Place/ SCI /Scopus/ Impact Factor)

C Papers in Conference Proceedings (International)


S.No. Author (s) (in correct order) Title of paper Year Complete reference: title of conf./
place/ date/page/publisher etc.

D Papers in Conference Proceedings (National)


S No Author (s) (in correct order) Title of paper Year Complete reference: title of conf./
place/ date/page/publisher etc.

E Papers in Seminar/Symposium/Workshop Proceedings


S No Author (s) (in correct order) Title of paper Year Complete reference: title of programme
/ place/ date/page/publisher etc.

F Books published as Author/Co-Author (list those published and in press separately)


S No Author (s) Title Year Publishers/Place

G Bookchapters published as author/co-author


S No Editor (s) Title of Book/ chapter/ Year Publishers/place
chapter no./Authors

H Books Edited
S No Editor (s) Title Year Publisher/complete reference

12. Seminars/Symposia/Conferences/Workshops etc. attended (give details below)


S.No. Seminar/Symposium/Conference/Workshop with name of Period Duration
organizer and place From To

13. Short Term Courses attended (of duration 1 week or more only to be listed separately from those of shorter
duration) (give details below)
S.No. Summer School/Winter school/Short term course with Period Duration
name of organizer and place From To

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