N.S.N.

COLLEGE OF ENGINEERING AND TECHNOLOGY, KARUR-03

FACULTY APPLICATION FORM Academic Year 2012 - 13
Post applied: Professor Associate Professor Assistant Professor Photo

Department:

Civil

Mechanical Physics

EEE

ECE Chemistry

CSE English

Mathematics

PERSONAL DETAILS

Name of the applicant: Name of the Father; Age : Mother: Date of Birth : Nationality: No. of Children : Spouse: Place of Birth:

Sex : Marital status :

Male Married

Female Un-Married Unemployed

If married, Spouse :

Employed

School and Class of Children:

Religion and Caste:

Community : Address

FC

BC

MBC

SC/ST

Address for Communication:

Permanent Address:

Phone / Mobile :

Email : 1

EDUCATIONAL RECORD
Full time / Part time / Distance Education Agg. %/ CGPA

S.No

Degree

Specialization

Year of Passing

Class / Position

Institution

University

1.

2.

3.

4.

EMPLOYMENT RECORD

a) Teaching chronological order

Sl.No. 1. 2. 3. 4. Designation Institution Experience (Duration) Experience (in years) Last Salary Drawn

TOTAL b) Industry and Research chronological order

Sl.No. 1. 2. 3. 4. 5. Designation Institution / Organisation Experience (Duration) Experience (in years) Last Salary Drawn

TOTAL

RESPONSIBILITIES HELD

Academic Responsibilities (Subjects with results)

Department Responsibilities:

Institution Responsibilities:

Administrative Responsibilities:

Remarkable Works done in Past Institutions:

PUBLICATIONS

Number of Papers Published in SCI Journals: List: 1) 2)

Number of Papers Published in Other Journals: List: 1) 2)

Number of Papers Published in International Conferences: List: 1) 2)

Number of Papers Published in National Conferences: List: 1)

2)

Number of Patents filed / approved: List:

* First Page Proof should be attached for publications

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CONDUCTION OF / PARTICIPATION IN SEMINARS / CONFERENCES

Number of Seminars / Conferences / Workshops / FDP / STTP / Industrial Training Organised List:

Number of Seminars / Conferences / Workshops / FDP / STTP / Industrial Training Attended List:

RESEARCH PROJECTS

Number of Research Projects carried out as Principal Investigator / Co-Investigator List:

GUIDESHIP

Number of B.E., / M.E., / Ph.D Projects Guided so far:

List:

REVIEWERSHIP / AWARDS/ HONOURS

List:

MEMBERSHIP IN PROFESSIONAL BODIES

List:

Any other Information:

Expecting Salary:

I declare that the above particulars furnished by me are true to the best of my knowledge

Place : Date :

SIGNATURE

Reference (Name, Designation, Address and Contacts): 1. 2.

Note: Applicants can ignore the irrelevant heads in the application format Applications should be neatly typed and sent to Principal through e-mail or Post Applications should reach Principal on or before 31.12.2011 Postal Address: The Principal, N.S.N. College of Engineering and Technology, Karur-Madurai NH-07, Manalmedu, Karur-639003 E-mail: principal2327@gmail.com Tentative Dates of Interview: 12, 13 & 14.01.2012
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