Sei sulla pagina 1di 3

12/19/13 Application Form for Assistant Professor: Shivaji College, Delhi University

www.shivajicollege.in/forms/print.php?id=2592&&email_id=baljitsingh6111@gmail.com&&bankDraft=8882627323 1/3
Print Home

Application Form for Assistant Professor
Allocated Code (For office use only) :
Advt No. (For office use only) : 2/2013
Form Submission Date (dd/mm/yyyy)* : 19/12/2013
Post Applied For* : Assistant Professor
Already Applied?* : Yes
Subject* : Physics
Bank Draft No.* : 8882627323
Date : Da/e//onth
Amounting to Rs : Rs. 250
Name of the Bank* : SBI
FullName (In Block Letters)* : BALJIT SINGH
Father's/Spouse's Name : MOHINDER SINGH
Date of Birth* : 03/01/1984
Age (as on date) : 29 years 11 months
Nationality* : INDIAN
Gender* : Male
Marital Status : Married
Post held at the time of sending the application : Adhoc
Date of Current Appointment : 01/04/2014
Name of Present Employer : MLNC
Category* : General (Copy of the certificate from the competent authority be attached)
Address for Correspondence : PLAT NO. A1/B6, IIT DELHI State DELHI Pincode 110016
Telephone No. (with STD Code) : -
Mobile No.* : 8882627323
Email ID* : baljitsingh6111@gmail.com
Permanent Address : BALBIR BASTI STREET NO-6(r) FARIDKOT State PUNJAB Pincode 151203
Present Basic Pay, Grade Pay, Allowances (Give
:
Basic Pay : 15600 Grade Pay : 6000 Gross Pay : 50000
12/19/13 Application Form for Assistant Professor: Shivaji College, Delhi University
www.shivajicollege.in/forms/print.php?id=2592&&email_id=baljitsingh6111@gmail.com&&bankDraft=8882627323 2/3
Details)
:
Basic Pay : 15600 Grade Pay : 6000 Gross Pay : 50000
Age of retirement of the post presently held :
Minimum basic pay, Grade pay acceptable (per
Month)
: Rs.
Academic Qualification ( Starting from Bachelor's Degree)*
Examination Year of Passing Main Subject Division/Grade Marks(Agg & Percentage) School/College Attended University
Bachelor's Degree 2004 PHYSICS.CHEM,MATH, 1ST 1440/2400,60% BRIJINDRA COLLEGE PUNJABI UNI. PATIALA
Master's Degree 2008 PHYSICS 1ST 1436/2200, 65% GNDU, AMRITSAR GNDU AMRITSAR
Others
M.Phil. 2010 OPTICS 1ST 8.4/10 IITD IITD
Whether qualified UGC/CSIR-NET/SLET/SET : Yes (Please Attach Copy of the certificate)
Detail of Qualified Exam :
Whether Qualified NET with JRF : Yes (Please Attach Copy of the certificate)
Detail of Qualified NET with JRF : DEC-2008
Teaching Experience at recognised University and/or College
S.No.
Name of
university/College/Institution
Designation and Scale
of Pay
Nature of
Appointment(Adhoc/Temporary/Permanent)
Classes Taught Period
Under
Graduate
Post Graduate From To
1
GNDU AMRITSAR
MLNC, DU
ASST.PROF
ASST PROF
ADHOC
ADHOC
B.TECH
B.SC.
(HONS&
PS)
M.SC(PHYSICS)
14/07/2011
24/07/2012
11/11/11
TILL DATE
Post-Doctoral Research Experience as Research Associate, Research Scientists or equvalent position.
S.No. Name of University/College/Institution Post Held/Designation
Period of Employment
Last basic pay drwan with grade Nature of duties
From To
1
Provide a complete list of publications with full
bibliographic detail, ISSN/ISBN number and impact
factor of journals, if available (Books
authored/edited, chapter in books, research papers
in journals, conference proceedings or book review
or popular article in relevant area)
:
Provide details of research projects undertaken (if
any)
:
Administrative Experience (if any) :
Basic Computer Literacy and Awareness : MATLAB. MS OFFICE, Lab VIEW
Academic awards/medals and distinctions :
Membership/Fellowship of Learned
bodies/societies
: DAAD FELLOWSHIP
Literary, cultural or other activities (e.g. attainment
in sports etc.) in which the applicant is interested :
12/19/13 Application Form for Assistant Professor: Shivaji College, Delhi University
www.shivajicollege.in/forms/print.php?id=2592&&email_id=baljitsingh6111@gmail.com&&bankDraft=8882627323 3/3
and distinction obtained
Other Activities/Responsibilities (not covered above) :
Any break in your Academic Career? * : Yes
Details of break in your Academic Career * : JAN/2012 TO JULY/2012
Have you been punished debarred or punished for
adopting unfair means in any examination by the
Institution/College/Board or university?
:
No
Have you at any time convicted by a court for any
criminal offence?
:
No
Give name of the Court, Case Number and Offence :
Were you at any time declared medically unfit or
asked to submit your resignation or discharged or
dismissed ?
:
No
Are you willing to accept the minimum initial pay in
the grade ?
:
Yes
Reason for claiming higher starting pay :
Name, Address, Phone Numbers and E-mail ID's of
three referers who are familiar with the applicant's
academic work
:
1: Dr. Joby Joseph, Physics Deptt. IIT D, 91-11-2659 1336 , joby[at]physics.iitd
2: Dr. Ashok Kumar, Physics Deptt, Delhi University, 9711387343, ashokphy@gmail.com



Signature of the Applicant




Head of Department
(In case of Researchers) with Stamp
Principal
(In case of Permanent/
Temporary Tearcher with Stamp

Note:
1. Please take a print out of filled form and submit it in college.
2. Self-attested photo- copies of Certificate, Mark-Sheets, Testimonials, etc. should be attached with the application and the originals must be produced at the time of interview and at the time of
j oining,if selected.
3. The applications shall be shortlisted by a screening commitee as per the University guidelines to be called for the interview before the selection commitee.
4. Except where otherwise indicated, applicant appearing for interview shall do at their own expense.
5. Applicants who are in employment should sent their application through proper channel.
6. On the recommendation of the Screening Committee, any eligible candidate may be called for interview by the College, even if he/she may not have applied for the post witthin the stipulated time .
7. Separate Application is required for each post applied for.
8. In case of "Result Awaited" for NET examination, the candidate must inform the result as and when it is declared, failing which it will be presumed that the candidate has not qualified the same
which make him/her ineligible for the post of assistant professor.
9. In case of thesis submitted by a candidate for the Ph.D., the candidate must inform about the award of the Ph.D.
10. Fee for each application is Rs. 250/- for general/OBC candidates and Rs. 100/- for SC/ST/PWD candidates in the form of Demand Draft drawn in favour of the Principal, Shivaj i College.

Potrebbero piacerti anche