PDM SCHOOL OF ARCHITECTURE & TOWN PLANNING

Sector-3A, Bahadurgarh
Application Form for Recruitment for Faculty Position
1. Post applied for ___________________________Department______________________
2. Full Name (In block letters)___________________________________________

Paste Attested
Passport Size
Photograph

3. (a) Fathers/Husbands Name: ________________________________________

(b) Mothers name:_________________________________________________
4. Address with phone/ Email :
Address for Correspondence

Permanent Address

Address:

Address:

Phone:
Email:
5. (a) Date of Birth:
(d) Male or Female:

Phone:
(b) Place of Birth:

(c) Nationality:

(e) Marital status:

(e) Category:

(f) Religion:
6. Educational Qualifications (Strike off which is not applicable):
Exam Passed
University/ Year of Percentage of
Board
Passing Marks/Grade
Matric
Hr.Sec./Pre.Univ./ 10+2/
Inter/Equivalent
B.Arch. /any other degree

Division Main
Subjects

Award/Medal/
Merit, if any

M.Arch.
Subject...............................................
Topic of Thesis..

...
Year of Award of
Degree.
Name of the University/Institute that has awarded the Ph.D.
Degree....

Ph.D

Any other Exam.

Area of Specialization
7.

Teaching/Professional/Research positions held (Give in chronological order starting with the present post).
Employer

Post held

Pay Scale

Basic Pay

Period of employment

Nature of duties/ work

8. (a) Total teaching experience(full-time) in Institute/College/University:_________________________

(b) Total Research experience: ______________________________________________________
(c) Any other experience:
9.

______________________________________________________

Guidance/Supervision of Ph.D. Thesis:

(a) Number of Candidates registered for Research Supervision at present: ____________________
(b) Number of Candidates who have successfully Completed/Submitted Ph.D Thesis.

10. List of Publications (if any please attached list) Books/Research Papers/any other publications
11. Detail of Research & Academic contribution (if any please attached list.)

It is certified that the foregoing information given by me is correct and true to the best of my knowledge and
belief and no material information has been concealed.

Place
Date.

Signature of the Applicant

PDM SCHOOL OF ARCHITECTURE & TOWN PLANNING

Sector-3A, Bahadurgarh

Application Form for Recruitment of Non-Teaching Post

1.
2.

Name of Post applied for

Discipline/ Department

3.

Name of the candidate in block letters (as :_____________________________________

per Sr. Sec. School Certificate
Fathers./Husbands Name (block letters) :_____________________________________
a) Date of Birth
:_____________________________________
b) Place of birth with state
:_____________________________________
Nationality
:_____________________________________
Marital Status
:_____________________________________
Category
Present Postal Address
:_____________________________________
Contact Telephone No.
:______________________________________
E-Mail I.D.
:______________________________________
Permanent address
:_____________________________________
Academic/Professional Qualification (Attach attested copies of mark sheets & certificates)

4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
Sr.
No.

Examination passed

:_________________________________
:_________________________________

Board/
University

Year of
passing

% age of
marks
obtained

Division/
Class

Passport size
recent
Photograph
to be pasted

Subject/
Specialization

i. Matric/Hr. Sec.
ii. 10+2/Inter/Pre. Engg.
iii. B.A./B.Sc./B.Com/any
other degree
iv. Master Degree
v. Any other
14. Experience (Attach attested copies of relevant certificates):Sr.
Organization/
Post
Basic Pay & From To
No.
Dept.
Held
Pay scale
drawn/
being
drawn
1
2
3
4

Total
Experience

Reason for
leaving

Certified that the above information furnished by me in this application form is correct and true and nothing has
been concealed in it. I also undertake to accept the liability for any action under the rules for any wrong-statement
or concealment of facts on my part.
Place:
Date:

Signature of applicant