Indian Institute of Mass Communication

Aruna Asaf Ali Marg, JNU Campus, New Delhi 110067

Application for Faculty Positions in IIMC

Advertisement No. ...................

DD No. ........................... 3.5 x 4.5

passport size photo
Date: ...........................

Post applied for: ..........................................

I. Personal Data
Name in full

Father’s & Mother’s Name

Date of Birth
DD – MM – YYYY
Address for correspondence

Contact Information : Phone

Email
Nationality

Do you belong to SC/ST/OBC (enclose Certificate

Marital Status

II. Educational Qualifications (beginning from the highest)

Exam /Degree University | Institution Subjects % of Marks / Year

Grade
III. Research Degree(s) :
Degree Title Date of Award University
M.Phil
Ph.D
D.Litt

IV. Details of NET / SLET or SET Qualifications (for Assistant Professors)

No. Particulars Year when qualified
1 National Eligibility Test (NET)
2 State Eligibility Test (SET)

V. Details of Research, Publications, Consultancy activities.

No. Area of academic activity Particulars Research Score
claimed*
(wherever
applicable)
Research papers in peer
1.
Reviewed or UGC listed
Journals.
2. Publications (other than
research papers

3. Creation of ICT material

4. Research Guidance

5. Patents

6. Lectures / seminars /
conferences
*please refer to Table 2 of Appendix II of UGC Notification of 18 July 2018 ‘UGC Regulations on
Minimum Qualifications for Appointment of Teachers and Other Academic Staff in Universities and
Colleges and Measures for Maintenance of Standards in Higher Education, 2018

VI. Work Experience

Designation Organization Nature of Work Period
VII. Present employment
Designation Organization Nature of Work Pay | Emoluments

VIII. Any other information relevant to the candidate e.g. significant achievements, awards, etc.
Particulars Year

(attach separate sheet if necessary )

IX. References

Name and contact information Particulars of relationship

(Reference may be from present / past employer, professors / teachers who have taught the applicant)

I hereby declare that the information given in the application form are true and correct to the best
of my knowledge and belief.

(Signature of the applicant)

Place :
Date :
 CERTIFICATE

(To be filled in by the employer in respect of persons already in service)

Certified that ………………………………………………….. has been working in this organization

since…………………. We do not have any objection for his/her being considered for employment in the
Indian Institute of Mass Communication.

(Seal)

Signature of Head of Organization

Name……….............…………………….
Designation..........……………………...
Address.............………………………….