SARDAR VALLABHBHAI PATEL INSTITUTE OF TECHNOLOGY

(S.V.I.T.), VASAD - 388 306, GUJARAT (INDIA).

Last Date for Receipt of Application: 15/05/2012
Application for the Post of ____________________
(Prof./Assoc. Prof./Asstt. Prof)

in ___________________
( Deptt. )

NOTE :
(a)

The person already in employment should forward the application

through the employer.
(b) The application should be submitted along with attested copies of the relevant
certificates, mark sheets, testimonials etc.
(c) Additional sheets of paper may be attached if the space provided against any item
is insufficient.
(d) Candidate should be able to teach through English Medium.
(e) Candidate should apply separately for each subject / post. (Application form can
be photocopied)
(f) Minimum Qualifications, Pay Scales, Experience and Age Limit as per
AICTE/GTU/Guj. University rules as the case may be or as per prevailing rules of
the institution.
======================================================
(1). Full Name : Mr/Miss/Mrs.
: ________________________________________
(2). Date of Birth & Age

: (i) ________________ (ii) ____________ Years.

(3). Present Designation &

Office Address
(i). Telephone :- __________

: ________________________________________

(ii). Fax

:- __________

: ________________________________________
: _______________________________________

(4). Present Address for correspondence: ______________________________________

(i). Telephone : - __________
: _______________________________________
(ii). Fax :- ______________
: _______________________________________
(iii). Mobile:- _____________
: ________________________________________

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(5). Permanent Residential Address
(i). Telephone : - __________
(ii). Fax :- ______________
(iii). Mobile:- _____________

: _______________________________________
: _______________________________________
: _______________________________________
: ________________________________________

(6). Educational Qualifications - Details of Degrees / Diploma held :Examination

Passed (Tick
Appropriately)

Specialization

Year
of
Passing

Class &
% age
obtained

Examining
Body/Uni.

Name of
School/College

Old S.S.C. /
H.S.C.
Diploma / B.sc.
M.sc. / B.E. /
B. Tech
M. E. / M. Tech.
Ph.D. (Science )
Ph.D. ( Engg.)
Any Others :

(7). Teaching Experience: Total No. of Years: ______________________________.

Sr. Designation Held
No.
1.
2.
3.
4.
5.
6.

Employer's Name

From - To Pay-scale

Last Basic
Pay Drawn

. 3 .
(8). Professional Experience : Total No. of Years :

_______________________.

(After obtaining the basic Degree)

Name & Address of the

Employer

(a)

Designation
of the post
held

Period of
Service
From:
To

Nature of
Service

Total Salary
drawn p.m.
(Rs.)

As Employee other than Teaching Staff:____________________________________

_______________________________________________________________________
_______________________________________________________________________

(b)

As a Teaching Staff: ______________________________________________________

_________________________________________________________________________
_________________________________________________________________________

(9). (i). No. of Short-Term Courses attended: _________________________________

(ii). No. of Tech. Books Published:

_________________________________

(10). No. of Research Papers Published / Presented at National Level: _______________

(11). No. of Research Papers Published / Presented at International Level: __________
(12). Present (a). Pay-Scale
: (a). _____________. (b). _____________
(b). Basic Pay (c). Total Emoluments (c). _____________ (d). _____________
(d). Date of Next Increment.
(13). (i). Minimum Notice-period required to join & : ____________________________
(ii) Date of Next Increment : ___________________________________________
(14). Minimum Basic Pay/ Gross Pay acceptable: _______________________________.

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(15). Name & Address of Two References who may be contacted about Work &
Character of the applicant & are not related to the applicant :(1).

(2).

(16). Special Qualifications / Experience in respect of the post applied : - ( Attach

separate sheet if required ).

(17). Candidate should submit BIO-DATA seperately.

(18). List of Testimonials/Certificates/ Marksheets of which copies are attached with the
application
1.

5.

2.

6.

3.

7.

4.

8.

-----------------------------------------------------------------------------------------------------------Important Note :Application must be in the prescribed Form & supported by Certified Copies of all Marksheets, School Leaving Certificate & Passing Certificates of Old S.S.C. / H.S.C. and all
Degrees / Diplomas obtained. Applicants in service must forward applications through
the employer. Incomplete application /s will be rejected.
Applicants called for Interview will have to come at their own cost.
------------------------------------------------------------------------------------------------------------

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: Declaration to be made by the applicant :
I hereby solemnly declare that all information given above is true.
Place : ___________________.
____________________________________.

( Name & Signature of the applicant )

Date : ___________________.
------------------------------------------------------------------------------------------------------------

We have " NO OBJECTION " to the consideration of the applicant at

S.V.I.T., VASAD.

Official Seal & Signature of the forwarding

Authority.