Estd 2001

SRI VENKATESA PERUMALCOLLEGE OF ENGG & TECHNOLOGY

(Approved by AICTE & Affiliated (Permanent Affiliation) to JNTUA, Anantapur; Accredited by National Board of Accreditation
(NBA) New Delhi; Accredited by National Assessment & Accreditation Council (NAAC) Bangalore; 2(f) and 12(B) recognition
by University Grants Commission (UGC), New Delhi).
Chinnarajakuppam, R.V.S. Nagar, K.N. Road, Puttur 517583, Chittoor Dt, A.P. Ph: 08577 201066
Website:www.svpcet.org E-mail:principal.g0@jntua.ac.in

APPLICATION FORM FOR FACULTY RECRUITMENT

BY ADVERTISEMENT AND SELECTION

NOTE: A Copy of the filled in application along with proofs of educational
qualification has to be sent in a closed envelope super scribed on it for the faculty
position in Sri Venkatesa Perumal College of Engineering &Technology,
Puttur to the Principal, and another copy to be sent to the Registrar, JNTUA,
Anantapuramu 515 002, A.P before 4.00 pm on 26-04-2014



Please affix
latest passport
size photograph
with light back
ground

1 Post applied for :


2 Faculty / Department :


3 Full Name (In Capitals) :


4 Date of Birth
:
Gender
:



(dd/mm/yyyy)

(Male/Female)




5 Nationality : Religion :


6 Caste & Category
:

Sub-Category

:



(SC / ST / BC / OC / PH)




7 Father / Husband Name :


8 Postal Address to which communication should be sent :

Present Address Permanent Address









Phone Number : Mobile :


e-mail id (s) :


9 Educational Qualifications:


Name of the
Name & Place Name of the
Year of

Percentag

Class /
Subjects taken


of the School / Board /

for


Exam/ Degree

Passing

e of Marks

Division


College University Specialization

(1) (2) (3) (4) (5) (6) (7)

SSC



Inter/Diploma



UG Degree



PG Degree



M.Phil Degree



Ph.D Degree



Others, if any




Page 1 of 3
10 Give the details of your employment in chronological order:



Name and address
Period Total Basic Regular/


period

Pay & Adhoc/


of Institution /

Post held

Scale of pay



From

To

in each

Gross

University


office



cadre

Pay

Ratified



1 2 3 4 5 6 7 8













11 Have you published any papers or text books? If so, give particulars and if possible enclose copies of

papers/books clearly mentioning the names of international/national journals in the case of papers published

and conferences participated for presenting papers, names of publishers in the case of text books. (Attach a

separate sheet with all details)


Details National (No.)
International
Details

National(No.)
International


(No)

(No)



Journals Conferences



Seminars Workshops



Text books Monographs



12 Membership Name & Address of the Professional Society Nature Number

in


Professional



Societies




13 No. of Ph.Ds guided, if any :

(Give the details on a separate sheet)

14 Awards received, if any :

(Give the details on a separate sheet)

15
Languages
Speak Read Write


Known:


16 Details of Experience:

Teaching UG/PG Classes with details of subjects

handled, course, semester, year etc., (Enclose

separate sheet if required)

Guiding Research



Industrial Experience



Administrative Experience



If appointed what duration of time would you require

for joining the post?

Additional information, if any, in support of the

application: (Use Separate Sheet in necessary)


Page 2 of 3
17 Referees : (The referees should be persons residing in India holding responsible position and not related to
the applicant)
S.No Name Occupation or position Address
1

2

18 Details of Enclosures:
a.


b.

c.

d.

e.

f.

g.

h.

i.






DECLARATION BY THE APPLICANT

I hereby declare that the information furnished above is true and correct to the best of my
knowledge & belief.



Date :

Place : SIGNATURE OF THE APPLICANT




















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