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Zakir Husain Delhi College (Evening)

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Jawaharlal Nehru Marg, New Delhi 110002

Date:

App No.:

Please do not write anything above this line

Application form for the Post of

Assistant Professor
In Department of
___________________________________________
Reasons to fill Printed (offline) form
I ___________________________________________________________ am
not able to apply online because I am a person with disability. :

Signature of applicant

Zakir Husain Delhi College (Evening)

Page 1 of 8

Please paste recent

passport size
photograph

General Details
Post Applied For: Assistant Professor
Name of Department: _____________________________________________

Personal Details
First Name: ______________________ Middle Name: ________________ Last Name:_________________

Parents/Spouse Name _________________________________________ Date of Birth _______________

Age (As on Today) _____Y_____M_____D Category (i) (Gen/SC/ST/OBC) _________________________

(ii)PWD (Blind/LV/OH/HH)*: ___________________

Nationality _____________________ Gender _____________

Telephone No. ______________

Mob No. ______________________ Email __________________________________________________

Postal Address

Permanent Address

_________________________________

__________________________________

_________________________________

__________________________________

_________________________________

__________________________________

_________________________________

__________________________________

_________________________________

__________________________________

_________________________________
__________________________________
*Note: PWD- Persons with Disability, LV-Low Vision, OH- Orthopaedically Handicapped, HH-Hearing Handicapped

Zakir Husain Delhi College (Evening)

Page 2 of 8

(Please add additional sheets if required, for teaching/research/publication section in the format
as in this form)

Academic Qualifications*
Examination

Year

Main Subject

Marks
(%)

College
Attended

University

Points

Bachelor`s
Degree

Master`s
Degree

M.Phil.

Note: Points to be calculated in accordance with screening/shortlisting guidelines available on the

University website.
Degree

Year of Award

Thesis Title

Date Of
Registration

Date of submission

Points

Ph.D.
Other
Distinctions

Note: Points to be calculated in accordance with screening/shortlisting guidelines available on the

University website.
Whether Qualified UGC/ CSIR ______________________
NET / NET-JRF
Whether exempted from NET: Yes/ No _______________

Certificate No.____________

I certify that I am exempted from NET in accordance with the provisions of UGC Regulations, 2010.
_______________________________________________________________________________________
* Attach self-attested copies of above mentioned degrees/certificates/testimonials.

Zakir Husain Delhi College (Evening)

Page 3 of 8

Full-time Teaching Experience*

Name of University
/College/Institution

Designation
With Pay

Status
(Permanent/
Temporary/
Ad-hoc)

Classes
Taught

Course/
Subject

From

To

Experience
(in Y-M)

Points

* Attach self-attested copies of certificates from the competent authority of above mentioned experience.

Note: Points to be calculated in accordance with screening/shortlisting guidelines available on the

University website.

Research Experience*
Name of University
/College/Institution

Post
held/Designation
With pay

From

To

Experience

Points

* Attach self-attested copies of above mentioned research experience

Note: Points to be calculated in accordance with screening/shortlisting guidelines available on the

University website.

Present Employment Details

Please indicate, whether you are currently employed: Yes/ No (if yes give details and attach self-attested
copy of the appointment letter)
Organization Name _____________________ Position Held________________ Date of ______________
Appointment
Status (Permanent/ Temporary/ Ad-hoc) _______________________________

Zakir Husain Delhi College (Evening)

Page 4 of 8

Publications in Relevant Area Only*

Points to be calculated in accordance with screening/shortlisting guidelines available on the
University website.
Research Papers / Review Articles / Conference Proceedings
Title with page
nos.

Publication
Type

Journal
ISSN/ISBN No.

Refereed or Not

Sole/Co-Author

Points

* Attach the self-attested copies of the first page /cover page of above mentioned publications

Research Publications - Books, Chapters, Edited work, Articles etc.*

Title of the
Book (s)

Publication
Type

Sole/CoAuthor

Publisher (city /
country ) &
Year of
Publication

Journal
ISSN/ISBN No.

Refereed or Not

Points

* Attach the self-attested copies of the first page /cover page of above mentioned publications

I certify that the points claimed on the basis of being the first, sole or corresponding author is
based on the convention adopted by the journal/other publications.
Research Projects
Title

Major/Minor

Period
(Months)

Total
Grant/Funding
received (Rs.)

Name of
Sponsoring/
Funding
Agency

Outcome of the
Project

Points

* Attach the self-attested copies of sanctions letter of above mentioned projects

Zakir Husain Delhi College (Evening)

Page 5 of 8

Summary of Points (Out of 100)

S.No.
1

Criteria
Academic Qualifications

Maximum Points
47

Experience

20

Research Publications

33

Total points

100

Points Obtained

Note: Points to be calculated in accordance with screening/shortlisting guidelines available on the

University website.

Miscellaneous Information
Computer Skills (e.g. word processing, spreadsheet, databases or any other specific software with
familiarity level of Basic/Intermediate/Advance)
ICT Usage

Skills

Specialized Packages/
Softwares

Familiarity

Honours and Awards (Please provide details in the box below)

Significant contributions not mentioned above (Please provide details in the box below)

Zakir Husain Delhi College (Evening)

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Membership / Fellowship of Learned Bodies / Societies (Please provide details in the box
below)

Literary, Cultural or other activities (Please provide details in the box below)

Disclosure
Have you been debarred or punished for adopting unfair means in any Examination by the
Institution / Board or University? Yes / No

If yes, specify _____________________________________________________________

Have you at any time convicted by court for any criminal offence? Yes / No

If yes, specify _____________________________________________________________

Were you ever discharged or dismissed from any previous employment? Yes / No

If yes, specify ______________________________________________________________

Zakir Husain Delhi College (Evening)

Page 7 of 8

Three Referees Familiar with your Academic Work

Full Name

Institutional
Affiliation

Designation

Institutional
Address

Mobile/Phone
No.

Email

No Objection Certificate
Please indicate if NOC is not available: Yes/ No
Forwarded with the remarks that the facts stated in the above application have been verified and found
correct and this Institution/ Organization has no objection to the candidature of the applicant being
considered for the post applied for.
Name of Head of Institution _______________________________
Designation_____________________

Signature & Seal of Head of Institution ______________________

Address ____________________________ Place________________ Date________________

Declaration
I declare that the statements made and documents enclosed with the application form are true to the
best of my knowledge and belief. If any information is found to be incorrect, my candidature is liable to
be cancelled and that I may be subject to legal / disciplinary proceedings.

Date:

Applicants Signature

Zakir Husain Delhi College (Evening)

Page 8 of 8