PSNA COLLEGE OF ENGINEERING & TECHNOLOGY

KOTHANDARAMAN NAGAR, DINDIGUL- 624 622. TAMIL NADU, INDIA.

PHONE: 0451 2554032 / 2554262 / 2554033 / 2554349
TELE FAX 0451 - 2554249

APPLICATION FORM FOR FACULTY POSITION

Affix Photo
Post :
Department :
Reference : Advertisement in ______________________

appeared on _____________

PERSONAL DETAILS

1. Name:
2. Father / Husband Name:
3. Date of Birth:
5. Sex:

Male

4. Age:
Female

7. Religion:

6. Nationality:
8. Community : FC / BC / MBC / SC / ST
10. Marital status :

9. Caste:

Married

/ Un-Married

If married, Spouse : Employed / Unemployed

No. of Children :

Address for Communication

Phone No. with STD Code:

Mobile No
:
Email id.
:

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ACADEMIC QUALIFICATIONS *

No

Degree

Specialization

Year
of
Passing

Full time /
Part time / Class /
Distance Position
Education

Agg.
%/
CGPA

University

Institution

1.
2.
3.
4.
5.
6.

* Attach Photo copy of relevant certificates.

PROFESSIONAL EXPERIENCE *
Teaching (in Engineering Colleges only) chronological order

Sl.No.

Designation

Duration

Institution

From

1.
2.
3.
4.
TOTAL

* Attach Photo copy of relevant certificates.

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To

Experience
(in years)

Others (Industry, Research, Teaching in Arts College / Polytechnic / School) chronological order
Sl.
No.

Designation

Duration

Institution

From

To

Experience
(in years)

1
2
3
4
5
6

TOTAL

SKILL DEVELOPMENT PROGRAMMES [FDP / STTP / WORKSHOPS ATTENDED]

Sl.
No.

Programme

Duration
From

Institution
To

1
2
3
4
5
6
* Attach Photo copy of relevant certificates.
PUBLICATIONS

Book Publications

1.

(give the title, publisher & year of publication)

2.
3.

Paper : Journal Publication

International :

(give the no. of publications)

National :

Paper : Conference Publication

International :

(give the no. of publications)

National :

* Attach Photo copy of relevant certificates.

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SEMINARS / CONFERENCES

Seminars / Conference Organised

(give the Conference Theme and the date)

Seminars / Conference attended

International :

(give the number)

National :

* Attach Photo copy of relevant certificates.

ANY OTHER INFORMATION

Sponsored Research Projects Undertaken

Yes

No

If 'yes', provide details

Membership in Professional bodies

1.
2.
3.

Awards & Achievements (if any)

I declare that the above particulars furnished by me are true to the best of my knowledge

Place :
SIGNATURE OF THE CANDIDATE
[With Name]

Date :

* Attach Photo copy of relevant certificates / documents wherever necessary.

Office Use
Date of Interview:
Selected or Not

If Selected,
Salary details:

PRINCIPAL
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DIRECTOR [Estt.]

INSTRUCTIONS TO CANDIDATES

1. The filled in applications should be sent to the Principal with in 10 days from the
date of advertisement.
2. Interview letter will be sent only for the suitable candidates and not for all.
3. Salary will be fixed as per the AICTE norms based on qualifications and experience.
4. Written test will be conducted before personal interview if needed.

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