JAWAHARLAL NEHRU TECHNOLOGICAL UNIVERSITY ANANTAPUR

NAME & ADDRESS OF THE COLLEGE:

Madanapalle Institute of Technology & Science, Affix recent

Passport size
Post Box No: 14, Kadiri Road Photograph
(attested)
Angallu (Village), Madanapalle-517325

Chittoor District, Andhra Pradesh, India

APPLICATION FOR THE POST OF ASSISTANT PROFESS0R :

NAME OF THE DEPARTMENT ELECTRICAL AND ELECTRONICS ENGINEERING

1. Name with Surname (in Block Letters) : SUDARSHAN SWAIN

2. Father’s name (in Block Letters) : SADHU CHARAN SWAIN

3. Date of Birth (dd/mm/yyyy) : 15/07/1988 Age: (31 Years)

4. Aadhaar card Number : 655360134788

5. PAN card number : CWBPS4399M

6. Mobile Number : 9439783593

7. E-mail ID : sudarshan.nitrkl@gmail.com

8. Address for Correspondence : Sudarshan Swain

Department of Electrical Engineering

Madanapalle Institute of Technology & Science,

Madanapalle, Dist Chitoor, Andhra Pradhesh -517325

9. Educational Qualifications :

% of
Examination Branch / Name of Name of Year of
S.No Name of Degree Marks /
Passed Specialization College University Passing
Grade

MATH,
St. PAUL’S
1 X Class ICSC SCIENCE , ICSC 2004 74.5
SCHOOL
ENGLISH
ELECTRICAL PADMANAVA
AND COLLEGE OF
2 Graduation B.TECH BPUT 2010 7.79
ELECTRONICS ENGINEERING,
ENGINEERING ROURKELA
Post - M.TECH
3 ELECTRICAL NIT ROURKELA NIT ROURKELA 2015 9.27
Graduation (RESEARCH)
4 M.Phil

5 Ph.D Ph.D ELECTRICAL NIT ROURKELA NIT ROURKELA 2019 8.98

Any other
6
qualifications

1
 10. Have you passed NET/SET/SLET or its equivalent? : GATE SCORE 449 (GATE 2011)
11. If yes, indicate the month & year of exam.

12. Employment details :

(Give in chronological order details of employment) :

Period
Total
S.No Organization Designation From To Experience
(dd/mm/yyyy) (dd/mm/yyyy)
Sr. ASSISTANT 8 MONTHS
MITS MADANAPALLE 05.03.2019 30.11.2019
PROFESSOR 25 DAYS
NIT ROURKELA JRF 25.06.2011 30.06.2014 3 yr

13. Details of ratified service, if any :

Period Total
S.No Organization Designation From To ratified
(dd/mm/yyyy) (dd/mm/yyyy) service

14. Number of Publications (Give details in a separate sheet) :

Particulars National International Particulars National International

Journals Conferences

Seminars / Symposia Workshops 1

Books authored

Monographs

15. No. of Ph.Ds. Guided, if any : _____________________________________________________________

16. Membership in professional bodies : _____________________________________________________________

17. Awards received, if any : _____________________________________________________________

18. Patents obtained, if any : _____________________________________________________________

Note: Proofs of date of birth, educational qualifications, experience, Publications, ratified service to be enclosed.
Declaration
I hereby declare that the particulars furnished by me in this application form are true to the best of my knowledge and belief.
In case any information is found to be incorrect, my candidature shall liable to be rejected.

Dated : Signature of Candidate