Teaching – Sasurie

Application Form Teaching

Teaching form

Position to apply:

First Name

Last Name

Gender

Male

Female

Address

Address Line 1

City

State

Zip Code

Phone/Mobile

Alternate Contact no

Email ID

Father Name

Age

Date of Birth

Nationality

Religion

Aadhar Number

PAN Number

Educational Qualification (Starting from basic degree) (enclose Marks Sheet)

Degree	Area of Specialization	Institute/University	Month &Year of passing	Class	% of Marks/ CGPA	Mode of Education

If a Ph.D. option is selected

Recognized AU Superviso	Anna University Supervisor Ref No	No.of Ph.d Scholars Registered Under your Guidance Till Now.		No.of Ph.d Scholars Completed Under your Guidance Till Now.	Part Time	No.of Ph.d Scholars Under your Guidance Now.	Part Time

Details of Thesis

Course	Title of the Project/Thesis	Short Details

Experience (Starting from current Position):

a) Academic:

From	To	No. of Years	Designation/ Nature of job	Last Pay Drawn	Institute/Organization

b) Research: (Full Time Only):

From	To	No. of Years	Designation/ Nature of job	Last Pay Drawn	Institute/Organization

c) Industrial / Practice Experience

From	To	No. of Years & Month	Designation/ Nature of job	Last Pay Drawn	Institute/Organization

Publications

a) Books Published:

Title	Authors/ Domain	Publishers	ISBN	Year

b) Publications in Journals: (SCI/WOS/SCOPUS/UGC Care only)

Title	Authors/ Domain	Name of the Journal	National / International	Vol/Issue/ Year

c) Publications in conference: (International)

Title	Authors/ Domain	Name of the Journal	National / International	Vol/Issue/ Year

a) Seminars/Schools/Conferences/Workshops Organized:

Title	Period		Organization, Venu	Remarks

b) Seminars/Schools/Conferences/Workshops Attended:

Title	Period		Organization by	Remarks

c) Industry Training:

Title	Period		Organization by	Remarks

d) Certifications Completed (NPTEL/NASSOM/ Coursera/etc.,)

Title of the Program	Period		Issued by	Remarks

Special / Invited Lectures / chairing the session:

Topic	Organized / Venue	Mode of Delivery (Online/off-line)	Audience	DD/MM/YY

Awards, Prizes, Medals and Honours received, if any:

Details	Awarded for the work	Status	Remarks

Consultancy Services Carried out

Nature of consultancy (Project/ Testing/training)	Title	Industry / Organization	Period		Amount Generated

Computer proficiency (Specify in particular)

References

Column 1

Testimonials

Any other relevant information

Updated Resume, Below 10MB DOC, PDF files only)

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I hereby declare that the information provided in this form are true to the best of my knowledge and belief.

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Application Form Teaching

Experience (Starting from current Position):

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