APPLICATION FORM FOR FACULTY POSITIONS( Registrar AND Administrator)

(FILL UP SEPARATE FORM FOR EACH POST)

(Note:- Please go through instructions given on the website http://ansiss.res.in/ carefully before filling –up the Application Form)

(Note: Kindly Contact On this Number   6201594413   Email:sachin.k@thecodebucket.com  If you Have Any Technical Problem )

(Note:-Please Re-upload All Document Files When You Search Details By application number Then go For Final Submit)

Yes No
  • * Advertisement Number
  • * Post Applied for
  • * Specific Subject Area's Description

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SECTION - A : GENERAL

  • * Full Name (In Block Latters)
  • * Date Of Birth
  • * Father's / Spouse Name

Address for Mailing

  • * Address Line1:
  • Address Line2:
  • * Pin Code:
  • Telephone No.(With STD Code)
If your permanent address is same as correspondence address, than please click here.

Permanent Address

  • * Address Line1:
  • Address Line2:
  • * Pin Code:
  • Telephone No.(With STD Code)

Contact Deatils
* Mobile No. * Email Address
* Gender Male Female * Marital Status
* Nationality State of Domicile *
Category *
* Present Employer

Section B :

Category I : Teaching, Learning And Evaluation Relation Activities

Educational Qualifications *

Examination / Degree Name of Board/College/University % of Marks Subject (s) Year of Passing/award Supporting Documents
PhD
Post Graduation
Graduation *
XII *
X *
Others
Whether Ph.D. awarded * Yes No
Title of Ph.D. thesis awarded *
Whether qualified UGC/CSIR NET/SLET/SET/ARS * Yes No

Details of Employment Experience *

(In chronological order starting with the most recent)
Name of Employer/Status of Institute/University (Govt. /Quasi Govt./Autonomous etc.) * Post held/Designation * Period of Employment * Basic salary last drawn, pay scale and Grade Pay * Nature of duties * Supporting Documents *
From To
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Summary Of Teaching Experience/Performance

Teaching Experience From To Total Supporting Documents
Years Months
Under Graduate
Post Graduate
Total Teaching Experience
Short term/Continuing Education/Specialist Courses conducted

Research Experience

Research Experience other than the period spent for obtaining M.Phil./Ph.D. Research Degree
CATEGORY II : CO-CURRICULAR, EXTENSION AND PROFESSIONAL DEVELOPMENT RELATED ACTIVITIES
Co-curricular, extension and professional development related activities

1). Student related co-curricular, extension and field based activities and counseling.
Description
2). Contribution to corporate sector-management of the department and institution through participation in academic and administrative committees and responsibilities.
Description
CATEGORY III : RESEARCH AND ACADEMIC CONTRIBUTION

RESEARCH PUBLICATIONS
1). Books – Self authored/co-authored/edited
Title of the Book(s) Whether Sole Author or Co-author Name of Publisher (with city/country) Moth & year of publication ISBN/ISSN No. Supporting Documents
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2). Chapters contributed in edited books
Title of Chapter(s) Title of the Book(s) Whether Sole Author or Co-author Name of Publisher (with city/country) Month & year of publication ISBN/ISSN No. Supporting Documents
 AddMore
3). Research/Articles/Papers published in Journals/Periodicals/Conference proceedings/Newspapers
Title of research article/paper(s) Name of journal Whether Sole Author or Co-author Month & year of publication, volume, no. & page nos. Whether Referred/non-referred ISBN/ISSN No. Level (Int./Nat./State/Local) NAAS Rating/Impact Factor Supporting Documents
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Research Projects Undertaken :

(other than that for a research degree)
Title/ Subject of Research Project(s) Project Type Date of commencement Date of Completion Total Grants/Funding received (Rs.) Name of Sponsoring/Funding Agency Whether Outcome/Outputs sent to Sponsoring Govt. Agency Whether final report published as monograph book Supporting Documents
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Papers presented in Regional/National and International Seminars/Conferences/Workshop/Symposium. Indicate whether the Conference Proceedings are published.
Title/Subject of paper presented Subject of Conference/Seminar/Symposium/Workshop Organizing Institution/and Name of City/Country Duration From / To Whether the proceedings published Yes/No Supporting Documents
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Other Miscellaneous Information

1). Membership/Fellowship of other institutions/professionals societies :
2). Other activities/Responsibilities :
3). Any other relevant information, if not given above :
4). Has there been any break in your academic career ? If so, give details. :
5). Have you been punished during your studies at College/University ? If so, give details :
6). Have you been punished during your services or convicted by a court of law ? If so, give details. :
7). Were you at any time declared medically unfit or asked to submit your resignation or discharged or dismissed ? If yes, give details in a separate sheet. :
8). Name and Addresses of Two references
Please indicate how you fulfill the essential as well as desirable qualifications prescribed in the advertisement.

Declaration to be Signed By The Candidate:
I hereby declare that the information given by me in the Application is true, complete and correct to the best of my knowledge and belief and that nothing has been concealed or distorted. If at any time, I am found to have concealed/distorted any information or given any false statement, my application/appointment shall liable to be summarily rejected/terminated without notice or compensation.

  • * Place
  • * Date
  • Signature
Attach Document Copy of the Letter From Present Employer of the applicant: