MIRZA GHALIB COLLEGE, GAYA
(A Muslim Minority Deficit Grant-in-aided Affiliated College under Magadh University, Bodh-Gaya)
Applica on for the Post of Assistant Professor
1. Name of the Subject: _________________________________________
2. Name of the Applicant: _______________________________________
(In Capital Letter and as per Matriculations Documents) Passport size
Photo
3. Nationality: ____________________
4. Gender: Male_________Female__________Transgender____________
5. Date of Birth: _________________(As per matriculations Documents)
6. Address for correspondence:
_______________________________________________________________________
_______________________________________________________________________
District__________________State____________Pin____________________________
7. Permanent Address:
_______________________________________________________________________
_______________________________________________________________________
District__________________State____________Pin____________________________
8. Father’s Name: ___________________________________________________________
9. Mother’s Name: __________________________________________________________
10. Spouse Name/ if any: ______________________________________________________
11. Mobile No.______________________________________________________________
12. Email Id:________________________________________________________________
13. Aadhaar No._____________________________________________________________
14. PAN No:________________________________________________________________
15. Identification Mark : ______________________________________________________
16. Educational Qualifications:
Standard/ Subjects Name Board/University Year of Full Marks % of Class/
Degree Passing Marks obtained mar Grade
ks
10th/Matricul
a on/
Secondary
XIIth
/Intermediate
/
Sr. Secondary
U.G
P.G
Ph.D.
Others
17. Details of passing NET/BET of equivalent test accredited by UGC:
Name of the Test Conducted By Passing Year Subject Cer ficate No.
18. If you have not passed NET/BET or equivalent test accredited by UGC then Tick
appropriately in the box below: -
I. Have you obtained Ph.D. Degree on the basis of UGC prescribed Minimum Standard and
Procedure Regulation-2009, as amended vide 2016 Regulations: Yes / No
II. Have you registered for Ph.D. Programme prior of July, 11 2009 and have obtained the
Ph.D. degree: Yes / No
19. Details of Publications (if any):
I. Research Publications (02 marks for each research publications published in SCI Journals/Scopus
Indexed/UGC-care Listed journals.)
Sl No. Title of paper Name of ISSN No. Main author/Co-Author Date of Publica on
Journal
II. Attach separate sheet in the above format if additional published paper is to be added to above
list.
III. Self-attested pages of the relevant published paper which shows the information given in the
table above should be attached essentially.
IV. Books published by University, National Institutes/Standard Publishers.
Sl No. Title of Book/chapter along with book Authored/co- Name of Publishing
name authored/chapter in University/Na onal
edited book Ins tute/Standard Publisher
I. Attach separate sheet in the above format if additional published paper is to be added to above
list.
II. Self-attested pages of the relevant published paper which shows the information given in the
table above should be attached essentially.
20. Whether you are Presently Employed: Yes ( ) No ( ) (Please tick in the box)
If yes, give the following information (Attach Appointment Letter): -
Appointment’s letter Name of the employer Period Nature of service
No. & dated
21. List of enclosures: Self Attested Photocopies of the documents should be attached
serially: -
Sl. No. Document Enclosed – Yes or No Enclosed as Page No.(s)
1. 10th /Matriculation Certificate and
Marksheet
2. 12th /Intermediate Certificate and
Marksheet
3. Graduation Degree/ Certificate and
Marksheet
4. Post-Graduation Degree/ Certificate
and marksheet
5. NET/BET or equivalent test passing
Certificate
6. [Link]. Degree Certificate and/ or
Notification
7. Ph.D. Degree Certificate and/ or
Notification
8. Certificate issued by competent
authority if Ph.D. Degree registration
done before 01.07.2009
9. Certificate issued by competent
authority if Ph.D. Degree is obtained on
the basis of UGC prescribed Minimum
Standard and Procedure Regulation
2009, as amended vide 2016
Regulation if not mentioned in the
Ph.D. Degree Certificate and/or
Notification
10. Caste Certificate
11. Post Ph.D. Research Experience
Certificate
12. Post Ph.D. Teaching Experience
Certificate
13. Publication related Documents
14. OGPA/CGPA/Grade Points to
percentage Conversion document for
10th/Matriculation, 12th /Intermediate,
Graduation and Post-Graduation
15. No Objection Certificate from Present
Employer
16. Aadhaar
22. Declaration (Please or as the case may be in the boxes below):-
I hereby declare that the above information is true to the best of my knowledge and belief.
If any of the above information is found to be false or incorrect, then my candidature may
be cancelled at any stage.
I have already communicated to my employer, NOC issued by the employer will be produced
at the time of document verification.
I have not been debarred by Union Public Service Communication or any State Public
Service Communication for appearing in examinations.
Date: ________________ Signature of the Applicant
Place: _______________
MIRZA GHALIB COLLEGE, GAYA
APPLICATION FOR THE POST OF ASSISTANT PROFESSOR
SUBJECT: _______________________
FROM,
NAME :
FATHER’S NAME :
DATE OF BIRTH :
MOBILE NO (WhatsApp) :
EMAIL :
ADDRESS (Permanent) :
___________________________________________________________ TO,
MR. SHABI ARFEEN SHAMSI
___________________________________________________________
SECRETARY (G.B.)
___________________________________________________________ MIRZ AGHALIB COLLEGE, GAYA
ADDRESS (correspondence) : WHITE HOUSE COMPOUND, GAYA
___________________________________________________________ BIHAR, 823001
___________________________________________________________
___________________________________________________________
NOTE:
1) THIS FORMAT MUST BE TYPED (NOT HANDWRITTEN) IN BLOCK LETTERS AND PASTED ON THE ENVELOPE; OTHERWISE, YOUR
APPLICATION WILL NOT BE CONSIDERED.
2) APPLICANTS ARE KINDLY REQUESTED TO PROVIDE A MAILING ADDRESS THAT MATCHES THEIR CORRESPONDENCE ADDRESS TO
ENSURE TIMELY DELIVERY OF THE INTERVIEW LETTER.