ISLAMIAH INSTITUE OF TECHNOLOGY
(Affiliated to VTU)
APPLICATION FOR FACULTY POSITION
APPLICATION FOR THE POST OF LECTURER / ASSISTANT PROFESSOR / PROFESSOR
IN THE DEPARTMENT OF: ..
Passport
size photo
Item 1: PERSONAL INFORMATION
NAME : DATE OF BIRTH :
SEX : MALE / FEMALE AGE :
HIGHEST QUALIFICATION :
PERMANENT ADDRESS: ADDRESS FOR COMMUNICATION:
PHONE NO: E - MAIL ID:
(with STD Code)
MOBILE NO:
PRESENT POSITION: PRESENT BASIC PAY :
SCALE OF PAY :
GROSS SALARY :
SALARY EXPECTED AT IIT: IF OFFERED A POST, TIME REQUIRED TO JOIN
DUTY:
Page 1 of 3
Item 2: EDUCATIONAL QUALIFICATIONS
( Give Details from Undergraduate Degree onwards)
S. No Course Branch/ Name of Name of the Year of Class with % of
Specialization the Institute Passing Marks Obtained
University
1
2
3
Note: Account for Break in Study, if any
Item 3: DETAILS OF EXPERIENCE
A: TEACHING EXPERIENCE
( Give in chronological order, starting from the most recent one)
S. No From To Name of the Institute Designation Subjects
where worked Taught
B: RESEARCH EXPERIENCE
( Give in chronological order, starting from the most recent one)
S. No From To Name of the Institute Designation Area of
where worked Research
C: INDUSTRIAL EXPERIENCE
( Give in chronological order, starting from the most recent one)
S. No From To Name of the Industry Designation Nature of work
where worked
Page 2 of 3
Item 4: RESEARCH PUBLICATIONS
Number of Papers Number of Papers Number of Papers Number of
Published in an Published in a Presented in Papers
International Journal National Journal An International Presented in
Conference National Conference
Item 5: AREAS OF INTEREST
S. No Theory Subjects of Interest to teach Areas of Research Interest
Item 6: ADDITIONAL INFORMATION
A: Membership of Bodies :
B: Awards and Prizes :
C: Book Publications :
D: Any other information :
I certify that the information furnished above is true to the best of my knowledge.
(Signature of the Applicant with date)
List of Enclosures:
1.
2.
3.
4.
Page 3 of 3