The Office of Dean -Research
SRM University-AP, Andhra Pradesh 522 240
Application Form for University Post-Doctoral Fellowship
Department in which Candidate Proposes to work: ……………………………………
(Please type or write using BLOCK LETTERS)
1. Name in Full : ………………………………………………………………
2. Gender : ………………………………………………………………
3. Marital Status : …………………………………………………………
5. Address
(a) Official with (Designation) : ………………………………………………………………
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Phone/ Mobile: ………………………………………………………………
(b) Residential : ………………………………………………………………
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Phone/ Mobile: ………………………………………………………………
6. Email Id : ………………………………………………………………
7. Date of Birth (DD/MM/YYYY) : ………………………………………………………………
8. Nationality : …………………………………………………………
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The Office of Dean -Research
SRM University-AP, Andhra Pradesh 522 240
9. Social Status : OC OBC BC MBC SC ST
10. Major Area of Research : ………………………………………………………………
11. Current Area of Research : ………………………………………………………………
12. Details of University/ Institutions Studied in (Bachelor's level and above): (Please attached photocopies of
degree certificates)
S. Average
Degree Discipline University/College Year Class/
No. Marks/CGPA
Division
13. Details of Previous Employment/Post-Doctoral Experience
S. Salary with Scale
Employer Position Held Date of Joining Date of Leaving
No. of Pay
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The Office of Dean -Research
SRM University-AP, Andhra Pradesh 522 240
14. Publication details (please attach a list of publications as an annexure):
International National
Journal Publications
Conferences
Books / Book Chapters
Patents (Published/Granted)
15. Scopus/WOS/Orchid ID and Link:
16. A brief write-up on the research plan and the courses you would like to teach.
17. Name and Address of three references (at least two of them should be familiar with your recent work)
Name Referee 1 Referee 2 Referee 3
Designation
Address
Email
Contact No:
18. A detailed CV providing a list of publications (full authors list, title of the paper, journal name, etc.),
teaching/research/industrial experience, and projects undertaken. Also enclose your three best papers.
I hereby declare that I have carefully read and understood the instructions and particulars supplied to me and all entries in
this form as well as the attached sheets are true to the best of my knowledge and belief.
Place :
Date : Signature of Applicant
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The completed form should be sent with all the requested attachments to the Office of Dean-Research.
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