LOK NAYAK JAI PRAKASH INSTITUTE OF TECHNOLOGY
CHAPRA, SARAN (BIHAR)-841302
(Under the department of Science, Technology and Technical Education, Bihar)
WALK IN INTERVIEW
Application Form for recruitment of Guest Assistant Professor
Notes:
1. Copies of all certificates/testimonials (Resume, Academic Certificates, Category Certificate, Residence
Certificate, Two passport size photo and other necessary documents) should be attached along with this
duly filled application form in a single pdf file and to be sent at academiclnjpit@[Link] .
In addition to this, bring two set of photocopies of all submitted documents with this application
form on the date of interview.
2. All relevant originals document will have to be shown at the time of interview.
Photograph
1.
[a] Name of the department:
[b] Post Applied:
[c] Specialization:
[d] Theory subject on which lecture to be
delivered by the candidate, if called for
interview
2. Personal Information:
[a] Name of the Candidate:
[b] Father’s Name:
[c] Date of Birth: [d] Category:
[e] Gender: [f] Marital Status:
3. Complete Correspondence Address:
Email ID
Mobile
PIN Phone No
4. Educational Qualifications:
Sl. Examination Year of Board/University/ Subject/Discipline Percentage/ Class
No. Passed Passing Institute CGPA Division
1. X (10th)
2. XII (10+2)
3. UG
4. PG
5. Ph D
6. OTHER
IF ANY
5. Employment Record [starting from the most recent employment]:
Sl From To Total Experience [in Year & Position Held Organization
No. Months]
6. Teaching Experience/Any other experience:
Particular Details
Courses taught
U.G. Projects Supervised
P.G. thesis Supervised
7. Scholastic Achievements (Please use separate sheet, if necessary)
Particular Number
Publication in International Journals
Publication in National Journals
Publication in conferences (if any)
Book[s] published (if any)
Book chapter[s] contributed (if any)
8. Other Activities (Please attach the documents in support of claim):
Particular Nature of Event
National International
Short-term courses organized
Conference/Seminar/Workshop organized
9. Academic excellence, if any:
Particular If yes, please
provide details
Have you been a rank holder during Academic Career?
Have you cleared NET/SET/GATE?
10. Ph. D. Thesis Title:
11. Reference (Give particular of two referees, not directly related with the candidate):
Name Designation Email Address Mobile No Phone No
12. Have you ever been prosecuted, kept under detention or bound down/fined/convicted by a court of law
for any offence or debarred/disqualified by any University/Public service commission from appearing
at its examination/selection? Is any case pending against you in any court of law at the time of filling up
of this application form? If the answer is “Yes” full particulars of the case, detention, fine, conviction,
sentence etc. should be given on a separate sheet.
I hereby declare that the information furnished above is correct.
Signature of the applicant