Sri Tontad Siddhalingeshwar Kalyan Kendras

Tontadarya College of Engineering

(Affiliated to VTU, Belgaum & Approved by AICTE, New Delhi)

Mundaragi Road, GADAG 582101 Ph. No.: 08372-236933/232445 Fax: 08372 232446 Email: tcegadag@rediffmail.com Website: www.tce.ac.in

Running Faculty Recruitment Programme APPLICATION FORM

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Application for the post of .. In the department of .. PERSONAL DETAILS: Full Name: Date of Birth (DD/MM/YYYY): Postal Address for Communication:

Sex (M/F):

Contact Number(s) with STD code: Email ID(s): Religion: Category: EDUCATIONAL QUALIFICATIONS: (Give details from SSLC/X/10th onwards) Name of Sl. Course Branch/ the No Specialization University 1 2 DETAILS OF EXPERIENCE: Teaching Experience in years: No. of National Publications: No. of UG Projects Guided: Caste: Blood Group:

Name of the Institute

Year of Passing

Class with % of Marks Obtained

Industrial Experience in years: No. of International Publications: No. of PG Projects Guided:

Research Experience in years: No. of Books Published: No. of Doctorate Students Guided:

TEACHING EXPERIENCE (Give in chronological order, starting from the most recent one): Period of Last Sl. Position Nature of Institute where worked University Appointment Pay No Held Appointment with dates Drawn 1 2 INDUSTRIAL EXPERIENCE (Give in chronological order, starting from the most recent one): Period of Last Sl. Position Nature of Organization where worked Appointment Pay No Held Appointment with dates Drawn 1
Faculty Application Form, TCE - Gadag Page 1 of 3

2 RESEARCH EXPERIENCE (Give in chronological order, starting from the most recent one): Sl. Name of the Institute Area of From To Designation No where worked Research 1 2 Projects Details: Sl. No Course 1 UG 2 PG 3 Ph.D Project Title

I certify that the information furnished above is true to the best of my knowledge.

Place: Date:
(Signature of the Applicant with date)

One set of following attested documents is enclosed along with the application form: Sl. No 1 2 3 4 5 6 7 8 9 10 11 Document Resume SSLC Marks Sheet Diploma Marks Sheet UG Degree Marks sheet UG Degree Certificate PG Degree Marks Sheet PG Degree Certificate Ph. D Certificate Net/Set Passing Certificate Experience Certificate Other Certificates (if any) Enclosed (YES/NO) Total NOs.

For OFFICE USE only Post applied for: Branch: Category: Application No.: Inward:

Section Clerk
Faculty Application Form, TCE - Gadag

OS

Principal

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