Beruflich Dokumente
Kultur Dokumente
Devsthali (Near Mithapur), Ambala-Jagadhari Highway, P.O. SAMBHALKHA-133101(Ambala) Approved by Haryana Government and All India Council for Technical Education (AICTE) Affiliated to Kurukshetra University, Kurukshetra Ph: 0171-2821833, 2822001 - 003, Telefax: 2822002 Website: www.ambalacollege.com, Email: info@ambalacollege.com
. APPLICATION FORM
1. 2. 3. 4. 5. 6.
Name (in block letters) Date Of Birth Marital Status Correspondence Address Permanent Address Contact No.
: : : : : :
JAI BHAGWAN 20 T H DECEMBER, 1984. MARRIED . H. NO. 142, V.P.O. KAKROD, DISTT. JIND, HARYANA Phone (With STD Code) Mobile 01684-286413 09996229490
7. 8.
jbsheokand@gmail.com
Name of Institute
Exam Passed
Board/ University
Year of Passing
Marks/ Obtained
Percentage of Marks
Division
S.D.D.I.E.T. Barwala
M. TECH. K. U. K .
2012
9.
Experience
S.No.
Institute/ Organization
Designation
Period
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To impart high quality practical education, the faculty is expected to undertake research projects assigned by the college. Will you take up such projects? Yes / No Do you suffer from any Medical Problem?: (Please elaborate) .
I certify that information provided above is correct. Any false information will result in immediate dismissal / disqualification.
Signature of Applicant
. Date
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