Vyavsayi Vidya Pratishthan

Sanchalit
V.V.P.Engineering College
Vajdi-Virda,Kalawad Road,
Rajkot-360 005.

D.D. in favor of Vyavasayi

Vidya Pratishthan - Rajkot.
Payable at Rajkot
Price : Rs. 200
Sr. No.
Date of issue:

Affix
Passport size
Photograph
(self attested )

Application Form for the post of Assistant Professor in __________________________

Note:- (i)
(ii)
(iii)

The application should be submitted along with true copies of the

relevant certificates within 10 days from the date of advertisement.
Additional sheets of paper may be attached if the space provided
against any item is insufficient.
For GTU Norms: Please refer http://www.gtu.ac.in/affiliation/
2014/09072014.pdf

1.0 Name in full:- ( in Block Letters)

Mr./Mrs./Ms._________________________________________________________
(SURNAME) (NAME) (FATHERS/HUSBANDS NAME)
2.0 Full address for correspondence :
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
________________________________________________ Pin ______________
Telephone No. ________________STD Code (
)
Mobile No._____________________________
E-Mail Address:_________________________
3.0 Date of Birth:_______________ Age :_______ Years______ Months
Nationality: ________________ Caste:____________Mother tongue ____________
4.0 Birth Place : Town/Village :_______________ Tal._________________
Dist:_______________ State:-________________
5.0 Languages Known :READ
WRITE
SPEAK

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6.0 Educational Qualifications: (Begining with SSC/HSC Exam.)

Examination
passed

University/
Board

Year of
passing

Div/
Class

%
marks*

Subjects/
Discipline
(Specialisation)

S.S.C.
H.S.C.
B.E./B.Tech/Equi.
M.E./M.Tech/Equi.
Ph.D.(Engg./Tech.)
*(% Marks to be included nearest to second decimal and attach relevant Photocopies of
Marksheet.)

7.0 Details of Professional Experience:

(after obtaining the basic degree and as on date of advertisement.)
Nature of service
Name and address
Designatio
Period of
full time/adhoc/temp.
of the employer
n of the
service
and period of service
post held
Year
Months
Nature
From
To
(a) As a Trainee or Apprentice

(b) As Employee other than Teaching Staff

(c) As a Teaching Staff

(Sp. Note:-Please attach Photocopies of experience certificates. Part-time/Visiting

faculty experience not to be included in this column.)

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Total
salary
drawn
p.m.

8.0 Research Experience:

(a) Research work done as student for Master/Doctorate Degree.
Period
Degree

Topic

From

To

Institution/
University

Name of
Guide

(b) Research work done other than above including guiding Thesis:
Period
Institution/
Degree
Topic
University
From
To

9.0 Training Programmes after graduation/ Post graduation :

Period
Name of programme
From
To

%
Marks
for
Masters
Degree

Name of
Guide/
Co-Guide

Details of place/
institutes etc.

(AICTE/ISTE/UGC approved short term courses/summer schools/winter

schools/workshop etc. please attach photo copies of participation certificates.)
10.0 Papers presented in conferences/seminars/symposium etc.
Name of
conference/
Title of paper
Date/ Dates
seminar
presented
and place
/symposium
National Level:

whether said paper

is published in
preprints
/proceedings etc.

International Level:

Please attach photo copy of certificate /xerox copies of preprints/papers published.

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11.0 Details of publication :(a) Books/Monographs/chapter in Enclyclopedia

Title

Authors

Year

Name of
publisher

(b) Research papers published:

Title of paper

Name of Journal

12.0 Extra-curricular activities:Sports/Fine arts/Eloqution

competition/ NCC etc. at
state/National level.

Year

Page
From
To

_____________________________________
_____________________________________
_____________________________________

(Specify relevant details and attach a copy of the proof for each category.)
13.0 Special achievements:
Gold medal /Prizes/other Medals
received. (please attach a proof)

___________________________________
___________________________________

Also National/International
Awards received.

___________________________________
___________________________________

14.0 Details of any innovation /activity ____________________________________

involved during professional
____________________________________
career.
____________________________________
15.0 Names and address of two references who are not related to the candidate but who
are acquainted with the work and character of the candidate.
(1)
(2)
____________________________
_______________________________
____________________________
_______________________________
____________________________
_______________________________
____________________________
_______________________________
16.0

Present pay Rs.________________ Pay scale__________________________

Total emoluments p.m. Rs.____________ Date of next increment__________
17.0 Approximate time required for joining
if appointed:
______________ month/months
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18.0 For retired/ likely to retire candidate:

Please specify all the relevant details like Designation, Last salary, Pension etc.
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
19.0 Any other information in support of the application:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
I hereby declare that the information given above is correct to the best of my
knowledge and belief. I understand that in the event of any particular or information
given herein is found false or incorrect, my candidature is liable to summarily rejected or
cancelled.

Place :
Date:

Signature of the applicant

List of photocopies of certificates self attached with this application:- (as per sequence)
1
3
5
7
9
11

S.S.C. Marksheet
H.S.C. Marksheet
B.E. Marksheet (All)
M.E/M. Tech. Marksheet (All)
Ph.D. Degree Certificate
All Experience Certificate (if
applicable)

2
4
6
8
10
12

16

S.S.C. Degree Certificate

H.S.C. Degree Certificate
B.E. Degree Certificate
M.E./M.Tech. Degree Certificate
School Leaving Certificate
Other University Endorsement Letter for
the post of Director/Principal, Professor,
Associate Professor/HOD
to consider
teaching experience.
UGC approval letter for the degree
awarding
private/deemed
universities
outside of Gujarat.
Paper Presentation Certificate

13 Gazette
Copy/Marriage
Certificate for confirmation of
candidate name (if applicable).
15 AIU equivalent certificate for
University out of India.
17 Seminar Attended Certificate
19 Symposium Certificate
21 Details of Book Publication
23 Other

14

18
20
22

Conference Attended Certificate

Details of Paper Publication
Patents details

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