RAMAIAH INSTITUTE OF TECHNOLOGY, BANGALORE – 560 054

(An Autonomous Institute Affiliated to VTU)

APPLICATION FOR FACULTY POSITION

APPLICATION FOR THE POST OF PROFESSOR/ ASSOCIATE PROFESSOR/ ASSISTANT PROFESSOR

IN THE DEPARTMENT OF: …………………………………………..……..

Passport
Item 1: PERSONAL INFORMATION size photo

NAME : DATE OF BIRTH :

SEX : MALE / FEMALE AGE :

HIGHEST QUALIFICATION :

PERMANENT ADDRESS: ADDRESS FOR COMMUNICATION:

PHONE NO: E - MAIL ID:

(with STD Code)

MOBILE NO:

PRESENT POSITION: PRESENT BASIC PAY :

SCALE OF PAY :
GROSS SALARY :

SALARY EXPECTED AT MSRIT: IF OFFERED A POST, TIME REQUIRED TO JOIN

DUTY:

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Item 2:EDUCATIONAL QUALIFICATIONS
(Give Details from Undergraduate Degree onwards)
S No Course Branch/ Name of Name of the Year of Class with
Specialization the Institute Passing % of Marks
University Obtained
1
2
3
4
Note: Account for Break in Study, if any

Item 3: DETAILS OF EXPERIENCE

A: TEACHING EXPERIENCE
(Give in chronological order, starting from the most recent one)
S. No From To Name of the Institute Designation Subjects
Taught
1
2
3
4

B: RESEARCH EXPERIENCE
(Give in chronological order, starting from the most recent one)
S. No From To Name of the Institute Designation Area of
Research
1
2
3
4

C: INDUSTRIAL EXPERIENCE
(Give in chronological order, starting from the most recent one)
S. No From To Name of the Industry Designation Nature of work

1
2
3
4

Item 4: RESEARCH PUBLICATIONS

Number of Papers Number of Papers Number of Papers Number of Papers

Published in an Published in a Presented in an International Presented in
International Journal National Journal Conference National Conference

Item 5: AREAS OF INTEREST

S. No Theory Subjects of Interest to teach Areas of Research Interest

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Item 6: ADDITIONAL INFORMATION

A: Membership of Bodies :

B: Awards and Prizes :

C: Book Publications :

D: Any other information :

Item 7: State briefly what you propose to do at MSRIT, if offered the post:

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

(Signature of the Applicant with date)

List of Enclosures:

1.
2.
3.
4.

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