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KURUKSHETRA UNIVERSITY KURUKHETRA

(Established by the state legislature Act XII of 1956)

(‘A+’ Grade NAAC Accredited)

Application form for promotion to the post of Associate Professor/Professor under CAS

IMPORTANT NOTE: The candidate is required to fill in this form and attach fourteen Xeroxed copies.

  1. Post applied for: Dept/Subject: Due date:
  2. Name of Candidate (In capital letters):

  3. Fathers Name:

  4. Man/Woman: Nationality:

  5. Are you physically handicapped? :

  6. Whether you belong to SC/ST/BC/ESM:

  7. Date of birth and place: Distt.:

  8. Were you promoted as Reader/Professor under the Personal Promotion Scheme or Merit Promotion Scheme or career Advancement Scheme? (Give details):

  9. Educational Qualifications: (Strike off which is not applicable):

Exam Passed

University/Board

Year of passing

%age of marks

Division

Subject studied including options

Awards/Medals prize/Merit, if any

Matric

10+2

B.Sc.

(Medical)

M.Sc.

(Biochemistry)

NET

(Life Sciences)

M.Phil

Ph.D.

Any other exam

Field(s) of specialization

  1. Total teaching experience (Full time) in College/University:-

Under-graduate: Post-graduate:

  1. Total Research Experience:

  1. Educational and Other Institutions/Organisations served (in Chronological Order)

Sr.No

Name of Institution

Designation

From

To

1

2

3

  1. If you are presently employed, state position and address:

  2. Guidance/Supervision of Ph.D. Thesis:

(A) Number of Candidates registered for supervision at present:

(B) Number of Candidates who have successfully completed Ph.D during last five years:

  1. Language (s) known

Read Write Speak

English

Hindi

  1. Present Pay:

  2. Basic Pay acceptable:

  3. Period required for joining, if selected:

  4. List of major publication: Please attach the list with ten Xeroxed copies thereof:

    Publications

    Published

    In Press

    Accepted for Publication

    Communicated for Publication

    In Preparation

    Independently Books

    Jointly

    Independently

    Papers Jointly

    Independently Patents

    Jointly

  5. List of Enclosures:

I certify that foregoing information given by me is correct, complete to the best of my knowledge and belief. And no material information has been concealed. I am not aware of any circumstances which may impair my fitness for employment.

Date: Signature of candidate

Permanent Address:                                                                                                                                                         Correspondence Address:

Email Id:

Mobile No:

Recommendations of the Employer (Signature of the employer with official stamp)

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Or Download Complete Form from this Link (application form_CAS)