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.
- Post applied for: Dept/Subject: Due date:
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Name of Candidate (In capital letters):
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Fathers Name:
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Man/Woman: Nationality:
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Are you physically handicapped? :
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Whether you belong to SC/ST/BC/ESM:
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Date of birth and place: Distt.:
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Were you promoted as Reader/Professor under the Personal Promotion Scheme or Merit Promotion Scheme or career Advancement Scheme? (Give details):
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Educational Qualifications: (Strike off which is not applicable):
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Exam Passed |
University/Board |
Year of passing |
%age of marks |
Division |
Subject studied including options |
Awards/Medals prize/Merit, if any |
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Matric |
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10+2 |
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B.Sc. (Medical) |
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M.Sc. (Biochemistry) |
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NET (Life Sciences) |
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M.Phil |
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Ph.D. |
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Any other exam |
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Field(s) of specialization |
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Total teaching experience (Full time) in College/University:-
Under-graduate: Post-graduate:
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Total Research Experience:
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Educational and Other Institutions/Organisations served (in Chronological Order)
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Sr.No
Name of Institution
Designation
From
To
1
2
3
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If you are presently employed, state position and address:
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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:
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Language (s) known
Read Write Speak
English
Hindi
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Present Pay:
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Basic Pay acceptable:
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Period required for joining, if selected:
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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
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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)