1/16/13 AMITY UNIVERSITY

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Application Form

Fields w ith *are mandatory

* Post Applied For : --Select-- *Nature of Job : Full-Time Part-Time

Subject : --Select-- *Preferred Location1 : --Select--

Discipline : --Select-- Preferred Location2 : --Select--

*First Name : Preferred Location3 : --Select--

Last Name: * Date of Birth :Day Month Year

DD MM YYYY

*Place of Birth : Came to know through : Select

*Gender : Male Female *Marital Status : Single Engaged Married Divorced

Academic / Professional Qualification(Mention all qualification starting from 10th to avoid disqualification)

Degree Edu.Mode Institution Name Board/ Univ. YearMajor Subjects / Ph.D

TopicDivision/Grade % of Marks Distinction In

HighSchool Select

Intermediate Select

--Graduate-- Select

--Post Graduate-- Select

Ph. D Select

Other Qualif ication

Select

GATE Percentile :

NET Percentile :

UGC-CSIR Percentile :

Experience (Start from present job)

Date

*Experience Type *Nature of Job *Organization Designation / Subject *Salary (monthly in INR) *From *To

Select Select

Publications

Number of Publications :

Publications in refereed journal :

Conferences attended (National / International) :

Number of Books w ritten / edited :

Present Detail

1/16/13 AMITY UNIVERSITY

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Present Detail

*Address :

Phone (Off.) :

*City/Tow n : Phone (Res.) :

*State : *Mobile :

*Email :

Permanent Address

*Address : Phone (Off.) :

*City/Tow n : Phone (Res.) :

*State : Mobile :

Any Special Achievements :

Salary (monthly in INR)

*Present : Expected :

Do you know anyone in Amity Yes No

If yes, indicate the Name,Designation Department :

Were you ever been

interviewed in Amity earlier Yes No

When : By w hom :

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