8/10/2019 Application 2014 0

1/5

Application No.Affix your recent

Date of Receipt Passport size

Photo here

Initial of Clerk THIAGARAJAR COLLEGE OF ENGINEERING(A Govt. Aided ISO 9001-2000 Certified, Autonomous Institution Affiliated to Anna University)

MADURAI-625 015

Application for

Post(SELF-FINANCE)

Discipline

1. a) Name in full (in Capital Letters) :

b) Sex :

2. Address :

a) Permanent Address: b) Communication Address with Phone No./Mobile No. /E.mail ID :

c) Fathers / Husbands Name :

Address :

3. Age & Date of Birth :

4. a) Nationality : b) Religion :

c) Community : SC/ST SCA MBC / DNC BC GT

d) Sub Caste :

5. Educational Qualification - Starting from basic degree (Attach Photocopies of Mark sheets) :

Degree Area ofSpecialisation

Institute / University Month & Yearof passing

Class % of Marks /Equivalent

8/10/2019 Application 2014 0

2/5

-2-

6. Details of Thesis:

Course Title of the Project / Thesis Brief Details

M.Tech/M.E./M.Sc.,

Ph.D.,

7. Experience (Starting from current Position):

a) Academic * :

Period No. of Years Designation /Nature of job

Last Pay Drawn Institute /Organisation

From To

b) Research * :

Period No. of Years Designation /Nature of job

Last Pay Drawn Institute /Organisation

From To

a) Industrial * :

Period No. of Years Designation /Nature of job

Last Pay Drawn Institute /OrganisationFrom To

8. Publications

Total No. of Publications:

8.1 Books Published *:

Sl. No. Title Area Publishers Year

8/10/2019 Application 2014 0

3/5

-3-

8.2 Publications in Journals *:

Sl. No. Title Area Name of the

Journal

National /

International

Year / Vol.

8.3 Publications in conference *:

Sl. No. Title Area Name of the

Journal

National /

International

Year / Vol.

9. a) Seminars /Schools/Conferences/Workshops Organised:

Sl.No. Title Period Place Remarks

b) Seminars /Schools/Conferences/Workshops Attended *:

Sl.No. Title Period Place Remarks

10) Special /Invited Lectures Delivered *:

Topic Area Delevered at Year / Date Remarks

8/10/2019 Application 2014 0

4/5

-4-

11) Sponsored Projects Done *:

Title Sponsoring

Agency

Year Details of

Project

Responsibility Amount

Sanctioned

12) Consultancy & Testing Work done:

Nature of

work

Interacted

Industry /Institute

Year Details Facilities

utilised / co-

workers

Revenue

Earned

13. Academic Research Guidance / Supervisorship:

Name of Research

Scholars

Course / M.Phil / Ph.D Area of Research / Work Status

14. Membership in professional societies:

Name of the Society Details of Membership Nature of Tech. activities

done through the society

Remarks

15. Prizes, Medals and honours received, if any:

Details Awarded for the work Status Remarks

8/10/2019 Application 2014 0

5/5

-5-

16. Contribution to the College (Internal candidates only)*:

Date of joining Year of Experience Responsibilities held Nature of activities for the

betterment of the college.

17. Computer knowledge (Specify in particular) :

18. References :1.

2.

19. Testimonials :

20. Any other relevant information :

21. List of enclosures :

1.

2.

3.

4.

5.

DECLARATION

I hereby declare that the information provided in this form are true to the best of my

knowledge and belief

Signature of the Candidate

*Additional Sheets may be used if necessary