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PDM SCHOOL OF ARCHITECTURE & TOWN PLANNINGSector-3A, Bahadurgarh

Application Form for Recruitment for Faculty Position

1. Post applied for ___________________________Department______________________

2. Full Name (In block letters)___________________________________________

3. (a) Fathers/Husbands Name: ________________________________________

(b) Mothers name:_________________________________________________

4. Address with phone/ Email :

Address for Correspondence Permanent Address

Address: Address:

Phone: Phone:

Email:

5. (a) Date of Birth: (b) Place of Birth: (c) Nationality:

(d) Male or Female: (e) Marital status: (e) Category:

(f) Religion:

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

Exam Passed University/Board

Year ofPassing

Percentage ofMarks/Grade

Division MainSubjects

Award/Medal/

Merit, if any

MatricHr.Sec./Pre.Univ./ 10+2/

Inter/Equivalent

B.Arch. /any other degree

M.Arch.

Ph.D Subject...............................................Topic of Thesis..

...

Year of Award of

Degree.

Name of the University/Institute that has awarded the Ph.D.

Any other Exam.Area of Specialization

7. Teaching/Professional/Research positions held (Give in chronological order starting with the present post).

Employer Post held Pay Scale Basic Pay Period of employment Nature of duties/ work

Paste Attested

Passport Size

Photograph

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8. (a) Total teaching experience(full-time) in Institute/College/University:_________________________

(b) Total Research experience: ______________________________________________________

(c) Any other experience: ______________________________________________________

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

(a) Number of Candidates registered for Research Supervision at present: ____________________

(b) Number of Candidates who have successfully Completed/Submitted Ph.D Thesis.

10. List of Publications (if any please attached list) Books/Research Papers/any other publications

11. Detail of Research & Academic contribution (if any please attached list.)

It is certified that the foregoing information given by me is correct and true to the best of my knowledge and

belief and no material information has been concealed.

PlaceDate. Signature of the Applicant

7/21/2019 Application Form Architecture

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PDM SCHOOL OF ARCHITECTURE & TOWN PLANNINGSector-3A, Bahadurgarh

Application Form for Recruitment of Non-Teaching Post

1. Name of Post applied for :_________________________________ 2. Discipline/ Department :_________________________________

3. Name of the candidate in block letters (asper Sr. Sec. School Certificate

:_____________________________________

4. Fathers./Husbands Name (block letters) :_____________________________________ 5. a) Date of Birth :_____________________________________

b) Place of birth with state :_____________________________________ 6. Nationality :_____________________________________ 7. Marital Status :_____________________________________ 8. Category

9. Present Postal Address :_____________________________________ 10. Contact Telephone No. :______________________________________ 11.

E-Mail I.D.

:______________________________________

12. Permanent address :_____________________________________ 13. Academic/Professional Qualification (Attach attested copies of mark sheets & certificates)

Sr.

No.Examination passed Board/

UniversityYear of

passing% age of

marks

obtained

Division/

ClassSubject/

Specialization

i.

Matric/Hr. Sec.

ii.

10+2/Inter/Pre. Engg.

iii. B.A./B.Sc./B.Com/any

other degree

iv.

Master Degree

v. Any other

14. Experience (Attach attested copies of relevant certificates):-

Sr.

No.Organization/

Dept.Post

HeldBasic Pay &

Pay scale

drawn/

being

drawn

From To TotalExperience

Reason for

leaving

1

2

3

4

Certified that the above information furnished by me in this application form is correct and true and nothing has

been concealed in it. I also undertake to accept the liability for any action under the rules for any wrong-statement

or concealment of facts on my part.

Place:

Date: Signature of applicant

Passport size

recent

Photograph

to be pasted