GROUP INSTITUTIONS

Approved by AICTE / UGC & CoA, New Delhi : Affiliated to Anna University, Chennai

NH 47, Salem Main Road, Pallakapalayam, Komarapalayam 637 303,

Namakkal District,
, E-mail: hrsretexcel@gmail.com, Web: www.excelinstitutions.com

APPLICATION FOR FACULTY POSITION

1. Post applied for

2. Department
Past

3.Photograph
Name

Here

4. Date of Birth (DD/MM/YYYY):

Age

5. Gender

Male

Female

6. Marital Status
No. of Children

:
:

Married
Male

Unmarried
Female

7. Father / Husband Name

Occupation :

8. Nationality / Religion

Sub Caste

9. Community

10. Language Known

OC

BC

BCM

MBC

:
SCA

SC

ST

11. Address for Communication :

Correspondence Address

Permanent Address

Phone.No:

Mobile No:

Land Line No.:

Email:

12. Educational Qualifications (Starting from Highest Qualification) :

Degree /
Diploma

Specializati
ons

Name of the Institution & Board /

University

Year of
Passing

Mode of
Study
FT / PT/
DE

% of
Marks
/
CGPA

No. of
subjects
passed in
more than 1
attempt

13. Experience Details Teaching (Engineering)

Sl.No.

Designation

Name of the Institutions & University

Experience
Duration Years

Total Salary
Drawn

1
2
3
4

14. Experience Details (Polytechnic / Arts and Science / School / Industries)

Sl.No.

Designation

Name of the Institutions & University

Experience
Duration Years

Total Salary
Drawn

1
2
3
4

15. Professional Membership :

Name of the
professional body

Membership Number

Name of the
professional body

Membership Number

16. Publication Details (Provide only the count. Attach the details as separate annexure):
Category

Conferences

Journals

National
International
17. Programems Organized/Attended (Provide only the count. Attach the details as separate annexure)
Conferences
Category
Workshops
FDP / SDP / STTP
National
International
18. Funds received from the external agencies:
Name of the Agency

Amount Received

Current Salary:

Scheme Name

Status

Expected Salary:

Date:
Signature of the
candidate
----------------------------------------------------------------------------------------------------------------------------------

Note: (Attach Photo Copies of the following)

1. Qualification Certificates
2. 2. Proof for Experience Certificate (If any)
3. Salary Proof (If applicable)

Verification by HR Department

S.No.

Check (Signature of the verification officer)

Originals
Photocopies Received

Details

1.

General Information

2.

Educational Qualifications

3.

10th Standard Marksheet

4.

+2 / Diploma Marksheet

5.

UG Degree and Mark Sheet

(1) Degree (2) Marksheet

6.

PG Degree and Mark Sheet

(1) Degree (2) Marksheet

7.

Experience Certificates

8.

Last Drawn Salary Proof

9.

Copies of Research Publications

10.

Passport Size Photograph

Name

Name

Designation & College

Designation & College

1.

Subject Knowledge

20

25

1.

Subject Knowledge

20

25

2.

Communication

20

25

2.

Communication

20

25

3.

Teaching & Delivery

20

25

3.

Teaching & Delivery

20

25

4.

Experience

20

25

4.

Experience

20

25

5.

Written Exam Score

20

5.

Written Exam Score

20

Total Scores

100

Total Scores

Recommended / Average / Not Recommended

Recommended / Average / Not Recommended

Signature

Overall performance

100

Signature

Overall Performance

Recommendations of the Vice Chairman / Chairman

Date:

Signature