2 Name in full (Block letters). Mr./Ms./Dr. Male/. Female. 3 Date of birth of the
applicant. Category (SC/ST/BC(A/B/C/D)/ PH) if so please furnish a certificate
from.
Grams: TECHNOLOGY E Mail:
[email protected]
Phone: Off: +91 40 23057787 Fax: +91 40 23057787
JNTUH COLLEGE OF ENGINEERING HYDERABAD (Autonomous) Kukatpally, Hyderabad 500 085, Andhra Pradesh (India) APPLICATION FORM FOR LECTURERS (Adhoc) The application form should be sent to the Principal, JNTUH College of Engineering Hyderabad, Kukatpally, Hyderabad -500 085, Andhra Pradesh on or before 15th June, 2013. 1 2
Department (like Civil Engg. / Mech. Engg. Etc.) Name in full (Block letters)
3
Date of birth of the applicant
4
Father s/ Husband s Name
5
Postal Address to which communications should be sent
Mr./Ms./Dr. Male/ Female Category (SC/ST/BC(A/B/C/D)/ PH) if so please furnish a certificate from the competent authority
Telephone No. with STD Code (O) Mobile No. 6
Affix latest Colour Passport Size Photograph
(R) Email:
Give the following particulars of Educational Qualifications(Commencing with SSC or equivalent examination). Where a qualification has been obtained by private appearance, this should be specifically mentioned. Name of the Name of the Name of the Year in which Class or Subjects Examination/Degree School/College and Board/University Degree/ Diploma Division taken for Place has been with % of specialization obtained marks (1) (2) (3) (4) (5) (6)
Give in chronological order details of your employment: 7 Name and Post Held Scale of Period address of Pay From To Institution/office 1
2
3
4
5
Total period in each cadre 6
Gross Pay
7
Remarks if any
8
8
9
Details of Demand Draft towards Registration Fee: (A crossed DD for Rs.500/- (in case of SC/ST candidates the fees is Rs. 250/-) drawn in favour of Principal, JNTUH College of Engineering Hyderabad must be enclosed. The application not accompanied by the Crossed DD will not be considered. Name of the issuing bank D D No.& Amount (indicate place, town etc. where Date the bank is located) REFEREES (The referees should be persons residing in India holding responsible position and not related to the candidate) S.No. Name Occupation or Position Address 1 2
10
Details of Enclosures: a. b. c. d. e. f. g. h. i.
DECLARATION TO BE SIGNED BY THE APPLICANT I hereby declare that the statements made in this application are true to the best of my knowledge.
Date:
.
SIGNATURE OF THE APPLICANT
