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PUNJABI UNIVERSITY, PATIALA(Established under Punjab Act No. 35 of l96l )NAAC ****+S'IATUS(APPLTCATI()N I.ORM FOR TEACHING POSTS)

( IleJore Jilling the ITttrrrt, ple'ttr^e rerul Irt.vtritctitttrs at Puge 4)Attvt. No. I)ute .........................---..-..

Narne of the post ilpplied for(a) In the Subjcct of

Diary No. Date -FormNc...... .(AJJi.r Re

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-)-14. (a) TEACHINC EXPEITIENCE/TRAININGeaching cxpcrience Teuching cxperience

with post-gruduateclasses

Total teaching experience excluding(b) Adrninistrative Experience, if anyRESEARCH EXPERIENCE(a) Research during :

research Years Months

r5.

M.Phil./N4.Lit./Ph.D.As LecturerAs ReaderAs Prof'essorAny other Project(lndicatc namc ol'the Project & its duration)Total Research experience excluding teaching Years Months(b) Field of research(c) Seminars/Conf-erences attended : National

I6. PUBLICATIONSPublications Published

International

In PreparationBooks

Research Papers

ArticlesAny other Publication(Reprints should be submitted with the applicution. If the spuce for details is insuff;cient, u sepurote sheet muy be uttuched)l7. Any other details which strengthen your claim for appointm ent. (Arruc'h sep(tdte sheet, if'necessurlt)

Accepted forPublication

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-3-with the applicanr's training/irccomplishnrenls, capitbility and character, but rntrsl not be relations.)

Nanrc/.Slirttrs/Address(i)( ii)(iii)

19. Lisr of certificates ancl testimonials (attesred copies be attached).(i)(ii)

DatedPlace

(v)(vi)

(iii)(iv), ------

(I) I sllemnly declure thut the foregoittg infurmation i:s correct untl contple te to the best of rny know[etlge andbeliel'md I shdl be per"'ottttlly responsihle Jor ony consequence.e whutsoever, whic'h muy urise ut anysub.sequent stuge, iJ'any oJ'the ubove infurmation is founct rit be int'orrecb) I hctve ,'tever beett c'orl,icred/debturrecl/tli.stlurtli.l'ietl or distni;;sed.

Signatrrres of the candidate

Signatures of Ernployer(with seal)Recommendations of the Employer

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-4-I M PO Rru NT' I NSTR UCT-ION'Sl. The ./itrrt shottlcl be./iltecl in, neutly urul legibl-v in ccnclidttte',\ (twn hltnchvritirtg. Tly,rr,rr,," ci'the Cttnrlit'ictrc, Jttther's t't(rM rtnd clttte o.l'birth sh

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- I'tJ P( O)- I 093 5 - j,000/8-0lt PTJNJABI UNIVE,FISIT\'. PATIALA(t:stablishetl rrntler Ptrnlab Act No. 35 oi 196 l)NAAC ***r*slATUSBIODATA OF THE CANDIDATB[10 Phot

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RESEARCT{ t'ROJECT'(S)(D llandled(iD ln Hand

(E) SEM rNArdS/CONFERENCES AT'rr:ND[DStateNationallnternational

(F) RESEARCH AWARDS/RECOGN ITIONStateNationallnternational

(C) PUBLICATIONS INCLUDINC THOSE lN PUNJAIII (Sture : l'ublislrcd/.{c'cepredJir !'uhlit'ution)(i) flooks (Mention titles)(ii) Ilesearch Papers(iii) Articles(iv) Any olher publicatiorr

(H) ANY OTHER DISTINCTION OR AWARD CONFERRII)

(I) ANY ADDITIONAL II\FORMATION WHICH STRENGTHENS THE CLAIM FOR APPOINTMINT

6l) PRESENTf,MOLUMENTS Basic Pay Allowances TotalDate of Next incrernenl

(K) MINIMUM BASIC PAY ACCEPTABLEAltach sepcratesheetwherever necessary.Allclaims mustbesupported by relevont certificuledtlocuments.

Dated : Si gnatures ofthe Candidate