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The candidate must attach NINE photostat copies of the duly filled form along with the original.Testimonials (self attested) should be attached to the original form only

Name of the Post with Specialization, if any:Faculty/ Department:

Name in Full (In block letters)Fathers Name: Mothers Name: Date of Birth: Place of Birth:Nationality: Marital Status:

Male/ Female Phone/Mobile No:Email:

Minimum Pay Acceptable: Joining time needed, If Selected

Educational Qualifications (Please attach one set of attested copies along with original application only)

Examination Univ/Board MainSubjects Year ofPassing

MarksObtained(with maxarks)

Class/Divn./Grade(attachconversionformula)

Merit/Prizes /Medals won ifany.

Matric

10+2/Pre-Med /Pre-Engineering B.A/B.Sc/B.Cometc

M.A/M.Sc/M.Cometc M. Phil

Ph. D.

Any other Exam.(please specify) Eligibility Testfor Teaching(NET/SET ETC) Professional Training:

SNo Organisation

Period Details of Training From to

Employment Experience (details in chronological order, starting with firs t job):

Advt No 3/ 2013Office Use Only

Dairy No.:Date:

DAV UNIVERSITY, JALANDHARApplication for Teaching/Research Post

(Use separate form for each post)

Affix RecentPassport

SizePhotograph

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Name & AddressEmployer/Institution

Date of Designation Nature ofJob

Pay (Basic&Grade)

Reason forLeaving Joining Leaving

TeachingExperience

Subjects/PapersTaught

Period (in years &months)

From To

Ph.D. ResearchGuidance

PostgraduateClasses

Degree Class

Any Other

Research Output Record1. Research Papers in SCI Journals

S No Authors Title of the

Paper

Journals Name

& Place ofPublication

Publication

& ISSN

Vol./ Page

No/ Year

Impact Factor

2. Research Papers in Non-SCI JournalsS No Authors Title of the

Paper

Name of

Journal &Place ofPublication

Publication

& ISSN

Vol./ Page

No/ Year

Impact Factor

3. Research Articles in Books

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S No Authors Title of theBook

Title of theArticle

Place ofPublication

Publisher &ISBN

Page No

4. Review ArticlesS No Authors Title of the

BookTitle of theArticle

Place ofPublication

Publisher &ISBN

Page No

5. Total Impact Factor as per SCI/ SCOPUS...

6. Total Impact Factor as per Google search ....

7. h- Index Factor as per SCOPUS.....

8. h- Index Factor as per Google search.....

9. i-10 Index Fa ctor as per Google search..

Total Academic Performance Indicator ( API) score as per guidelines/Instructions (Appendix) available atDAV University website. Candidates from other then academic institution should attach detailed accountof their personal achievements. (Please attach 9 photocopies with Original)

Whether Attached or Not?

Membership of ProfessionalSocieties, if any:

National/InternationalAwards / Fellowships:

Paragraph of se lf-evaluationregarding different fields ofactivity relating to the job:

Referees: These should be professionally competent persons, well acquainted with some aspects of the applicants training, accomplishments, capability and character but must not be relations. At least two of them should be citizens of India. For

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applicants having done post-graduate or post -doctoral research, the research supervisors must be listed. Supervisor of eachmajor employment and present or most recent employment must be listed.

Name Occupation/Position Address with Telephone No

1.

2.

3.

Additional Information: (Noannexure need be enclosed)

Whether willing to join as temporary/Contract/Guest Faculty ( If not selected against permanent vacancy ) YES/NO

Declaration: I solemnly declare that:

1. The foregoing information is complete and correct. I am not aware of any circumstances which may impair myfitness for employment in DAV University, Jalandhar

2. I have never been dismissed from service either from Government department or from University, College orother Public or Private Organisation.

3. I have ne ver been prosecuted, kept under detention or bound down/fined, convicted by the Court of Law forany offence.

4. If selected I will abide by the rules and regulations of the DAV University and work with full dedication andprofessional ethics.

Place: Signature of the Applicant

Date:

Signature of Employer (with official seal)

List of Encl:

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5.. 6. . 7.. 8.

9..10. 11.12...

Demand Draft/ IPO/Online Payment No.Amount Rs ... ...Dated