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CENTRAL UNIVERSITY OF KASHMIR

Transit Campus: Sonwar, Near GB Pant Hospital, Srinagar – 190 004 (J&K) Phone: 0194-2468354, 2468357, Website www.cukashmir.ac.in

APPLICATION FORM FOR CONTRACTUAL APPOINTMENT

Name of the post applied for……….……….

Discipline………..………...

Advt. No.………..………Date………..……….

A. General Information:

1. Name in Full………..……..

(IN BLOCK LETTERS)

2. Father’s Name………..

3. Date of Birth: Day ……….…..Month………Year………..

(As recorded in the Matriculation or equivalent certificate)

4. Sex: Male Female

5. Husband’s Name (in case of married Women)……….………

6. In case you belong to a reserved category, please mention the same.

7. Permanent Address ………...

………..………..

PIN CODE……….……..Phone No………Cell ……….….

Address for correspondence ………..

………..……….PIN CODE……….…..……….

Email ID (Mandatory)………..………..……..

B. Educational Qualifications:

Exam.

Passed

Board/

University

Year of Passing

Marks % of

marks

Class/Div/

Grade Subjects Obtained Out of

Bachelor’s degree Master’s Degree M.Phil

Ph.D NET/SLET

Any other Qualifications

PASTE HERE A SIGNED COPY OF

YOUR RECENT PASS-PORT SIZE

PHOTOGRAPH

(2)

2 C. Teaching/Research/Technical/Administrative Experience (If any).

Designation Name of the Organization

Scale of Pay Nature of appointment

Period of service

PB GP From To Period

D. Details of published work (

Please attach separate sheet if necessary).

………

………

E. Details of Fellowship and membership of learned societies, if any:

……….

……….

F. Number of candidates awarded research degrees under your guidance.

M. Phil……….. Ph. D……….

I hereby declare that all entries made by me in this application are true, complete and correct to the best of my knowledge and belief. I understand that in the event of any information being found false my candidature/appointment is liable to be cancelled/terminated. I further declare that I shall have no claim whatsoever on appointment to the permanent position.

Signature of the Applicant Place………

Date ……….

Referensi

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