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GARGI COLLEGE (University of Delhi) SIRI FORT ROAD, NEW DELHI-49

APPLICATION FOR THE POST OF GUEST FACULTY IN ………

1. Name in Block Letter Last Name First/Middle Name

2. Father’s/ Husband Name

3. Date of Birth 4. Marital Status

4. Nationality 6. Weather belong to SC ST OBC GEN EWS Disabled (Tick as applicable)

If Yes, Nature of Disability

7. Adhar : 8. PAN:

9. Mailing Address (Capital letters, No Abbreviation)

`

Pin

Tel: Mobile:

E-Mail Permanent

Address

Pin (Capital letters, No

Abbreviation)

Tel: Mobile:

E-Mail

10. If Qualified NET/JRF, Please mention year

11. QUALIFICATIONS: From Higher Secondary upto M.A./M.Sc./M.Phil Year Examination

Passed

University or Board

Main Subject

%age of Marks

Division Position in University/ College

12. RESEARCH Degree obtained

Year Name of Degree Title of Thesis/dissertation Submitted

(2)

13.Teaching Experience

University/College Classes Taught Date Last Pay Down From To

14. Additional Research Work & Published Works.

15. Extra-Curricular Activities : Details of Literary, Cultural or similar other activities in which applicant Is interested and has attained special distinction, if any?

16. What minimum notice would you like to have to join duty, if selected.

17. Name and Address of two referees

1. ………...

………...

………

2. ……….

……….

……….

Notes : 1. Please use additional sheets, if required.

2. Applicant already in service, should send their applications through proper channel.

3. All statement must be supported by attested copies of certificates, testimonial etc. Signature 4. No enquiries with regard to the application will be entertained.

5. No acknowledgement will be issued for having received the form.

6. After the last date, form will NOT be accepted under any circumstances.

7. Any addendum/corrigendum shall be posted on the college website www.gargicollege.in.

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