APPENDIX  A
 

PROFORMA OF APPLICATION FORM

 
        
        1.   Application for the post of :
        
             (a)  Name in full (In capital letters)
        
             (b)  Present Address
        
             (c)  Father's Name
        
             (d)  Whether belonging to SC/ST
        
        2.   Place and Date of birth:
        
         
        3.   Give particulars of all examinations passed and degrees  obtained 
        at the University or other places of higher or technical education  or 
        instruction commencing with Matriculation or equivalent  examinations.  
        Attach true copies (originals to be produced when called for):
        
                                          

 
        
        University/Board    Examination Passed   Year   Class or Division with      
                                                        percentage of marks           
                                                        Subjects offered and          
                                                        position/rank, if any.
                                          

        
        4. State membership of Professional Societies, Special distinctions,      
           if any:
        
        5. (a)  Details of Reasearch Work and Publications:
           (b)  Teaching Experience :
        
        6. Details of employment including present employment,
        
                                          

        
        Office/Institution       Date of   Date of   Post held    Basic pay*  
        where employed           joining   leaving   with scale   and
                                                     of pay       allowances
        
                                          

        
             *State Present basic pay and allowances separately.
        
        7.   Any other basic pay and allowances separately.
        
        8.   Names and address of two references:
        
                  1.   Name  : 
                       Status: 
                       Address:
        
                  2.   Name  :  
                       Status: 
                       Address:
        
             I    hereby  declare  that  all  the  statements  made  in   this 
        application  form and enclosures are true to the best of my  knowledge 
        and belief.
        
        Place:
        
        Date:
        
                                                        Signature of Applicant