Application Form 2023

Personal Details

Applied for Post

Principal

Name of Applicant

Surname	First Name	Father's Name

Date of Birth

		(Click on calender for date selection)
Mention as per school leaving certificate/S.S.C. Certificate (Attach attested true copy)

Gender

Marital status

Physically Challenged

	Specify Type if Yes
(If Yes - Attach attested copy of Physical Handicapped Certificate with Application Form)

Nationality

Category

Religion-Caste

(Hindu - Brahmin)

Mobile No.

Phone No.

Email Id

Password

Residence Details

Full address on which communication is to be sent with Pincode

Permanent Address
with pincode

Current Employment Details

Organization Name

Designation		Joining Type
Date of Joining		Scale of pay Rs.
Basic Pay Rs.		Total Emoluments(per month)Rs.

PhD Details

Faculty	Subject
Title of the Thesis
Name of the university
Date Of Registration	Date of Declaration Ph.D Result
Research Domain	No. of Successful Student Under Guidance	(of Attached student result awarded Ph.D)

Names and addresses of two References (at least one of them should be familiar with your recent work)

	Name	Position/Occupation	Communication Address & COntact (Mobile / Phone No.)
1
2

Note: Once you submit details, you will not be able to modify it.