Faculty Recruitment 2019

All India Shri Shivaji Memorial Society

55-56, Shivajinagar, Pune : 411005

(Established in 1917)

Tel : 020-26058342, 26058587 (COE)

020-26058877, 26057636 (IOIT)

E-mail : career@aissmscoe.com

APPLICATION FORM

With reference to the advertisement dated published in
I, wish to apply for the post of
in the discipline (Branch) of in COE /IOIT (give preference as 1/2).

Address
(for correspondence)

Languages known

Speak	Read	Write
Speak	Read	Write
Speak	Read	Write
Speak	Read	Write

Academic Qualifications (Starting from S.S.C.)

Sr.No	Exam Passed	Passing Year	Board/University	Main Subject	Class, % Marks, No.of Attempts	Remarks (Rank etc.if any)
1
2
3
4
5

Experience

Sr.No.	Name of Establishment	Post Held	Period		Last Pay	Nature of Work
Sr.No.	Name of Establishment	Post Held	From	To	Last Pay	Nature of Work
1
2
3
4
5
6

Total Experience =

Teaching Experience =

Industrial Experience =

For Professor/Associate Professor post,
if you are ME / M Tech First Class & from industry/profession, please enclose proof justifying that your experience is significant & equivalent to Ph.D.

Membership of Professional bodies

Achievements (Awards, medals, etc.)

Paper Published/Presented (Enclose copies)

Book Published, if any

Areas of Interest

Research Experience

Minimum salary expected

Notice period required to join the post, if selected.

Other information, if any

Please specify four areas of your
probable contribution to College

1.
2.
3.
4.

I hereby certify that the above information given is true and correct.

( Signature of Candidate )
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Note: Self Attested photo copies of the necessary certificates etc. to be enclosed. Use separate sheet(s) wherever necessary. (Ӽ) Strike out whichever is not applicable.