Application For Faculty Position

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SREE VIDYANIKETHAN COLLEGE OF PHARMACY
Sree Sainath Nagar, A. Rangampet – 517 102.
Near Tirupati, Chandragiri Mandal, Chittoor District, A.P. India.
Ph: 0877 – 2236716; Fax : 0877-2236717
APPLICATION FOR FACULTY POSITION
Last date for receipt of completed Application Form 10.06.2015
Note(1) : Read carefully the General Information & Instructions to the
Candidates on page 4 before filling the application.
Note(2) : To be submitted separately to the Principal, Sree Vidyanikethan
Affix here recent
College of Pharmacy and the Registrar, JNTUA, Anantapur – 515 002.
passport size
Particulars of
D.D. No.
:
Photograph
Registration Fee paid
Amount
: Rs. 500/-
Date
:
Bank
:
1. Name of the post Applied for _________________________________
Department
:
Specialization
:
2. Name of the Candidate (in block letters)
:
3. (a) Permanent Postal Address in full :
(c) Phone with STD Code :
(d) Mobile No. :
(e) E-mail ID :
(b) Address for Communication
:
4. Date of Birth (Certificate to be enclosed) :
5. (a) Nationality : Indian /
(b) Sex : M/F
(c) Marital Status: Married/Unmarried
(d) Whether belongs to SC/ST/BC/OC
:
(e) Specify Category
:
(f) Father / Mother’s Name & Occupation
:
6. (a) Mother Tongue
:
(b) Languages known with proficiency Reading & Writing:
7. Academic Profile: Give particulars of all examinations passed starting from SSC. Attested
copies of all certificates should be attached. Use separate sheet if necessary.
Class or
Institution
Name of the
Exam
Subject/Branch/
Year of
Division and
in which
University/
Passed
Specialization
Passing
Percentage
studied
Board
of Marks

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