Application Form - Kerala Agricultural University

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KERALA AGRICULTURAL UNIVERSITY
VELLANIKKARA,
Main Campus, Vellanikkara, KAU.P.O, Thrissur 680 656, Kerala
Register No. ....…………….
(for office use)
Paste your
passport size self
Furnish full and correct information.
Applicant should read the
attested
Notification inviting applications and the Instructions given in the
Photograph here
Information Sheet before filling up the form.
Enclose copies of
document/certificate in proof of the claims.
APPLICATION FORM
Application for appointment as Assistant Professor in the discipline of …..…..
………………………………….. under the Faculty of Agriculture/ Agricultural Engineering/
Forestry vide University Notification No: GA/K1/34376/2012 dated 03/03/2016.
1. Full name of the candidate (in block letters)
:
2. (i) Date of birth (in figures & Words)
:
(ii) Age (as on 01-01-2016)
:
Year
Month
Days
3. Nationality
:
4. State of Domicile
:
5. Gender
:
6. Marital status
:
7 Religion and Caste (attach attested copies of documents:
obtained from the competent authority if eligible for
Communal reservation)
8. Are you eligible for Reservation in appointment?
: Yes / No
If yes, give details.
:
9 Permanent Address (with Pin Code)
:
10. Address to which communication to be sent
:
(with phone No. & STD code, Mobile No & email address)

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