APPLICATION FORM FOR THE FACULTY
I.
Application for the Post of:
II.
Applicants Name:
Assistsnt Professor
Krishna
Nand
(First Name)
III.
Date of Birth:
IV.
12-05-86
_ (DD-MM-YY)
Residential Address:
Rastogi
(Middle Name)
Gender:
(Surname)
M
(M / F / TG)
202, Faculty Lodge, Doon University, Kedarpur Dehradun
Dehradun
V.
Office Address:
(PIN):
248001
School of Technology, Doon University, Dehradun
Dehradun
(PIN): 248001
E-mail: [email protected]
VI.
VII.
Sr.
No.
1
2
3
Phone No.:
(M) 8954925422
(O)
(R)
Academic Qualification (Begin with the recent):
Examination/
Degree
College/
University
Year
PhD Computer Science G B Pant Engineering 2013
(Pursuing)
College, Uttarakhand
MCA
B B Ambedkar
2010
University, Lucknow
BSc IT
MC University, Bhopal 2007
4
5
VIII. Topic of Ph.D. Research (If Applicable):
Class
Main / Special
Subject
74.35
Computer Science
74.85
IT
IX.
Experience (No. of Yrs/Month):
Academics
1/6
X.
Research
Industry
Others
Total
3/6
Specific Details of Experience: (In Chronological Order)
Sr.
No.
Organization
Period (From - To)
(DD-MM-YY)
Designation
Gross
Salary
Reason For
Leaving
Mon & Yr
Remarks
Mon & Yr
Remarks
1
2
3
4
5
XI.
Sr.
No.
Research Papers Published: (In Chronological Order)
National /
International
Subject
Name of the
Journal
1
2
3
4
5
XII.
Sr.
No.
1
2
3
4
5
Research Papers Presented: (In Chronological Order)
National /
International
Subject
Name of the
Institute
XIII. Seminar/ Workshop/ Conference attended: (In Chronological Order)
Sr.
No.
Title
Held at : (Name of the
Institute)
Mon & Yr
Remarks
1
2
3
4
5
XIV.
Sr.
No.
Book(s)/Other Literature Published (In Chronological Order)
Title
Yr of Publication
Published By
Name of the Co-Author
1
2
3
4
5
XV.
Sr.
No.
Subjects Taught:
Subject
1
2
3
4
5
XVI. Research & Consultancy Experience (If any):
Discipline
Semester/ Year
XVII. Collaborative/ Sponsored Research Projects (If any):
XVIII. Academic Administrative Experience and Your Contributions (If any):
XIX. Other Skill(s) / Achievement(s):
I hereby affirm that the given details are true to the best of my knowledge. I agree that if any of the give
details are found to be false; the institute is entitled to immediately terminate my appointment; if
appointed.
Date:
Signature: