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Application - Form MUHS Lecturer

The document is an application form for Maharashtra University of Health Science, Nashik. It requests basic contact information such as name, address, phone numbers, and email. It also asks for date of birth, marital status, professional qualifications from SSC onwards, work experience including positions held and periods of service, career advancements as a lecturer, associate professor and professor. It concludes by requesting details on research activities, major achievements, and any other additional information, followed by a declaration stating the applicant will abide by university terms and conditions and is aware the university is not obligated to provide employment.

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0% found this document useful (0 votes)
299 views2 pages

Application - Form MUHS Lecturer

The document is an application form for Maharashtra University of Health Science, Nashik. It requests basic contact information such as name, address, phone numbers, and email. It also asks for date of birth, marital status, professional qualifications from SSC onwards, work experience including positions held and periods of service, career advancements as a lecturer, associate professor and professor. It concludes by requesting details on research activities, major achievements, and any other additional information, followed by a declaration stating the applicant will abide by university terms and conditions and is aware the university is not obligated to provide employment.

Uploaded by

piyushbams
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Maharashtra University of Health Science, Nashik

Application Form
NAME
ADDRESS

Pin code.
TELEPHONE NO

1. Res.
2. Off.
3. Mob.

e-mail
DATE OF BIRTH
MARITAL STATUS

Married / Unmarried.
1.

PROFESSIONAL
QUALIFICATION
( Starting from SSC )

2.
3.
4.
5.
6.
7.

EXPERIENCE

Name of the College /


Institution

Position Held

Period of Service
From

to

Carrier Advancements :
1. Experience as Lecturer

Years

Months

2. Experience as Asso. Professor :

Years

Months

3. Experience as Professor

Years

Months

4.
5.
Research Activities
1.
2.
3.
4.
Major achievements
1.
2.
3.
4.
Any other information you would like to tell us.

Declaration :

I affirm that I will abide by the terms and conditions of the University issued
from time to time. I am also aware that, university is not under any obligation
to provide me an employment nor recommend my name to other college /
institutions / employer.

Place

Signature :

Date

Name :

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