Maharshi Karve Stree Shikshan Samstha’s
Cummins College of Engineering for Women,
An Autonomous Institute Affiliated to Savitribai Phule Pune University
Karvenagar, Pune - 411 052
Date: - _______________
To,
The Secretary,
Maharshi Karve Stree Shikshan Samstha,
Karvenagar, Pune - 411 052
Sub.:- Application for the Post of Professor Associate Assistant
Tick in appropriate box Professor Professor
Department - __________________________ Category:-
Sir,
I _____________________________________________ the undersigned would like to apply for the
above Mentioned post with the reference to the advertisement published in _______________________
Dated ________________. My bio-data is as given below.
Thanking you, yours faithfully,
Signature
Bio-Data
All fields are Mandatory.
Full Name Surname First Name Middle Name
Postal
Address
Landline:- Mobile - E-mail -
Phone
Date of Birth :- Age :-
Place of Birth:-
Caste Open SC ST VJ (A) NT OBC SBC EWS
(Please tick (B/ C/ D)
in the
appropriate
box)
Sub Caste
Page - 2
Whether Pay Scale :-
Employed
pl provide Present Basic :- ____________ AGP- _________
the details
Gross Salary Rs. ______________
S. Degree Branch & Name of the Year of % Marks &
N. specialization University passing Class
1 Ph.D.
2 M. Tech./M.E
M.Sc.
3 B.E./B.Tech.
B.Sc.
GATE
NET/SET etc.
4 H.S.C.
5 Other
Teaching Experience
Please attach separate sheet if required.
Sr. Name of the Designation Name of the From To University Approval
No College / Institute affiliating No. & date
University
Industrial Yrs. Name of the Industry
Experience
Other Yrs.
Experience
Page - 3
Research Work / Publications: -
A Publication in SCI journals / UGC /
AICTE approved list of journals: -
………………………………
B Publications in Conferences
………………………………
C Book Chapter Detailed list should be
……………………………… attached
D Patents Filed / Published / Granted
………………………………
E Research Project grants received
………………………………
References: - Name, Phone, Address
1) _________________________________________________________________________
2) _________________________________________________________________________
Date: - ___________ Signature _________________
Place: - ______________ Name: - ___________________
Attach following (Attested) Documents:-
Sr. Documents required from candidates Sr. Documents required
No. No.
1 BE/B.Tech.- ME/M.Tech. Mark sheets 9 Caste Certificate - Wherever applicable
2 BE/B.Tech.- ME/M.Tech. Degree certificates 10 Caste Validity Certificate - -
Wherever applicable
3 Ph.D. Degree Certificate 11 Non creamy layer certificate latest
(Mandatory) - Wherever applicable
4 Date of birth-proof attested Xerox copy 12 Latest Bio-data
5 GATE Score card /NET/SET certificate 13 Latest Salary Slip
6 Equivalence Certificate from AIU 14 Fitness Certificate for Physical Director
Applicable for PG / Ph.D. from foreign Post as per the regulations
Universities. (Mandatory)
7 Experience certificate 15 Record having participation in State /
National championship
8 University Approvals 16 EWS certificate / Any other required
(Attach chronologically)
