hctm kaithal

Application Form for Employment for Teaching & Non-Teaching posts

HARYANA COLLEGE OF TECHNOLOGY & MANAGEMENT, KAITHAL
Ambala Road, Kaithal-136027 (Haryana)
(Approved by AICTE, Govt. of Haryana, Affiliated to Kurukshetra University, Kurukshetra)
Phone: 01746 -280100, 101,102,103, Fax: 01746 - 280711
E-mail:hctm98@rediffmail.com, Website: www.hctmkaithal-edu.org

(Candidates are required to go through the enclosed important instructions before filling up the form)

Post applied for :

Deptt./ Subject :

Date of Advertisement :

Name of the News Paper :

Name of the Candidate :

Last Name:

Father's Name :

Sex :

Male

Female

Nationality :

Whether you belong to SC/ST/BC :

Married :

Unmarried :

Date of Birth :

Address for Correspondence :

Telephone No :

STD Code :

Tel. No.

Fax :

Were you promoted as Reader / Professor under the Personal Promotion Scheme or Merit Promotion Scheme or Career Advancement Scheme? (Give details)

Educational Qualifications:

Sr.
No.

Exams Passed

Name of Institution

Univ./Board

Year of Passing

%Of Marks

Division

Subject studied

Matric

Hr. Sec./Pre.Univ./
10+2/Internet/NTC/Diploma

B.E./B.Tech./B.Sc.
Engg./BA/B.Sc./B.Com.

M.E/M.Tech./M.Sc.
Engg./M.A/M.Sc./M.Com.
Or any other Master’s
Degree (Name the Subject)

GATE/NET

M.Phil

Ph.D

Subject :

Topic of Thesis :

Name with Designation of the guide :

Year of Award of Degree :

Any other Exams.

Field(s) of Specialization:

11.	Total Experience (Taching/Industry) : Yrs
	Teaching :	Under-Graduate : Yrs	Post Graduate : Yrs
	Industrial :	Yrs
	Details of Institutions/Industries Served :
Sr. No.	Name of the Institution/Industry	Designation	From	To
1.
2.
3.
4.

12.	If you are presently employed, state position and address
13	Guidance/Supervision of Ph.D. Thesis:
	(A) Number of Candidates registered for supervision at present
	(B) Number of Candidates who have successfully completed Ph.D. during last five years

Language (s) known
Read	Write	Speak

	Basic Pay		in Scale
	Basic Pay acceptable :
	Period required for joining, if selected :
	Permanent Address:
	City :
	Zip Code :

IMPORTANT INSTRUCTIONS
1.	Attested copies of all the Certificates/testimonial must be attached with original application form.
2.	Name of the post applied for must be superscribed at the top of the envelope as e.g. “Application for the post of Professor/ Assistant Professor/Lecturer in specified departments.
3.	Application not supported with required attested copies of certificates/testimonials or the applications received after the expiry of last date are liable to be rejected.
4.	The number of posts can be increased or decreased at any time without notice as per requirement.
5.	Concealment of facts or supply of wrong information will result in cancellation of candidature, in addition to legal action.
6.	If you are applying for more than one position than separate applications are required.
7.	No TA/DA is admissible for attending the interview.