1. Prof. Ram Meghe Institute of Technology & Research, Badnera-Amravati
Application Form for Recruitment 2013
(Filling Instructions: Delete Blank or Unwanted Data)
To,
The Principal, PRMIT&R, Badnera
Photograph
image format
JPEG & size
less than 51 KB
(Optional)
Application for the Post of Professor / Associate Professor / Assistant Professor
Name of the Department
1. Name in Full
(First, Middle & Last Name )
2. Complete Postal
Address
City Pin Code No.
3. Mob. Email
4. Male/Female Married/Unmarried Yes / No
5. Age (yr) Birth Date (mm/dd/yyyy)
6. Category belong to SC/ST/SBC/General
(State specific caste in accordance with authentic certificate)
7.Educational Qualification
Name of Examination University Year of award Subject
marks obtained
( % )
Class Division
awarded
U.G. Degree
P.G. Degree
Ph.D.
Other Degrees
Research Work
8. Experience in Chronological Order
Name of Institution / Company Designation Subject No. of Years
Total Teaching Experience Yrs Total Industrial Exp. Yrs
9. Other Proficiencies / Achievements
Sr. No. Details Year
I hereby declare that all the statements made in this application are true and correct to the best of my knowledge and belief.
Sent from (email id) Signature of
Candidate image
format JPEG & size
less than 51 KB
(Optional)
Date (DD/MM/YYYY)
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