Department : _______________________________________________ Specialization : _______________________________________________ Position Applied For : ________________________________________________ I. Personal Details :(In Capital letters)

Title Dr/Mr/Ms/Er/Ar

First Name:

Middle Name:

Last Name:

Date of Birth (DD/MM/YYYY):

D D M M Y Y Y Y

Marital Status: MarriedUnmarriedDivorcee Widow

Nationality:

Name of the state to which you belong:

Category GeneralSCST OBC Others ________________

PAN No.: EPF A/c No.:

Blood Group: Height (Cm.): Weight (Kg.):

IMPORTANT INSTRUCTIONS

1. Please fill out the application from carefully and completely; if questions are not applicable, enter “NA”. Do not leave questions blank.

2. A resume will be accepted for additional information it may contain, but not in place of completed application.

3. Attach self-attested copies of required Certificates ant Testimonials as detailed in the appendix.

4. Experience of less than six months in an organization will not be considered.

5. Experience obtained 10+2 level or below will not be considered.

6. Experience obtained in part-time capacity will not be taken into account.

7. In case of published work, only number of publications already published is to be mentioned. The publications in press, in preparation

etc. will not be taken into account.

Recent PP size

color photograph

to be affixed

II. Address

Permanent Address:

House No.: Street:

Locality:

City: Pin code:

State: Country:

Present Address:

House No.: Street:

Locality:

City: Pin code:

State: Country:

Preferred address for correspondence: Permanent / Present (Please Tick)

Contact Phone Numbers:

Residence Contact No(s).:

Permanent:

Present:

Mobile No(s).:

1.

2.

Emergency No(s).:

1.

2.

Email: Web Page (If any):

Were you at any time declared: Medically Unfit Asked to submit you resignation Discharged or dismissed from Services (if yes, Please provide details Any disciplinary proceedings were initiated against you (if yes, Please provide details)

III. Family Details:

Relation Name Age Education Occupation Organization

Father

Mother

Husband / Wife

Child 1

Child 2

IV. Educational Qualification

Level

Name of Course/ Degree/

Diploma/ Certificate

Name of Institute/ College

Name of the

board/ University

Year of Passing

Duration (years)

Full Time/ Part Time/

Correspondence/ Distance Learning

Specialization/ Subjects

% CGPA

Div.

X

XII

UG

PG

PG (Additional, if any)

Any Other (Please Specify)

If you do not hold Ph.D. degree, have you registered for the same? Yes No If yes, please give details of University, Name of Professor (Guide) and Expected date of completion ________ _________________________________________________________________________________________

V. Other Qualifications/ Certifications Qualified (Yes/No) Subject/

Specialization) Year Score

JRF

NET

SET/ SLET

GATE

Any Other (Please Specify)

Training Programmes attended ________________________________________________________________________ __________________________________________________________________________________________________

VI. Research Degrees Degree Title Date of

Registration Date of

Submission Date of

Award of Degree

Institute/ University

Research Guide(s) Details

Name Designation & Institute/ University

API Score*

M.Phil.

Ph.D./ D. Phil./ FPM

D.Sc./ D.Litt.

VII. Post – Doctoral Research

S. No. Name of Program

Duration Period Training

Organization with Location

Subject / Area of Training From To

VIII. Brief Employment Details (Starting from your current organization)

Name of the organization

& its Location

(City)

Designation

Nature of Employment

(Regular / Part Time /

visiting / Adhoc /

Contractual

Class & Subjects Taught

Period Specialization / Functional

Area

Gross Salary (per

month) From To No. of Years

IX. Administrative / Teaching Experience (Full – time)

Administrative Experience (in years)

Teaching Experience (in years) P.G classes (in years)

U.G Classes (in years)

Research Experience excluding years spent in M.Phil / Ph.D. (in years)

X. Details of Present Employment:

Name & address of the organization:____________________________________________________________________ __________________________________________________________________________________________________ Nature of employer’s business: _________________________________________________________________________ ___________________________________________________________________________________________________ Date of joining at present organization:________/________/________ Designation at the time of joining the present organization:_________________________________________________ Present Designation:_________________________________________________________________________________ Present Salary Details (Monthly in INR)

Pay Scale Basic Pay AGP/ DP DA HRA Other Allowances

Gross Total

PRESENT JOB RESPONSIBILITIES

XI. Subjects Taught (Last Three Years)

S.No. Subject Title University /

Institute Level

(UG / PG / Doctoral) Year

XII. Academic Guidance (Last Two Years) for Bachelors / Masters Programs

S.No. Thesis Title Level (UG / PG) Year

XIII. Ph.D / M.Phil Thesis Guidance

Degree Number Completed Number Progress

Ph.D.

M.Phil.

XIV. Details of Other Training Programs (Any Certification etc.)

S.No.

Name of Program

Duration

Period Training Organization with Location

Subject/ Area of Training

From To

XV. Journal Publications (Last Three Years) National

S.No. Journal Name

Paper Title

ISSN/ ISBN

Number

Type (National)

Whether you

were the main

author?

Page No’s

Volume No. of Co-

authors

Year of Publication

Whether peer

reviewed? Impact

Factor (if any)

API Score*

International

S.No. Journal Name

Paper Title

ISSN/ ISBN

Number

Type (Internati

onal)

Whether you were the

main author?

Page No’s

Volume

No. of Co-

authors

Year of Publicatio

n

Whether peer

reviewed? Impact

Factor (if any)

API Score*

XVI. Details of Professional Training Programs attended (MDPs/FDPs/Workshops etc.) (Last Five Years) S.No. Name of Program Duration Period Training Organization

with Location Subject/ Area of Training

API Score* From To

XVII. Papers presented in Conferences, Seminars, Workshops, Symposia S.No. Title of

the paper presented

Title of Conference/Seminar

etc

Date(s) of the event

Organised by

Whether International/ National/State/Regional

/University or College Level

API Score*

XVIII. Invited Lectures and Chairmanships at National or International Conference/ Seminars etc. S.No. Title of

Lecture/ Academic

Session

Title of Conference/Seminar

etc

Date(s) of the event

Organized by

Whether International/ National/State

API Score*

XIX. Ongoing Projects / Consultancies S.No. Title

Agency

Period

Grant/ Amount Mobilized

(Rs. Lakhs) API Score*

XX. Completed Projects / Consultancies S.No. Title

Agency

Period

Grant/ Amount Mobilized (Rs.

Lakhs)

Whether Policy Documents/Patent

as outcome

API Score*

XXI. Books published as single author or as editor S.No. Title with

page no. Type of Book &

Authorship Publisher

& ISSN/ISBN

No.

Whether Peer

Reviewed

No. of Co- author & Date of

Publication

Whether you are the

main author

API Score*

XXII. Articles/ Chapters published in Books S.No. Title with page

no. Book Title,

editor & publisher

ISSN/ISBN No.

Whether peer

reviewed.

No. of Co- authors

and Date of

Publication

Whether you are the

main author

API Score*

XXIII. Award / Honors / Scholarships S.N.

Name of Award Name of Organization Year API Score*

* API Score computed as prescribed under UGC guidelines.

XXIV Professional References (3 References with whom the candidate has worked including from the last Organization/ Institute Served)

Name Current Position Organization Contact Details (Email ID, Mobile No., Phone No.)

Email ID:

Mobile No.:

Phone No.:

Email ID:

Mobile No.:

Phone No.:

Email ID:

Mobile No.:

Phone No.:

XXV Preferred location for Interview Dehradun Delhi

XXVI. Job Reference (Kindly tick mark) DIT University Website Newspaper

(name of newspaper) Job Portals

(Name of Portal) Employee Referral (Name of Referee)

Any other Source (Please specify)

XXVII. Membership of Professional Bodies / Associations

S.No. Name of the Professional Bodies / Associations Duration

XXVIII. Linkages with International University / Industry / Research Organization

S.No. Name of the Organization

Department Resource Person (Name & Designation)

Email ID Nature of association

XXIX. Experience in Other Areas

S.No. Administrative Positions / Student Welfare / Curricular Activities / Extra Curricular Activities / Professional & Outreach Activities

Years

XXX. Language Proficiency (Please indicate languages and level of proficiency – Good, Average or Nil)

Languages Writing Reading Speaking

Good Average Nil Good Average Nil Good Average Nil

HINDI

ENGLISH

FRENCH

GERMAN

OTHERS (Specify________)

XXXI. Computer Proficiency (Theoretical & Practical) (Please indicate your overall competency level) Microsoft Office

S.No. Computer Skills Very Good Good No Knowledge

1 Word processing

2 Spreadsheet (Excel)

3 PowerPoint

4 Microsoft Outlook

Languages / Technical Software

5

6

7

8

9

10

11

XXXII.

Past Employment / Association / Acquaintance with DIT University / any other affiliate organization of the Unison Group: (If yes, Please give details underneath)

Yes No

XXXIII.

a) Have you ever applied or been interviewed for a job at Unison Group earlier? (Please Tick)

Yes No

If Yes, Please give details

b) Do you have any acquaintances or relatives associated with Unison Group? (Please tick)

Yes No

If Yes, Please give details

XXXIIV. Any Major Illness / Physical handicaps (if any) (Please give details)

a) Major Illness: (if any)

b) Physical Handicaps: (if any)

Appendix

S.No. List of Documents to be attached: Pls. Tick

1 Updated Resume duly signed

2 Educational Certificates, Mark sheets & Degree (from class 10th till highest degree)

3 Appointment Letter of current organization / last served organization

4 Appointment Letters of previous organizations as specified in Clause VIII: Employment Details

5 Latest Salary Slip / Bank Statement

6 Permanent Address Proof (Voter ID / Domicile Certificate / Passport / Any other)

7 Photo Identity Proof (PAN Card / Voter ID / Passport / Driving License)

8 Experience & Relieving Certificate from previously served organizations

9 Documents certifying Conferences / Workshops attended / conducted and presented

10 Certificates of Training Courses / Short – Term Refresher Courses

11 Documentary Proof of Sponsored / Consultancy Projects undertaken

12 Documentary Proof of Publication

13 Certificates of Awards & Recognition

14 JRF / NET / GATE / SLET / SET Qualified Certificate (If Applied & Cleared)

15 Any other relevant document(s)

Declaration I hereby affirm and certify that the information presented in this Employment Application Form and documents annexed with the application form are true and complete. I understand that falsification, misrepresentation or omission of any fact will be sufficient for the rejection of my candidature and / offer of employment / initiating disciplinary action which may lead to dismissal, if discovered at a later date. I understand that employment is based strictly on merit and declare that I will not violate the rules of the organization or canvassing, directly or indirectly, to seek employment with DIT University, Dehradun and / or to seek any undue / special favors outside the framework of rules in force from time to time. If selected, I shall abide by the Rules and Regulations covering the employment with DIT University, Dehradun presently in force or as amended from time to time. I shall also act responsibly, interact honestly and respectfully with all others, respect the resources made available to me and be accountable for my actions. Place: ______________________ Date: ______________________

___________________ Signature of Applicant