0% found this document useful (0 votes)
17 views5 pages

Faculty Appl Form March 2024

This document is an application form for faculty recruitment at Matrusri Engineering College for the position of Assistant Professor in the CSE department. It includes personal details, academic qualifications, employment history, teaching and research experience, and declarations. The applicant, Mr. Appalaswamy Basana, has a background in computer science and relevant teaching experience at various institutions.

Uploaded by

swamy.basana
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
17 views5 pages

Faculty Appl Form March 2024

This document is an application form for faculty recruitment at Matrusri Engineering College for the position of Assistant Professor in the CSE department. It includes personal details, academic qualifications, employment history, teaching and research experience, and declarations. The applicant, Mr. Appalaswamy Basana, has a background in computer science and relevant teaching experience at various institutions.

Uploaded by

swamy.basana
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 5

Affix latest Colour

Matrusri Engineering College Passport Size


(Sponsored by Matrusri Education Society, Estd:1980) Photograph
#16-1-486, Saidabad. Hyderabad-500 059
Ph: 040-24072764. www.matrusri.edu.in

APPLICATION FORM FOR FACULTY RECRUITMENT

Post to which applied: Assistant Professor


1
Department CSE

Mr./Ms./Dr. Appalaswamy Basana


Name in full (Block
2
letters) Male/Female Male

3 Date of Birth 01/03/1984 Nationality INDIAN

4
Father’s / Koteeswara rao
Husband’s Name
Address for Communication Permanent Address

Uday giri colony, BAHUDURPALLY PERIKI STREET

Address HYDERABAD HIRAMANDALAM


TELENGANA SRIKAKULAM
5

Telephone No. with STD


(R)
Code (O)
9491934489 [email protected]
Mobile No. Email:

6
Category
OC / OBC / BC-A ,B,C,D / SC / ST / Others :
Academic record starting with SSC: (please attach Xerox copies of certificates)

Year in which Class or Subjects


Name of Name of the College Degree/Diplo Division taken for
Name of the University
the Degree and Place ma has been with % specializati
obtained of marks on
(1) (2) (3) (4) (5) (6)

SSC GOVT.HIGH SCHOOL SSC 1999 74.44 MPS

7 INTER SANTHI NIKITAN JR BOI 2001 81.5 MPC


COLLEGE
B.TECH TPIST JNTU H 2007 56 CSE

M.TECH GMRIT JNTU KKD 2012 70.34 CSE

PHD IIT GUWAHATI 2026 CSE


IIT GUWAHATI

(Mar’ 2024) 1
8) Employment (Particulars of your past position(s)
Total
S. Date of Date of
Employer Position held Emoluments
No Joining Leaving
&Scale of Pay
1 LEIT ASSISTANT PROFESSOR 28-11-10 02-6-19 40,000

2 MITID ASSISTANT PROFESSOR 01-6-21 30-6-23 64,414


3 MLRIT ASSISTANT PROFESSOR 02-1-24 30-5-24 68,000

4 MRECW ASSISTANT PROFESSOR 07-6-24 TILL DATE 70,000

Details of experience:
13
Teaching Experience–No. of years

CAO, COOS, OS,CG,DBMS, MC, OOAD

Subjects handled for UG classes

CAO, COOS, OS,


9

Subjects handled for PG classes

Research Experience 1
No. of years
Industrial Experience 1
No. of years
Administrative Experience 2
No. of years

10. Membership of Professional Bodies


S.No. Name of the Body Status of Membership : Life/Annual

(Mar’ 2024) 2
Have you published any papers or textbooks? If so, give particulars papers / books clearly mentioning the
names of International / National Journals in the case of papers published and conferences participated for
Presenting papers, names of publishers in the case of Textbooks(attach separate sheet)
International
National (No.) International (No.) National (No.)
(No.)

11 Journals Conferences

Seminars Workshops

Text Books Monographs

No. of PhDs guided / currently guiding if any (Give


12
details on a separate sheet if required)

No. of ME / M Tech Project works guided if any


13
(Give details on a separate sheet if required)

No. of BE/B Tech Project works guided (Give details


14
on a separate sheet if required)

Awards received if any (Give details on a separate


15
sheet if required)

16 SPONSORED PROJECTS UNDERTAKEN:


.
Co investigators
Sponsoring Agency Title of project Amount of grant Period
(if any)

17 CONSULTANCY WORK DONE:


.
Co investigators
Organization Title of project Amount of grant Period
(if any)

18.SHORT TERM COURSES / WORKSHOPS/ SEMINARSETC. ORGANIZED


S.No Title of program No. of days Any other details

(Mar’ 2024) 3
(Mar’ 2024) 4
19. Names and addresses of two References (atleast one of them should be familiar with your
recent work)

Name
Occupation/Position
Address

E-mail
Phone No

20. Expected salary


Time required for joining

21. Is any of your relatives working in Matrusri Education Society sponsored institutions, i.e.,
Matrusri Engineering College (MEC), MVSR Engineering College (MVSREC) or Matrusri
Institute of Post Graduate Studies (MIPGS) (if yes, provide details)

S.No. Name Designation Institution Relationship

22. Have you applied to any of positions in Matrusri Education Society sponsored institutions
earlier, i.e., Matrusri Engineering College(MEC), MVSR Engineering College (MVSREC) or
Matrusri Institute of Post Graduate Studies (MIPGS) (if yes, provide details)

23. Any other relevant information

Date:

Place: SIGNATUREOFTHEAPPLICANT

DECLARATIONTOBESIGNEDBYTHEAPPLICANT

I hereby declare that the statements made in this application are true to the best of my knowledge, if
any false statement, deliberate omission, suppression or misrepresentation of facts will result in my
application being rejected or, if discovered after employment, it will render me liable for disciplinary
action which may include dismissal.

Date:…………………… SIGNATUREOFTHEAPPLICANT

(Mar’ 2024) 5

You might also like