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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