SHRI VAISHNAV VIDYAPEETH VISHWAVIDYALAYA
Campus: Sanwer Road, Indore - 453111 (M.P.) • E-mail: [email protected] • Website: www.svvv.edu.in
City Office: Shri Vaishnav Vidya Parisar, 177, South Raj Mohalla, Jawahar Marg, Indore - 452002
[APPLICATION FORM]
1. General Information
Post Applied for : ASSISTANT PROFESSOR
Academic yes Administrative Technical
InformationTechnology/Data Science and
Academic Stream with Specialization : Machine Learning
Have you applied previously for any position in our Group Institutions?
YES NO no If yes, give details in brief: ______________________________
__________________________________________________________________________
2. Personal Information
Full Name (In Block Letters) : PALAK VYAS
Father’s/Husband’s Name : SHRIKRISHNA SHARMA
Sex : Male Female YES
Date of Birth : 2 3/ 0 9/ 1 9 93
Place of Birth : BHOPAL
Blood Group : O+VE
Present Address with E-mail and : 21/2 DAGA SADAN , GEETA COLONY,
Mobile No. BUDHWARIA ,UJJAIN
[email protected]
_9826085592_ Pin Code 4 5 6 0 0 6
3. Academic Information
Examination(s) Passed Subject/ Year of Class/ Name of Board/
Branch Passing Division/ University
Grade
Obtained
1 M.TECH IT 2019 8.56 RGPV
2 B.E.(HONS) IT 2015 8.15 RGPV
3 12TH PCM 2011 89% STATE BOARD
4 10TH ALL 2009 89% STATE BOARD
*Please Attach Photo Copy of the Certificate/s
Contd…2
…2…
4. Professional Information (Teaching/Library/Other Experience):
S.No. Name of the Position Duration Name of the Stream, if in
Institution/Library Parent Academics
Institution
From To
1 MIT UJJAIN AP 15/09 25/0 AIML
/22 4/23
2 BIST BHOPAL AP 12/10 30/0 CS
/2021 3/22
3 CAPGEMINI SOFTWAR 5/10/ 30/0 SAP BODS
E 2015 8/20
ENGINEER 16
*Please Attach Photo Copy of the Certificate/s
Teaching Experience at P.G. Level 1+ Year/s U.G. Level 1+ Year/s
Library Experience _____________________ Year/s Total Experience 2+ Year/s
Details of Publications, Patents, etc. (Please attach the additional sheets, if required)
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
Any other relevant information
__________________________________________________________________________
__________________________________________________________________________
Reason for leaving present job : For upskilling and plan to move to other city.
Current Salary :
Expected Salary : As per norms
Time required to join the Service : 1st July,2025
References : 1. ………………………………………………..…………………………………………………….
2. ………………………………………………..…………………………………………………….
3. ………………………………………………..…………………………………………………….
DECLARATION
I hereby declare that information given by me in the Application is true and correct to the
best of my knowledge.
Date : …………………………….
Place: ……………………………. (Signature of the Candidate)
