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DYAL SINGH COLLEGE

(University Of Delhi)

Lodi Road, New Delhi 110003

Application No. ----------

(to be filled by office)

APPLICATION FOR THE POST OF ..IN DEPTT. OF

Advertisement No. ..Dated ...

1. Name (BLOCK LETTERS) .........

2. Fathers/Husbands Name

3. Permanent Address ..

...

Postal Address ......

...

Telephone No.: ..E-Mail ..

Mobile No.

4. Date of Birth Age SexMarital Status

5. Nationality

6. State Category (UR/ SC/ST/OBC/PWD) Reserved Category to relevent.

7. Present post, if any, with date of appointment

(State whether permanent/ on probation/ temporary/Adhoc)

8. Present basic pay and grade pay :

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Past Passport

Size

Photograph

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9. Minimum salary acceptable:

10. (a) Whether the candidate is receiving any pension benefits, and if

so the amount of pension and pension equivalent of gratuity my

be indicated

(b) Whether the candidate would be entitled to any pension benefitson his premature retirement from his present post, if selected for

appointment in the College/University and, if so, the amount ofpension and the pension benefits may be indicated.

11. Academic Qualifications:-

Examination Year Main

Subject(s)

Division/

Grade

Marks

Aggregate &

Percentage

School/College

attendedUniversity

Bachelors Degree

Masters Degree

M.Phil.

Ph.D

Title of Thesis

Date of

award/submission

Other Distinctions

12. NET cleared (Yes/ No.) If yes, please attach the proof

13* (a) Any published work/books written by the

applicant or any other particulars of

research or other work that he may like to

mention. If necessary, a separate sheet of paper

may be used for this purpose.

(b) Special subject of study or branch or

specialization, if any

*Give the title of paper published together with the name of the journals and year. Reprints ofimportant papers should be attached to the application.

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14. (a) Teaching Experience:

Name of the

University/College/

Institution

Designation &

Scale of Pay

Nature of Post :

Temporary/Perm

anent/Adhoc

Classes taught Period

Under-

Graduate

Post-

Graduate

From

(b) Research Experience, if any:

15. Name of literary, cultural or other activities (e.g.

Attainment in sports etc.) in which the applicant is

Interested and distinctions, if any gained in them.

16. Name of any post with particulars of which the

Applicant may have applied elsewhere and which has

not been disposed of. Any subsequent application

should also be intimated in writing.

Date.. Signature of Applicant

Declaration:

I declare that all the statements made by me in this application are true to the best of

my knowledge and belief.

Date .. Signature of Applicant

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17. Forwarded with the remarks that the facts stated in the above application have been

verified and found correct and this Institution/Organisation has no objection to the

candidature of the applicant being considered for the post applied for.

Designation .. Signature .

Address (Head of the Institution/Organisation with seal)

..

Pin Code No.

Date: Telephone No. ..

Email: ..

Note: 1. Copies of certificates or degrees, testimonials etc. should be attached with the

application (attested by the applicants themselves) and originals must be produced

at the time of interviews and at the time of joining, if selected.2. Applicants are advised to send their applications through their present employers, if

any and by speed post. It is not the practice to knowledge receipt of application.

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