Apply for Teaching Staff

    Basic Details
     
    Post Applied for *
    Discipline *
     
    1. Applicant Details
    Title *
    Name in Block letters *
    Date of Birth *
     
    Place of Birth
    Nationality
    Gender *
     
    Blood Group
    Identification Marks
    PAN No
     
    Driving License No
    Passport No
    Aadhar Card No
     
    Bank Account No (HDFC Bank Only) *
    IFSC Code (HDFC Bank Only) *
    2. Present Postal Address ( in block letters)
    Country *
    State *
     
    District *
    City *
     
    Address Line 1 *
    Address Line 2
     
    Pincode *
    Email Address *
     
    Mobile Number *
    Alternate Mobile Number
     

    YesNo

     
    Permanent Home Address (in block letters)
    Country *
    State *
     
    District
    City *
     
    Address Line 1 *
    Address Line 2
     
    Pincode
    Email Address *
     
    Mobile Number *
    Alternate Mobile Number

     
    3. Other Details
    Father's Name *
    Mother's Name *
     
    Name of Husband/wife (if married)
    Details of Family
     
    4.

    Category
     
     
    5.

    Present designation & name of employer (if employed)
    Grade and consolidated salary being drawn
     
    6.

     
    7.

    Educational Qualification:

     
    Matric
     
    Institute Name *
    Board / University *
    Year of Passing *
     
    % age of Marks *
    Class / Division *
    Regular/Correspondence/Part time *
     

    12th / Diploma Academic Details
     
    Institute Name *
    Board / University *
    Year of Passing *
     
    % age of Marks *
    Class / Division *
    Regular/Correspondence/Part time *
     

    Graduation Details
     
    B.A./B.Sc./ B.Com./B.Tech. (Branch) *
    Institute Name *
    Board / University *
     
    Year of Passing *
    % age of Marks *
    Class / Division *
     
    Regular/Correspondence/Part time *
     
     


     

     

    Post Graduation Details
     
    M.A./M.Sc./M.Com/MBA/MCA/M.Tech. (Branch) *
    Institute Name *
    Board / University *
     
    Year of Passing *
    % age of Marks *
    Class / Division *
     
    Regular/Correspondence/Part time *
     
     


     

     

    Higher Degree Details
     
    Ph.D.
    Institute Name
    Board / University
     
    Year of Passing
    % age of Marks
    Class / Division
     
    Regular/Correspondence/Part time
     
     


     

     

     
    M.Phil
    Institute Name
    Board / University
     
    Year of Passing
    % age of Marks
    Class / Division
     
    Regular/Correspondence/Part time
     
     


     

     

    Any other Exam
     
    Detail of Exam
    Institute Name
    Board / University
     
    Year of Passing
    % age of Marks
    Class / Division
     
    Regular/Correspondence/Part time
     
     
     


     

    8.

    Topic of M. Tech./ M.Phil Dissertation
     
    9.

    Topic of research for Ph.D
    Field of specialization


     


    Please upload the copies of certificates duplicate
     
    Recent Passport Size Photograph *
    10th Marksheet *
    12th/Diploma Marksheet *
     
    Graduation Marksheet *
    Post Graduation Marksheet *
    Higher Graduation Marksheet *
     
    Upload Your Resume *
     
     
     


     

    10.

    Experience:

     
    Experience A: Academic
     
    Employers Name & Address
    Institute/Industry
     
    Duration
     
    From
    To
    Total Period
     
    Nature of Duties
    Emoluments & Scale etc.
     
    Reason For Leaving
    Total Experience
     

     
    Experience B: Academic (After M.Tech)
     
    Employers Name & Address
    Institute/Industry
     
    Duration
     
    From
    To
    Total Period
     
    Nature of Duties
    Emoluments & Scale etc.
     
    Reason For Leaving
    Total Experience after MTech/MBA/MA/MCA
     

    Experience C: Discipline and Moral
     
    Discipline

     
    Self Discipline Explanation
    Student Discipline Explanation
     
    Department’s Discipline Explanation
    General Discipline Explanation
     
    Moral

     
    Honesty Explanation
    Commitment Explanation
     
    Service to Humanity Explanation
    Social Awareness Explanation
     
    Scales

    A-80% and Above
    B-60% T0 79%
    C-35% TO 59%
     
    Note: Attach Extra page for Experience B, if necessary
    Please specify whether you have ever worked in Panipat Institute of Engg. & Technology.

    Total experience (in Yrs.)
     
    Under Graduate Classes
    Post graduate Classes
     

    Results of classes taught by you:-
     
    Subject/Paper
    Pass %age
     
     
     
     
     
     
    Any Other Exam

     
     


     

    11.

    A. Paper published in Journals
     
    National
    ISSN No
    Impact factor/references if any
     
    International
    ISSN No
    Impact factor/references if any
     
    Attach extra sheets if required
     
     
     


     

    B. No. of Conferences attended (National/International)
     
    C. Papers presented/published in Conferences (National/International).
     


    National
    Nos.
    ISSN No. of proceedings
     
     
     


    International
     
     
     
    Attach a list of publications is respect of each category mentioned above.
     
    D. No. of books published
    Detail of publishers
    ISSN No
     
    E. Detail of Patents (if any)
     

    12. Extra Curricular Activities (Sports, Social, Literary Activities, N.C.C./N.S.S.) etc.
     
    Name of Activity
    Level/Name of the Competition
    Year
    Position Achieved
     
     
     

    13. Conference/Seminar organized by you: (Attach list).
     National Conference

     
    Name of Conference
    Place
    Date
    Sponsored/Faculty
     
    International Conference

     
    Name of Conference
    Place
    Date
    Sponsored/Faculty
     
    14.

    Any other achievement you would like to mention:
     
    15.

    Have you ever been connected with any political party? If so give details
     
    Do you have any contract/ bond with your present employer? If yes, give details
     
    Do you consume liquor?
    Are you used to gambling?
     
    Do you have any relative working in PIET or any relation with any member of the Managing Committee (if yes, furnish details)
     
    Please state whether you are pursuing any course of studies at present? If yes, give details
     
    Please note that:

    (a) You will not be allowed to undertake any further studies during your employment without prior written permission of the competent authority. You will not undertake any part-time job including coaching/tuition etc.

     
    If selected, when can you join?
    Salary Acceptable
     
    Name & Addresses of two references, not relatives:
     
    Name
    Address
     
     
    I declare that the information given above is true and correct to the best of my knowledge and belief & nothing has been concealed therein. I am aware that any false or incorrect information given by me may result in termination of my services ipsofacto.
     
    Place *
    Date *
    (APPLICANT’S SIGNATURE) *
     
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