psg perfoma

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PSG COLLEGE OF ARTS & SCIENCE

Coimbatore-641 014

SF/ Date:

PROFORMA FOR TEACHING STAFF RECRUITMENT

1. Name : Ms./Mr./ Dr.

2. Sex (Male/Female) :

3. Name of Father : Name of Spouse:

4. Date of Birth: Ae: !ears (as o" #ate)

$. Marital Status :

%. &o"ta't Details. i) Moile No

ii) a"#li"e (*ith S+D 'o#e):

iii) ,mail i#:

-. A##ress:

Natie/erma"e"t: o'al A##ress (for &ommu"i'atio"):

0. eliio": &ommu"it: &ateor: &/B&/MB&/S&/S+ et'.. Mother +o"ue:

15.a"uaes 6"o*":

a"uae Spea6 ea# 7rite

11 E!"#atio$a% "a%i'i#atio$( )

Sl.

No.

&ourse

Deree /

Ma8or

Su8e't

S'hool/

&ollee

9"iersit

!ear of

stu#

Mar6s/

&lass

eular /

&orrespo"

#e"'e

Full time /

art time

1 Matri'/

SS&

2 ;2

3 9<

4 <

$ M hil

% h D



- SLET*

NET

0 A"

ther

Spe'ial a'hieeme"ts i" a'a#emi's= if a"

1+ P"b%i#atio$()

i) esear'h apers ulishe# (Numers o"l):

>"#ia" ?our"als: >"ter"atio"al ?our"als:

(Details of puli'atio"s *ith >mpa't fa'tor shoul# e atta'he# as Appe"#ix >)

ii) esear'h apers/osters rese"te# i" 'o"fere"'es

<ie Numers o"leio"al: Natio"al: >"ter"atio"al:

(Details of prese"tatio"s shoul# e atta'he# as Appe"#ix >>)

iii) Boo6s ulishe#:

13. ,xperie"'e:

1. +ea'hi" ,xperie"'e:

S.No Name @ A##ress of the

>"stitutio"

Desi"atio" @ Nature of 7or6 Duratio"

From +o

Seri'ei" ears

@

Mo"ths

,xperie"'e'ertifi'ate

(!es or No)

1.

2.

2. >"#ustr experie"'e:

S.No

Name @ A##ress of the

ra"iatio"

Desi"atio" @

Nature of 7or6

Duratio"

From +o

Seri'e

(ears @

mo"ths)

,xperie"'e

'ertifi'ate

(!es or No)

1.

2.



1%. efere"'es:

S No Name, e(i.$atio$ & A!!re(( Mobi%e No

1.

2

1/ ast salar #ra*" (mo"thl)(s.): ,xpe'te# Salar (s.):

1. ?oi"i" time reuire#= if sele'te#:

1. >" 'ase 'lose relaties emploe# i" S< >"stitutio"s fur"ish full #etails:

(Name= elatio"ship= Desi"atio"= Name of >"stitutio"= e"th of seri'e et'.)

25. A" other i"formatio" of importa"'e:

e#%aratio$

Do ou ou'h that the i"formatio" fur"ishe# herei" is 'orre't a"# true to the est of ou 6"o*le#e

!es/ No

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