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RECRUITMENT IN MAULANA AZAD NATIONAL INSTITUTE OF TECHNOLOGY
Fields marked with * are mandatory
Instructions and Post Details
One set of online submitted application form, fee receipt and self-attested supporting documents should reach the Institute on or before last date mentioned in the advertisement.
Note-:Once Post and Department Name are choosen please ensure both are Correct,Once Selected it will be locked and can not be edited
Note-:Candidates are required to fill their Application form at one stretch as there is no save option
Post Name*
Department Name*
Advertisement No.*
Part A-Personal Details
Applicant's First Name* Applicant's Middle Name Applicant's Last Name
Father's / Husband's Name*
Mother's Name *
M.P. Domicile*
Category*
Gender*
Marital Status * Spouse Name
क्या आप भूतपूर्व सैनिक हैं? (Are You Ex-service Man?)*
बच्चो कि संख्या (No. of Children)
यदि बच्चे नहीं हैं तो कृपया 0 भरें|
अंतिम बच्चे की जन्मतिथि (Last child birth date) (In DD/MM/YYYY) क्या अंतिम बच्चे जुड़वाँ पैदा हुए हैं? (Is Your Last Child Born Twins)
Nationality*
DOB(DD/MM/YYYY) * (In DD/MM/YYYY) Age as on 18/08/2019    - -(yy-mm-dd)
Are you Physically handicapped?*
More than 40% and above
Type Of Physically Handicapped
Religion*
ID Proof1*
ID Proof2*
Are You a Regular Faculty of MANIT.*
Educational Qualification Details
Essential Qualification*
Qualification Name of degree Subject/Specialization Passing Year(YYYY) University/Board Institute/College Name Percentage/CGPA (In 00.00 Format) Division/Grade(In 1,2,3 Format)
10th* 10th  NA
11th/12th* Higher Secondary NA
Graduation*
Post Graduation*
Other
Other1
Is Your PH.D. Awarded from MANIT.*
Details of Ph.D.
Date of Registration(DD/MM/YYYY) Whether Full Time or Part Time Discipline/Department/Faculty University/Institution Submission Date(DD/MM/YYYY) Award Date(DD/MM/YYYY) Title of Thesis
P.hd
Details of PDF
University/Institution NIRF/QS Ranking From Date(DD/MM/YYYY) To Date(DD/MM/YYYY) Area of Research
Whether Qualified UGC-NET/SLET*
Subject* Registration No.
Roll Number* Year of Passing(YYYY)*
TEACHING EXPERIENCE DETAILS (PLEASE FILL EXPERIENCE DETAILS IN THE ASCENDING ORDER YEAR FROM FIRST WORK EXPERIENCE TO CURRENT WORK EXPERIENCE.)
TEACHING EXPERIENCE*
Total work Experience in Years-Month :- -
RESEARCH / INDUSTRY EXPERIENCE DETAILS (PLEASE FILL EXPERIENCE DETAILS IN THE ASCENDING ORDER YEAR FROM FIRST WORK EXPERIENCE TO CURRENT WORK EXPERIENCE.)
Research / Industry Experience*
Total Experience(yy/mm/dd) -
FULLY FUNDED CENTRAL EDUCATIONAL INSTITUTIONS/STATE GOVERNMENT INSTITUTE EXPERIENCE (PLEASE FILL EXPERIENCE DETAILS IN THE ASCENDING ORDER YEAR FROM FIRST WORK EXPERIENCE TO CURRENT WORK EXPERIENCE.)
Do you have experience in Fully Funded Central Educational Institutions/State Govt. Institute*
Total work Experience in Years-Month :- -
Communication Address
Address*
State* City* Pin No.*
Email id* Mobile No.*   Phone No.  
Permanent Address(Same as Communication Address)
Address*
State* City* Pin No.*
Mobile No.* Phone No.
Bank Details
Account Number * Bank Name *
Account Holder Name * IFSC Code *
Legal Case Details (if Any)
Were you involved in any criminal case, If yes, give full details (like Crime No, Police Station, Section under which crime was registered, acquittal or conviction/ date of order and Case No)Is any criminal case pending against you in the court, If yes, give full details *
Crime Number Section/Act Court Name Date(DD/MM/YYYY) Remark/Punishment
Character and Antecedents Reports
Have you ever been subject to any disciplinary action, as a student and/or as an employee, if so give full details. *
If yes, give full details
Have you ever been dismissed/suspended from service/employment, if so please give full details *
If yes, give full details
Other relevant information
Details of published papers Whether Pay Protection sought? If yes please provide due justification for consideration by Selection Committee. *
  If yes, give full details
Prizes/Medal/Awards/Distinction
Scholarship Received
Sports and Extra-curricular activities(including NCC/NSS)
Languages known
Level of Computer Proficiency
Name and Address of minimum two References.
(Referees should be familiar with your academic/Professional work and should not be relatives)
Reference Name 1 * Reference Name 2 *
Reference Address 1 * Reference Address 2 *
Designation and Organization 1 * Designation and Organization 2 *
Phone 1 Phone 2
Mobile 1 * Mobile 2 *
E-mail 1 * E-mail 2 *
Part B-Credit Point Verification Performa(Kindly select the activity option again, if you have multiple projects/research papers/responsibilities)
Please enter credit point claimed detail. *
Total Credit Point
Attachment*
Attach Photo with Signature*
Click here for photo sign format