INSTITUTE OF MANAGEMENT & COMPUTER STUDIES, THANE

Examination Passed

University

Month and Year of Passing

Subj. Offered Special/General

Marks obtained out of

Percentage of Marks

Class/Division/ Grade

(i) Bachelor's Degree (BA/B.Com/BBA
/BCA/BHMTT/DHMCT
/PGDFT/LLB etc.)

(ii) Master's Degree

(iii) M.Phil. Degree

(iv) Ph.D.Degree

(v) NET/SET (CSIR)

Admissions Open 2009

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APPLICATION FORM FOR LECTURER / ASST. PROFESSOR/ PROFESSOR/ /DIRECTOR.

1)	*Full Name of the Candidate :
	Address for Correspondence :
	Pin Code :
	*Tel. No. :
	*E-Mail Address :
2)	Mobile :
3)	*Name of the Post Applied For :
4)	Nature of the Post : (SC, ST, DT/NT, OBC, OPEN)
5)	Date of Birth :

6) Educational Qualification (Please Enclose Xerox Copies of Certificates & Mark Sheets)

7) Teaching Experience (Please Enclose Xerox Copies of the Certificates / Appointments Letters / Experience Certificates)

University/College /Institute	Designation of the post held	Subjects and classes taught	Period of appointment with date	Nature of appointment	Approved by University. Date of approval or not approved
			From To

8)	Professional Experience : (Pl. give details on separate sheet)
9)	Your Area of Expertise at Present:
10)	Which Subject you will be able to teach :
11)	What are your strength & weakness :
12)	Hobbies :
13)	Last Salary drawn & Salary expected :
14)	Awards, Merit Certificates received to you :
15)	Articles, Research Paper or book written By you:
16)	Co-curricular, extra curricular, extension activities done by you in the past :

I hereby declare that the statement made above, in so far, as they relate to me are true and correct.