JAWAHARLAL NEHRU TECHNOLOGICAL UNIVERSITY: KAKINADA

Application Form for Assistant Professors (Contract) for the Academic Year 2016-17
University College of Engineering, NARASARAOPET, Guntur District, AP.
Faculty Applied: Physics / English for Teaching Subjects of I B.Tech.
(Strike off which is not applicable)
Highest Qualification: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Specialization: . . . . . . . .. . . . . . . . . . . . . . . . .
1. NAME (in block letters): ..

2.

Fathers /Husbands Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Affix
recent
passport
Size
photograph

3. Permanent Address for Correspondence:.

4. Email ID: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Ph: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Mobile:.

5.

Category: SC/ST/BC/OC/Others

6.

Date of Birth:

7. Particulars of qualifying Examination

(Submit attested Photo copies of Certificates and Marks Memos for interview)
Qualifying
Examination

Institution & University

Year of
Passing

Total Marks /
Percentage

8. Particulars of Employment (s) since passing the qualifying examination

(Submit attested Photo copies of experience certificates for interview)
Name of the Post

Employers name and address

Salary drawn

Period

9. Additional information: (Bring attested Xerox copies of AADHAR & PAN for interview)
(a) AADHAR No:
(b) PAN Number:

Signature
(Application to be submitted to principal.ucen@gmail.com on or before 22/12/2016 for the
Written test / Interview on Wednesday, 28th December2016 in JNTUK, Kakinada)