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Initial of Clerk THIAGARAJAR COLLEGE OF ENGINEERING

(A Govt. Aided Certified, Autonomous Institution Affiliated to Anna University)

MADURAI-625 015

Post Discipline
Application for

1. a) Name in full (in Capital Letters) :

b) Sex :
2. COA Registration No. (for
Architecture Discipline) Validity till :
3. Address :

a) Permanent Address with Phone No. b) Communication Address with Phone No.

c) Mobile No: d) E-mail ID: **

e) Father’s/Husband’s Name: f) Alternate E-mail ID:

Address:

**The interview date will be intimated through E-mail. Please provide the same correctly.

4. Age & Date of Birth :

5. a) Nationality : b) Religion :

c) Community : SC/ST SCA MBC / DNC BC GT

d) Sub Caste :

6. Educational Qualification (Starting from basic degree) (enclose Marks Sheet)

Degree Area of Institute / University Month & Year Class % of Marks /
Specialisation of passing Equivalent
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7. Details of Thesis:

Course Title of the Project / Thesis Brief Details

M.Tech./ M.Arch./ M.Sc., /M.Phil.,

Ph.D.,

8. Experience (Starting from current Position):

a) Academic :
Period No. of Years Designation / Last Pay Drawn Institute /Organisation
From To Nature of job

b) Research :
Period No. of Years Designation / Last Pay Drawn Institute /Organisation
From To Nature of job

a) Industrial /Practice Experience:

Period No. of Years Designation / Last Pay Drawn Institute /Organisation
From To Nature of job

9. Publications

9.1 Books Published :

Sl. No. Title Area Publishers Year
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9.2 Publications in Journals:

Sl. No. Title Area Name of the National / Year / Vol.

Journal International

9.3 Publications in conference:

Sl. No. Title Area Name of the National / Year / Vol.

Journal International

10. a) Seminars /Schools/Conferences/Workshops Organised:

Sl.No. Title Period Place Remarks

b) Seminars /Schools/Conferences/Workshops Attended:

Sl.No. Title Period Place Remarks

11) Special /Invited Lectures Delivered:

Topic Area Delevered at Year / Date Remarks

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12) Sponsored Projects Done:

Title Sponsoring Year Details of Responsibility Amount

Agency Project Sanctioned

13) Consultancy Work done:

Nature of Interacted Year Details Facilities Revenue
work Industry /Institute utilised / co- Earned
workers

14. Academic Research Guidance / Supervisorship:

Name of Research Course / M.Arch. / Ph.D Area of Research / Work Status

Scholars

15. Membership in professional societies:

Name of the Society Details of Membership Nature of Tech. activities Remarks

done through the society

16. Prizes, Medals and honours received, if any:

Details Awarded for the work Status Remarks

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17. Contribution to the College (Internal candidates only):

Date of joining Year of Experience Responsibilities held Nature of activities for the
betterment of the college.

18. Computer knowledge (Specify in particular) :

19. References :1.

2.

20. Testimonials :

21. Any other relevant information :

22. List of enclosures :

1.
2.
3.
4.
5.

DECLARATION

I hereby declare that the information provided in this form are true to the best of my
knowledge and belief.

Signature of the Candidate