Online Registration No : 157287
Post Applied for :
Programme :
Discipline / Branch : :
Subject / Specialization :
1. Name of the applicant(*as per ssc) :
2. Father’s Name :
3. Date of Birth(*as per ssc)(*ie.dd-mmm-yyyy) :
Age :
4.(a)Address for Communication:    
(i)Present :
(ii) Permanent :
(b) Phone / Mobile No :
  (c) e-mail ID :
Alternative e-mail Id:
Alternative Phone / Mobile No
5. Category :
6.Ph.D. Status :
7. Academic Qualifications:    
Degree Branch &
Year of Passing Class / Grade % of marks(Only Numbers) Institute
8. a) Teaching Experience    
Sl.No. University / College Position held From To Total
(In Years & Months)
1 Y M
2 Y M
3 Y M
4 Y M
5 Y M
6 Y M
8 Y M
9 Y M
10 Y M
  Total   Y M
b) i.Teaching Experience : Years months
ii.Industrial Experience : Years months
iii.Post Doctoral Research Experience : Years months
9. Area of Research work :
10. No. of Research Projects undertaken
    (Upload Your Resume, if necessary)
11. No. of  Consultancy Projects undertaken
    (Upload Your Resume, if necessary)
12. Give details of the research papers published    
No. of Papers in National
No. of Papers in
International Journals
(Upload your resume giving the list & details i.e. Title of Paper, Journal, Volume No, Year and
Impact factor. Enclose Photostat copies of all the publications in support of your claim)
13. Awards / Recognitions (if any) :
14. If employed give details    
Present Position Scale of Pay Gross Pay Organization where
15.Names & Addresses with telephone numbers and e-mail ID of two references (Persons who are familiar with the applicant’s work) :
16. Indicate your preference to work :  
17.Photo :
*Upload photo with size less than 100 kb,file format should be either in .jpeg or .png and file name doesnot contains "."  
18.Upload Your Resume with Scaned copies of (Qualifications, Marks Statements, Experience, Present Salary, Publications, Date of Birth, etc.,)  

Note: 1. I solemnly affirm that, all the above information / statement furnished by me are true, complete and correct. I understand that, in the event of information / statement furnished by me are being found to be incorrect / false / fake after my appointment with GITAM, I shall be liable to be dismissed from the services of the University.
2.The Applicant should provide information in all the columns. Incomplete application will summarily be rejected