Applicant Form

Post Applied For:
PERSONAL DETAILS *
First Name:
Father/Husband Name:
Last Name:
Date Of Birth:
Place of Birth:
Marital Status:
Current Address:
Tel No. & Mobile No:
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ACADEMIC QUALIFICATIONS *
Sr. No.Examination PassedUniversity/ BoardMonth & Year of PassingSubjects offered Special/Allied/ Major/Additional/Principle/ Subordinate Subjects% Of Marks ObtainedClass/ Div/ GradeWhether the examination was passed as a regular student/as an external student by correspondence 
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QUALITY IMPROVEMENT PROGRAMME (Q. I. P. s), SEMINARS & CONFERENCES
Sr. No.DurationConducted ByTopic 
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ACADEMIC EMPLOYMENT DETAILS
Sr. No.FromToDurationOrganizationDesignation 
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C. O. A. & I. I. A. - REGISTRATION DETAILS
REGISTERED WITH COUNCIL OF ARCHITECTURE (C. O. A.) – New Delhi
Registration No. :
Registration – Valid Till

ASSOCIATE MEMBER OF INDIAN INSTITUTE OF ARCHITECTS (I. I. A.)
Membership Registration No. :
Membership Type :
PROFESSIONAL EXPERIENCES
Sr. No.FromToDurationOrganization with AddressDesignation and Work Responsibilities 
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TEACHING EXPERIENCES
TOTAL TEACHING EXPERIENCE – __ YEARS COMPLETED (By February 2015)
Teaching - Summary of various subjects
Sr. No.FacultySubjects 
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REFERENCES (Mention 02)