Teaching Staff Form

Sri Krishna Institutions
Coimbatore 42
Name of the Post Applied for ______________________________________
Name in full ( Block letters) :
Address for Communication Permanent Address
Phone No. (Off).. (Res)

Mobile Numbers : .
E-mail ID
Date of Birth and Age

D D M M Y Y Y Y Age
Nationality, Religion, Caste and Community

Nationality Religion Caste Community
1 A. Academic Qualifications: (Most recent First)

Cleared
R / C / PT *
Year of Overall all the

Name of Originals
Subject / Branch / Name of the College / Passing % of Class papers
the produced
Specialization University / Institution (Month marks / obtained in single
Degree (Y / N)
& Year ) CGPA attempt
(Y / N)**
* R- Regular / PT Part Time / C - Correspondence ** If No please provide the details in the following format
Medium of Instruction: 10th ___________, 12th ______________

1 B. If passed the Degree with arrears provide the following details:
Sl. Semester in which No. of attempts Semester in
Degree Name of the Arrear Subjects
No. arrear occurred to clear which cleared
* If more arrears please use separate sheet
2. Work Experience: (Most recent first )

Period of Employment Whether the
No. of Last Service
Name of the Organization where Post held and From To years of Salary Certificates
served scale of Pay (Month & (Month Service drawn are produced
Year) & Year) (Y / N)
3. Research Experience ( If any): ___________________________________________________
Sl. No. Particulars of Research Guidance Ph.D. M.Phil.
1. No. of Scholars awarded
2. No. of Scholars currently working for
4. No. of Papers Published during last 5 years (Scopus Indexed and other referred journals only)
A. International Journals:__________ B. National Journals:__________
5. Books Published: Title & Publisher to be specified (Please attach separate sheet if needed) :
6. Language Proficiency (Please write Good/ Fair/Nil)
Sl. Name of the Language
Writing Reading Speaking
No. (Other than English)
7. Strength: (Please identify your major strengths)
8. Weakness: (Please identify your major weaknesses)
9. Career Goals & Aspirations:
10. Why do you wish to work for Sri Krishna Institutions (SKI)?
11. Special points: (Any points you wish to bring to the notice of SKI in support of your candidature?)
12. Whether you are willing to join duty immediately, if you are given an offer: _______________
DECLARATION
I declare that all the statements made in this application are true to the best of my knowledge and
belief and if found incorrect, I am prepared to bear the consequences.
Date : Signature of the Applicant

For Office use only
Verified By :
(Name & Signature of the Staff)
Sri Krishna Institutions
Coimbatore 42
Name : ________________________________________
Highest qualification &
Area of specialization : ________________________________________
List atleast 5 subjects which you can teach for BA/B.Sc/B.Com/BBA/ MA/ M.Sc / M.Com/ MSW
1.
2.
3.
4.
5.
Fix possible goals for yourself, for the first year of your tenure, (if selected) in the following
areas. (Smart goals Specific / Measurable / Attainable / Realistic / Time bound)
I. Teaching
1. ______________________________________________________________
2. ______________________________________________________________
3. ______________________________________________________________
II. Research (with reference to obtaining funded projects worth 10 lakhs and above)
1. ______________________________________________________________
2. ______________________________________________________________
3. ______________________________________________________________
III. Administration (Laboratory / Department related)

1. ______________________________________________________________
2. ______________________________________________________________
IV. Co & Extra-curricular activities / responsibilities :

1. _____________________________________________________________
2. ______________________________________________________________
V. Extension work (programmes for outsiders like Training for employees etc):
1. _____________________________________________________________
2. ______________________________________________________________
Signature of the Applicant

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Sri Krishna Institutions

Name of the Post Applied for ______________________________________

Name in full ( Block letters) :

Address for Communication Permanent Address

Phone No. (Off).. (Res)

Date of Birth and Age

Nationality, Religion, Caste and Community

1 A. Academic Qualifications: (Most recent First)

Year of Overall all the

Medium of Instruction: 10th ___________, 12th ______________

* If more arrears please use separate sheet

2. Work Experience: (Most recent first )

3. Research Experience ( If any): ___________________________________________________

Sl. No. Particulars of Research Guidance Ph.D. M.Phil.

1. No. of Scholars awarded

2. No. of Scholars currently working for

A. International Journals:__________ B. National Journals:__________

7. Strength: (Please identify your major strengths)

8. Weakness: (Please identify your major weaknesses)

9. Career Goals & Aspirations:

Date : Signature of the Applicant

III. Administration (Laboratory / Department related)

IV. Co & Extra-curricular activities / responsibilities :

Signature of the Applicant

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Medium of Instruction: 10th _, 12th ____

A. International Journals: B. National Journals: