Assistant Professor Electrical and Electronics: Thiagarajar College of Engineering MADURAI-625 015

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Application No.

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Date of Receipt

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Initial of Clerk THIAGARAJAR COLLEGE OF ENGINEERING

(A Govt. Aided ISO 9001-2000 Certified, Autonomous Institution Affiliated to Anna University)


MADURAI-625 015





Post Discipline

Application for (SELF-FINANCE)

Assistant Professor Electrical and Electronics




1. a) Name in full (in Capital Letters) : DHAHA ROOHULLA. S.
b) Sex : MALE
2. Address :

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

1-2, SAHIB STREET,
CUMBUM ROAD,
THENI 625531.



Mobile No:
E.mail ID :

c) Fathers / Husbands Name :
Address :
3. Age & Date of Birth :
4. a) Nationality : b) Religion :

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

5. Educational Qualification - Starting from basic degree (Attach Photocopies of Mark sheets) :

Degree Area of Institute / University Month & Year Class % of Marks /
Specialisation of passing Equivalent

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6. Details of Thesis:

Course Title of the Project / Thesis Brief Details


M.Tech/M.E./M.Sc.,



Ph.D.,



7. 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 * :

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


8. Publications

Total No. of Publications:

8.1 Books Published *:

Sl. No. Title Area Publishers Year

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8.2 Publications in Journals *:

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

8.3 Publications in conference *:

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


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

Sl.No. Title Period Place Remarks


b) Seminars /Schools/Conferences/Workshops Attended *:

Sl.No. Title Period Place Remarks


10) Special /Invited Lectures Delivered *:

Topic Area Delevered at Year / Date Remarks

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11) Sponsored Projects Done *:

Title Sponsoring Year Details of Responsibility Amount
Agency Project Sanctioned

12) Consultancy & Testing Work done:
Nature of Interacted Year Details Facilities Revenue
work Industry /Institute utilised / co- Earned
workers

13. Academic Research Guidance / Supervisorship:

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

14. Membership in professional societies:

Name of the Society Details of Membership Nature of Tech. activities Remarks
done through the society


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

Details Awarded for the work Status Remarks

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16. Contribution to the College (Internal candidates only)*:

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


17. Computer knowledge (Specify in particular) :
18. References :1.
2.
19. Testimonials :
20. Any other relevant information :
21. 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















*Additional Sheets may be used if necessary

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