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PART TIME LECTURERS hkihbb

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TELANGANA UNIVERSITY

DICHPALLY, NIZAMABAD – 503 322 (T.S.)

APPLICATION FORM FOR THE APPOINTMENT OF PART-TIME LECTURERS (PTLs)

Department: _______________________

GENERAL INFORMATION AND ACADEMIC BACKGROUND Affix Latest


Passport size
1. Name of the Candidate (In block Letters) : Photograph here

2. a. Father’s Name :

b. Mother’s Name :

3. Date and Place of Birth :

4. Gender : Male/Female

5. Marital Status :

6. Nationality :

7. Tick the Category : OC / SC / ST / BC (A, B, C, D, E)

8. Address for Correspondence(With Pin code) :

9. Permanent Address (with Pin code) :

Mobile : Landline :

Email id:

10. Academic Qualification(copies of certificates to be enclosed):


Name of the Percentage of Division/
Year of
Examination Subject Board/ marks Class/
Passing
University obtained Grade
High School/
Matric.

Intermediate

Undergraduate

Post-Graduate
Other
Qualifications
11. Teaching Experience :

12. Research Degrees (copies of certificates to be enclosed:

Date and
Degree Title year of University
award
M. Phil.

Ph.D.

13. UGC-NET / JRF / SRF / SLET / SET:

14. Research Papers in Peer-Reviewed or UGC listed Journals: (& if any) (details to be enclosed):

Journal Name,
S.No. Title of the Paper Year of the Publication, Author
Vol. No. & Issue No. Ship
With ISBN/ ISSN NO.

15. Any other Information:

DECLARATION

I declare that the information given in this application is correct to the best of my
knowledge and belief and nothing has been suppressed.

Place: Signature of the candidate

Date:

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