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KONGU ARTS AND SCIENCE COLLEGE

Nanjanapuram, Erode 638 107.

Phone: 2242 888, 2242 999 Website: www.kasc.ac.in

Application for the Post of :

Department :

1. Name :

2. Father / Spouse Name :

3. Address for Communication :

PIN:

4.

Phone No. :

e-Mail :

Gender :

Male / Female

Mobile No. :

5.

Date of Birth & Age * :

6.

Religion :

7.

Community * :

SC / ST / MBC / BC / FC

8.

Caste :

9.

Marital Status :

10. Educational Qualification (From UG Level) *

S.No.

Degree Regular/ Distance

Specialization Name of the Institution

University Year of Passing % of

Marks

11. Additional Qualification if any :

12. Experience Details *

S.No.

Designation Name of the College / Company Period Experience in

Years From To

Total Experience :

Teaching : Industrial : Others (Specify) :

13. If appointed, joining time required :

14. Last Salary Drawn :

15. Salary Expected :

16. Additional information if any :

* Original certificates to be produced during the time of interview. * Salary and Service certificates to be enclosed.

Place:

Date: SIGNATURE OF THE APPLICANT

November 2014