Application Form for Teaching Post - Govt. College of Engineering ...

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FOR USE OF CASHIER-
Amount_________________
Date____________________
FORM NO._______________
Govt.College of Engineering & Technology Bikaner
(An Autonomous Institution of Govt. of Rajasthan)
Karni Industrial Area, Pugal Road, Bikaner, PIN 334001
Phone & Fax: 0151-2250949 Website:www.cet-gov.ac.in E-mail:principal@cet-gov.ac.in
APPLICATION FORM FOR APPOINTMENT
Name of the Post applied for:___________________________
Department / Field of Specialization:_____________________
Advertisement No. ___________________________________
D.D. / IPO No.___________________
Dated:__________________________
Bank Name:_____________________
FOR OFFICE USE ONLY
Form Received on: ____________
Registration No. : _____________
PART-1 : PERSONAL INFORMATION
1. Name (In Block Letters) : ___________________________________
2. Father’s/Husband’s Name : __________________________________ Recent
3. Date of Birth : ____________________________________________ Self Attested
4. Place of Birth : ____________________________________________ PHOTOGRAPH
5. Age (As on 03Dec 2012) : _____________________________
6. Sex (Male/Female) : ___________ 7. Marital Status :_____________
8. Nationality: _________________ 9. Religion: __________________
10. (a) Do you belong to Scheduled Cast/Schedule Tribe/SBC/OBC Non Creamy Layer(latest proof, not
older than six months) YES/NO (Proof – Enclosure No. )
(b) Do you belong to Physically Handicapped or Ex Serviceman YES/NO(Proof –Enclosure No. )
11. Address:
Correspondence Address:___________________
____________________________________
____________________________________
PIN Code:__________Tel.No. ___________
Mobile No____________________________
E-mail-id_____________________________
Permanent Address:___________________
___________________________________
___________________________________
PIN Code:__________Tel.No. __________
Mobile No___________________________
E-mail-id_____________________________

PART II : ACADEMIC ACHIEVEMENTS
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12. Academic Qualifications (Secondary School Examination Onwards)
Examination/
Degree
High School/
Secondary School
Exam.
Sr. Secondary
School Exam.
B.E. / B. Tech/
B.Sc.
M.Sc/M.E. / M.
Tech/
Board/
University
Subjects/
Specialization
Year of
Passing
Division/
CGPA
Marks
in %
Proof Encl.
No.
Ph.D.
Others
13. Have you, as a student, participated during co-curricular events/conferences/symposia If so, give details:
____________________________________________________________________________________
____________________________________________________________________________________
14. Have you been punished during your studies at College/University If so, give details with reasons:
____________________________________________________________________________________
____________________________________________________________________________________
15. Have you, as a student, been recipient of any scholarship/reward/honour If so, give details thereof:
____________________________________________________________________________________
____________________________________________________________________________________
16. Any other information about your academic achievement, as a student, that you may like to give:
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________

PART – III : PROFESSIONAL ACHIEVEMENTS
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17. Details of appointments (in chronological order):
(A) Teaching & Research Appointments:
Post Held
Organization
Pay Scale
Basic Pay,
Allowances&
Emoluments
From
Period
To
Proof Encl.
No.
(B) Industrial Field Appointments:
Post Held Organization Pay Scale
Basic Pay,
Allowances&
Emoluments
From
Period
To
Proof Encl.
No.
18. Have you been punished during your service or, convicted by court of Law If so, give details:
____________________________________________________________________________________
____________________________________________________________________________________
19. Were you, at any time, declared medically unfit or discharged/dismissed from service If so, give details:
____________________________________________________________________________________
____________________________________________________________________________________

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20. Academic Achievements:
(A) Other Participation/Experience:
(i) Participation in production of Educational Programmes (If yes, give details):________________
___________________________________________________________________________________
___________________________________________________________________________________
(ii) Conducting Short Term/ Continuing Education/ Specialized courses (If yes, give details):_______
___________________________________________________________________________________
___________________________________________________________________________________
(B) Courses developed (Nos.): Under-Graduate _______________ Post- Graduate_________________
(C) Publication (in numbers): Attach photocopy of papers
No. Description Main or Co-author Published Accepted Communicated Remarks
(i) Papers in Referred Journals:
(ii) Papers in Conferences/Symposia:
(iii) Books:
(iv) Review/Research/Feasibility Reports:
(D) Thesis Supervision (in numbers): Attach photocopy as proof
No. Description Awarded Submitted In progress Remarks
(i) Ph.D.
(ii) M.E./M.Tech./M.Sc.
(iii) B.E/B.Tech
(E) Sponsored Research/ Consultancy:
S.No. Name of Project Completed In progress Remarks

(F)
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Special Training/ Assignments/ Others Information: _________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
(G) Membership/Fellowship of Professional Societies/ Bodies: ___________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
PART- IV : OTHER ACHIEVEMENTS
21. Administrative Responsibilities Held:
Period
S.No. Position Held
From
To
Nature of Responsibility

PART –V : GENERAL INFORMATION
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22. Give name, designation, and addresses of at least three referees, not related to you but. well acquainted
with your academic performance and conduct :
(a) _____________________________________ (b) ______________________________________
________________________________________
________________________________________
PIN Code ____________ Phone _____________
_________________________________________
_________________________________________
PIN Code ____________ Phone ______________
(c) _____________________________________
________________________________________
________________________________________
PIN Code ____________ Phone _____________
(d) ______________________________________
_________________________________________
_________________________________________
PIN Code ____________ Phone ______________
23. Name and Address of your Present employer 24. Present Pay-Scale ____________________
________________________________________ 25. Present Basic Pay ____________________
________________________________________ 26. Other Allowances ____________________
________________________________________ 27. Total Emoluments ____________________
PIN Code ____________ Phone _____________ 28. Date of Increment ____________________
29. Nature of post you presently hold : Permanent/Temporary/Ad-hoc/Contract Appointment.
30. If appointed, what notice of time will you require to join the post
31. Is there any information you wish to give (Attach extra sheet)
DECLARATION TO BE SIGNED BY THE CANDIDATE
I, ___________________________________ hereby, declare that the information given by me in this form is
true to the best of my knowledge and belief. If, at any time, I am found to have concealed any material
information, or given any false details, my candidature/ appointment may be summarily rejected /terminated
without any notice or compensation.
_____________________________
Signature of the Applicant
Place: _______________________
Address: _____________________________
Date: ________________________
______________________________
______________________________

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CERTIFICATE FROM THE EMPLOYER
(This certificate must be signed by the Employer in case of the candidate already in service whether in
permanent of temporary capacity)
No. ______________________________
Dated: __________________
Forwarded, Shri/Smt./Dr. _________________________________ bearing the designation
of _________________________________, holds the post in our Institution/ Organization in permanent /
temporary capacity.
He / She, at present, draws the basic pay of Rs_______________ per month in the pay-scale of
Rs __________________.
This Institution / Organization has no objection to the candidature of the applicant being
considered for appointment to the post applied for in this application.
Place:____________________________
Date: ____________________________
____________________________________
Signature of the forwarding Authority
Name__________________________
Designation_____________________
Seal of the Institution / Organization

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Govt.College of Engineering & Technology, Bikaner
(An Autonomous Institution of Govt. of Rajasthan)
BRIEF PARTICULARS OF THE CANDIDATE
1.Name : Shri/Smt./Km./Dr. _____________ 4. Present Pay Scale __________
2. Date Of Birth: ___________________ 5. Present Basic Pay __________
3. Age ________________________ 6. Total Emoluments__________
7. Qualification:
Examination/ Board/ Subjects/ Year of Division/ Marks
Degree University Specialization Passing CGPA in
%
High School/
Secondary
School Exam.
Sr. Secondary
School Exam.
B.E./B.Tech./B.Sc
.
M.E./M.Tech./M.Sc
Ph.D.
Other
8. Experience
Period
Post Held Organization From To
9. Course Taught (a.)Under-Graduate _______________________________________
__________________________________
__________________________________
(b.) Post Graduate _______________________________________
__________________________________
__________________________________

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10. Administrative positions held:
S.No. Position Held Period Nature of Responsibility
_______________________
From
To
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
11. Publications:
No. Description Published Accepted Communicated Remarks
(i) Papers in Refereed Journals :
a) Main/Co-authors
b) Multiple Authors
(ii) Papers in Conferences/Symposia :
a) Main/Co-authors
b) Multiple Authors
(iii) Books :
a) Main/Co-authors
b) Multiple Authors
(iv) Review/Research/Feasibility Reports :
a) Main/Co-authors
b) Multiple Authors
12. Participation in extra curricular activities (as a student) :____________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
13. Summary
S. No. Nature of Work Details
1 Experience
Teaching / Industry
Administrative Experience as Head, Students
affairs, academic affairs
2 Paper Published
Journals
Conference
3 Seminar/Conference/Workshop attended
Seminar

Conference
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Workshop
4 STTP /Summer School/Winter School attended in
subject / interdisciplinary area
5 Conducting/ Organizing Summer/Winter school
courses/ training programmes/ Short term courses
6 Development of Course material/Monographs/ Books
Course material/Monographs
Books
7 Projects/ Ph.D. Guided
B.Tech
M.Tech.
Ph.D.
Other information, if any :____________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
14. Address for Correspondence: Permanent Address
__________________________
___________________________
__________________________
___________________________
__________________________
___________________________
__________________________
____________________________
Telephone__________________
Telephone___________________
(Signature of Applicant)
Note: A candidate who is found to have furnished any information which proves to be false or
to have suppressed material facts will not be considered for appointment and any order if
issued will be cancelled

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Govt.College of Engineering & Technology, Bikaner
(An Autonomous Institution of Govt. of Rajasthan)
General Terms & Conditions:
1. Qualifications and Pay Scales will be as per AICTE norms .
2. For the Advertised post, written Screening Test may also be conducted, before the interview/oral
presentation. Only short listed candidates (six for one post) will be interviewed for final selection. Due
credit will be given for higher qualification and teaching experience while screening for final
interview.
3. For the post of Professor and Associate Professor , candidate should be having minimum qualification
and experience at the last date of submission of duly filled application.
4. All terms and conditions shall be as per rules of Engineering College Bikaner Society, Bikaner,
made from time to time.
5. Other conditions associated with the appointment shall be applicable as per Govt. of Rajasthan or as
per the rules framed, from time to time, by the Engineering College Bikaner Society, Bikaner and
approved by the Rajasthan Government.
6. The Society also reserves the right to increase or decrease the number of posts indicated above, or not
to fill any of the posts.
7. Persons already working in Government /Semi Government /Autonomous Organizations should apply
through proper channel. They may, however, send an advance copy of their application.
8. The applicant must be prepared to join immediately, if selected and the appointment is offered.
9. For attending Screening Test / interview or for joining, traveling allowance or compensation in any
form will not be admissible.
10. Appointment will be made on probation for two years . During probation period fixed salary as per
state govt. norms will be given. Those candidates who are already in service (Government/ Semi
Government Autonomous/University) salary protection will be given during probation period as per
Govt. of Rajasthan norms. Such appointments are likely to be made permanent after expiry of the
probation period, provided work of the incumbent is found satisfactory.
11. Reservation has been made as per of Govt. of Rajasthan.
12. Those who have applied in response to earlier advertisement No. need not apply again. However
they may submit additional information if any
OTHER TERMS AND CONDITIONS
Any Candidate, who has more than 2 living children on or after 1/6/2002 will not be eligible, provided that the
person having more than two children shall not be deemed to be disqualified for appointment so long as the number
of children he/she has on 1st June, 2002 does not increase provided further that where a candidate has only one
child from the earlier delivery but more than one child are born out of a single subsequent delivery, the children so
born shall be deemed to be one entity while counting the total number of children.
Guidelines for Filling up the Application Forms:
The candidates should note the following instructions carefully:
• Name of the post applied for and the Branch/Department must be filled in the appropriate space
clearly.
• Separate application is required to be made for separate post.
• The prescribed application forms can be downloaded from the college website www.cet-gov.ac.in or
can be collected personally from the institute by paying a DD/Cash of Rs 50(By hand) or Rs 100/- (for
speed post or Courier) in favour of Principal, College of Engineering & Technology payable at
Bikaner.

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• Late and unsigned applications are liable to be rejected.
• Canvassing in any form will disqualify a candidate.
• Candidate should remit a sum of Rs 500/- ( in case SC/ST/)(Non-refundable) as an application fee in
the form of Bank Draft drawn in favour of the Principal, College of Engineering & Technology
payable at Bikaner.
• Applications on the prescribed forms duly filled in, should reach the Office (Principal, College of
Engineering & Technology Bikaner, Karni Industrial Area, Pugal Road, Bikaner). Latest by
5:00 pm. on 03 December 2012. Applications received after this date will not be entertained under
any circumstances.