Bharat Ratna Indira Gandhi College of Engineering,
Kegaon, Solapur.
Department:
Category:
Application No:
Cast:
Date:
Application For Employment
Paste Passport Size
Colored Photograph
Post Applied For:
Personal Details
1. Name
: ____________________________________________________
(In Block Letter)
Surname
Name
Father’s Name
2. Address for: __________________________________________________________
Correspondence
______________________________________________________________
________________________________________ Pin __________________
Phone / *Mobile: ____________________*Email ID: __________________
(Compulsory)
(Compulsory)
3. Date of Birth: ________________________________________________
4. Age: ___________________ yrs
5. Sex: ________________________
6. Nationality: ___________________ 7. Domicile: ____________________
8. Religion: ___________________
9. Caste: _______________________
10. Category: __________(SC / ST / VJ/ NT / OBC / OPEN etc.)
11. PAN Number: __________________ 12. EPF Number: ______________
(if applicable)
13. Languages Known: __________________________________________
______________________________________________________________
--1--
12. Educational Qualifications:
Examination
Board / University
Year
Class
%
S.S.C.
H.S.C
Diploma
Degree
Post
Graduation
Doctorate
Post Doctorate
Others
13. Work Experience
a) Teaching Experience (Start from most recent employment)
Name of the
Institute
Post Held
Salary
Drawn
--2--
Duration
Reason of
Leaving
b) Industrial Experience (Start from most recent employment)
Name of the
Institute
Post Held
Salary
Drawn
Duration
Reason of
Leaving
15. Number of Papers Presented or Published at National / International / State
Level: (Last Three Years)________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
(Use additional page, if required)
14. Extra Curricular Activities: ______________________________________
________________________________________________________________
________________________________________________________________
15. Academic Achievements: ______________________________________
________________________________________________________________
________________________________________________________________
--3--
16. Salary Expected: __________________________________
17. Subjects of interest: ____________________________________________
________________________________________________________________
18. Computer Literacy: ____________________________________________
19. Why do you feel fit for this job?
(Describe in 200 words in your own handwriting.)
--4--
Instructions:
1. Attested copies of the mark lists, Experience certificate, degree / PG
degree certificate, caste certificate & other relevant documents etc must
be enclosed.
2. For additional information use separate sheet, if required.
3. Last date for receipt of application: _______________________
4. Please Attach 5 copies of colored passport photograph.
5. Each application should be forwarded with DD or cash as applicable.
The above information is true to the best of my knowledge and belief.
Place:
Date:
Signature
Name: __________________________
For Office Use:
Application No. : ______________
Date of submission of Application: ________________
DD No. ____________________
Cash Receipt No. : _____________________
Department: ____________________________________
Post Applied for: __________________________________
Bharat Ratna Indira Gandhi College of Engineering,
Kegaon, Solapur.
Summary Sheet / Top Sheet
(To be submitted in 6 copies)
Inward Reg No:
(For Office Use Only)
Post Applied For:
Name:
(In Block Letter) Surname
Caste:
Name
Father’s Name
Category:
Address for Correspondence:
Basic Degree:
Highest Qualification:
Teaching Experience:
Industrial Experience:
Date:
Signature of the Candidate
Note: Please read instructions carefully before filling the application. Incorrect
Applications will not considered.
Bharat Ratna Indira Gandhi College of Engineering,
Kegaon, Solapur.
Summary Sheet / Top Sheet
(To be submitted in 6 copies)
Inward Reg No:
(For Office Use Only)
Post Applied For:
Name:
(In Block Letter) Surname
Caste:
Name
Father’s Name
Category:
Address for Correspondence:
Basic Degree:
Highest Qualification:
Teaching Experience:
Industrial Experience:
Date:
Signature of the Candidate
Note: Please read instructions carefully before filling the application. Incorrect
Applications will not considered.
Bharat Ratna Indira Gandhi College of Engineering,
Kegaon, Solapur.
Summary Sheet / Top Sheet
(To be submitted in 6 copies)
Inward Reg No:
(For Office Use Only)
Post Applied For:
Name:
(In Block Letter) Surname
Caste:
Name
Father’s Name
Category:
Address for Correspondence:
Basic Degree:
Highest Qualification:
Teaching Experience:
Industrial Experience:
Date:
Signature of the Candidate
Note: Please read instructions carefully before filling the application. Incorrect
Applications will not considered.
Bharat Ratna Indira Gandhi College of Engineering,
Kegaon, Solapur.
Summary Sheet / Top Sheet
(To be submitted in 6 copies)
Inward Reg No:
(For Office Use Only)
Post Applied For:
Name:
(In Block Letter) Surname
Caste:
Name
Father’s Name
Category :
Address for Correspondence:
Basic Degree:
Highest Qualification:
Teaching Experience:
Industrial Experience:
Date:
Signature of the Candidate
Note: Please read instructions carefully before filling the application. Incorrect
Applications will not considered.
Bharat Ratna Indira Gandhi College of Engineering,
Kegaon, Solapur.
Summary Sheet / Top Sheet
(To be submitted in 6 copies)
Inward Reg No:
(For Office Use Only)
Post Applied For:
Name:
(In Block Letter) Surname
Caste :
Name
Father’s Name
Category :
Address for Correspondence:
Basic Degree:
Highest Qualification:
Teaching Experience:
Industrial Experience:
Date:
Signature of the Candidate
Note: Please read instructions carefully before filling the application. Incorrect
Applications will not considered.
Bharat Ratna Indira Gandhi College of Engineering,
Kegaon, Solapur.
Summary Sheet / Top Sheet
(To be submitted in 6 copies)
Inward Reg No:
(For Office Use Only)
Post Applied For:
Name:
(In Block Letter) Surname
Caste:
Name
Father’s Name
Category:
Address for Correspondence:
Basic Degree:
Highest Qualification:
Teaching Experience:
Industrial Experience:
Date:
Signature of the Candidate
Note: Please read instructions carefully before filling the application. Incorrect
Applications will not considered.
BIO DATA
NAME: _________________________________________________
Attach color
ADDRESS FOR
: ___________________________________
CORROSPONDENCE
____________________________________
past port size
photograph
DATE OF BIRTH: _______________________________________
NATIONALITY:
_______________________________________
EMAIL ID: _________________________________
Phone: ___________________
Mobile: ___________________
RELIGION / CASTE: ________________________________
LANGUAGES KNOWN: _____________________________________________________
PAN No. : __________________________ EPF No.(if applicable) :___________________
EDUCATIONAL QUALIFICATION:
(Start From Degree)
Name of
Exam.
University & College
Year of
Passing
%
Marks
Class
EXPERIENCE:
(Start From Latest)
Sr.
No.
1.
Institute / Company
Designation
Period
Reason of
Leaving
2.
3.
4.
Research / Publications / Others
Place: Solapur
Date:
Signature Of Candidate
(Name :____________________)