University of Central Punjab

POST APPLIED FOR __________________ Instructions:-

APPLICATION FORM

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1. NAME
(in block letters)

1) Please fill in each category clearly and completely. Use additional sheets, if necessary 2) The application form should be duly completed, and signed by the applicant 3) Attested copies of testimonials should be submitted with the application

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2. MARITAL STATUS 3. FATHERS NAME 4. DATE OF BIRTH 5. ADDRESS:-

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AGE (on the closing date)

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i) For correspondence Residential address Permanent home address

ii) iii)

___________________________________________________________________________________________ 8. a) RELIGION ________________________ b) NATIONALITY _________________________________ c) NATIONAL IDENTITY CARD NO ________________________ ___________________________________________________________________________________________
9. EDUCATION
Give particulars of all examinations passed and degrees and technical qualification obtained at a University or other places of higher or technical education. Commence with the Matriculation or equivalent examination. Years Attended Sr No. 1 2 3 4 5 6 University/ College/ Board From To Marks (For the Post of Lecturer/Officers)) Maximum Marks Marks Obtained

6. Present occupation ______________________________________________________________________ 7. Domicile __________________ (a) Telephone No (Land Line)________________ (Mobile)_______________ Email ________________________________________

Examination passed with Years

Division/ Grade

Main Subject(s)

10. Professional Trainings/ Certifications/ Other If An Sr. No. Name & Place Type of Training Duration From To Degree/ Certification/ Diploma Obtained

11. Research and Publications i) Sr. No. Papers published in Journals: (Please Attach separate sheet for additional information) Name of Journal Type Volume No. Pages

ii) Sr. No.

Papers presented in International/ National Conferences: Conference Date Venue

Iii) Sr. No.

Text Books Written: Title Subject/ Description Publisher if any

iv) Sr. No.

Lab Manual: Title/ Topics Subject/ Description Publisher if any

v) Sr. No.

Popular Articles: Title Subject/ Description Publisher if any

12. Professional Relevant Experience/ Employment Record (In reverse chronological order please) i) Teaching Designation Department/ Organization Scale/ Grade Duration From To Responsibilities

ii)

Industrial if any Department/ Organization Scale/ Grade Duration From To Responsibilities

Designation

iii)

Other Department/ Organization Scale/ Grade Duration From To Responsibilities

Designation

13. Awards / Honors / Professional Affiliations:-

14. Were you ever dismissed from service in the past, or were your services ever terminated? If yes, give details:-

15. Did you ever sign an agreement to serve any organization for a particular project? If yes, i) ii) Has the condition of the bond fulfilled? Intimate the date when the conditions are going to be fulfilled.

16.

State any other Relevant Facts:-

17.

References:-

18.

Give minimum pay acceptable, if necessary:-

19.

List of Testimonials attached:-

20.

Testimonial:It is certified that all information provided in this application is correct and nothing relevant has been concealed.

Dated ________________

_________________________ Signature of the Candidate