MKES Employee Application Form

Position Applied for:*

Director

Professor

Assistant Professor

Associate Professor

Full Name* Permanent Address* Address for Correspondence

Gender*

Male

Female

Other

Date of Birth*

Language Known*

Marital Status*

Single

Married

Other

Contact Number* Email Id*

Highest Qualification*

Ph.d

Masters

PGDM

Year of Passing* Institute*

Name of the University/ Board*

Division/ Grade*

Experience : Name of the Current Organization*

Experience Period e.g. ( 1st April 2012 to 30st April 2022)*

Designation*

Monthly Salary*

Reason for Change*

Total Experience (in Years)*

Academic (in years)*

Industrial (In Years)*

No. of Papers Published (National)

No. of Papers Published (International)

No. of Books Published

No. of conference papers (National)

No. of conference papers (International)

No. of patents Granted/ Applied

Ph.D*

Awarded

Pursuing

Not Doing

University Specialization

Year of Completion

No. of Students guided for Ph.D

Industrial Consultancy work undertaken*

Yes

Certification Courses details*

Membership/ Fellowship of other Institutions/ Professional Societies*

Awards & Recognition*

Significant achievements/ Contribution in Industry/ Academia*

1. Name & Address of reference (Name, Designation, Organization, Contact Details, Email ID)*

2. Name & Address of reference (Name, Designation, Organization, Contact Details, Email ID)*

Last Salary Drawn per month*

Expected Salary Per Month*

Family Details*

If appointed, When can you Join?*

I hereby declare that information furnished herewith by me is true and authentic, if it is found to be false at any course of time I shall be solely responsible for the consequences if any.*