APPLICATION FORM FOR ENGAGEMENT AS GUEST FACULTY FOR ENGAGING CLASSES ON PERIOD BASIS Instruction:

1. Separate application is required for each subject.
   
   
2. Application duly filled should be submitted to the Dean, University AFFIX PHOTO
   
   

College of Science, Durga Nursery Road, M.L. Sukhadia University,

Udaipur 313001 (Raj.).

1. The application will not be entertained after the prescribed last date.
   
   
2. No T.A./D.A. shall be paid for attending interview, if conducted.
   
   
3. Self-attested copies of mark sheets, certificates, proof of payment/D.D. etc., must be enclosed with the application.
   
   

6. Incomplete form will be rejected without any notice. PART -A (To be filled in the candidates own handwriting)

1.	Name of the Subject/Course applied for
2.	Advertisement No. & Date
3.	Category (please tick)	(i) Retired teacher from University/College (ii) Teacher working in other institution (iii) Others
4.	Name of Candidate in BLOCK LETTERS
5.	Reservation category (General/ SC/ST/OBC (Non-Creamy layer, PwD, attach certificate)
6.	Fathers/Husbands Name
7.	Date of Birth
8.	Permanent address in Full	____________________________________ ____________________________________ Pin Code : ______________________ Telephone No. ______________________ Mobile No. _______________________ Email : ______________________________
9.	Present Address (if different from above)

10. Education Qualifications

Examination passed	Board/University	Year	Subjects/Specialization	Division	Marks in % (CGPA)
Secondary
Senior Secondary
Graduation
PG
M.Phil.
Ph. D.			Title :
JRF/NET/ SLET/etc.

1. Teaching experience (attach certificate)
   
   
   1. Research Experience (after Ph.D.)
      
      
   2. No. of years ____________________ No. of papers published (Research Journals) (attach list of publications with ISSN No. publisher)
2. Enclosed Demand Draft of Rs. 200 (Rs. 100 for SC/ST/PH categories) No. _____________ dated ____________Bank ___________________________ in favour of Dean, University College of Science, Udaipur.
   
   

S. No.	Organization	Post held	From	To	Classes Taught

OR Through RTGS/NFET/ to ICICI Bank Ltd., RCA Branch, Udaipur on Saving Account No. 693901423083, IFSC ICIC0006939, RCA Branch. Udaipur (Rajasthan). Account holder: Dean, University College of Science (Enclosed E-receipt/proof).

Part B DECLARATION

I hereby declare that all the entries in this form are true to the best of my knowledge and belief and that I have not concealed any fact. I hereby agree to undertake teaching assignments allotted to me on period basis as per rates of honorarium approved by the University and as per requirement of the University. I will abide by all conditions and will submit required affidavit at the time of allotment of classes on period basis.

Date ________________ SIGNATURE OF THE CANDIDATE Place ________________ Name : ________________________