PANJAB UNIVERSITY, CHANDIGARH

Application for the Post of Guest Faculty/Part-time Faculty

(Use separate form for each post)

Name of the Post with specialization___________________________________

Department ______________________________________________________________ Diary No. ____________ Dated: ______________

A Name in Full Mr./Mrs./Ms.__________________________________________ (In block letters)

Fathers Name: ______________________________________

Affix recent Passport Mothers Name: ______________________________________

size photograph

Date of Birth: __________________ Place of Birth:_____________________

Nationality:___________________ Marital Status:_________________

Member of Scheduled Caste/Tribe/Backward Class/Physically Handicapped ___________ Yes/No

(If Yes, please attach certificate from Tehsildar /First Class Magistrate of the area).

B. Addresses:
Permanent address (in block letters): ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________
Present Address: (for Correspondence) (in block letters): ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________

Phone/Mobile No. _____________________ E-mail:______________________________________

C. Educational Qualification

Examination	Univ. Board	Main Subject	Month and year of Passing	Marks Obtd.(with max Marks	Div.(attach conversion formula) /percentage	Merit/Prizes/ Medals won if any.
Matric
10+2
Graduation
Post-Graduation
UGC NET
M.Phil
Ph.D.
Any other exam. Please specify

D. Employment Experience (details in Chronological order, starting with first job E. Published papers in journals / full papers

Name & Address of Employer/Instituti on		Date		Designation	Nature of job	Date of approval from the concerned University , If any	Basic pay (p.m.) & Grade Pay-Scale	Reason for Leaving
	Joining		Leaving

Sr. No.	Title with page no.	Journal / conference proceedings	ISSN/ISBN No.	Whether peer reviewed impact factor, if any	Whether you are first/principal/corresponding author/supervisor/mentor

F. Additional Information: (No annexure need be enclosed )

G List of Enclosures:

1. 1 . __________________2 . _________________3 .____________________ 4._____________________
   
   
2. 5 . __________________6 . _________________7 .____________________ 8. _____________________
   
   

H. Declaration: I solemnly declare that:

i) The foregoing information is complete and correct. I am not aware of any circumstances which may impair my fitness for employment in the Panjab University, Chandigarh.

ii) I have never been dismissed either from Govt. or from University, College or other Public or Private Organisation service.

iii) I have never been prosecuted, kept under detention or bound down/fined, convicted by the Court of Law for any offence.

Place: __________________

Date: ________________ ____________

Signature of Applicant

RSITY INSTITUTE OF LEGAL STUDIES Panjab University, Chandigarh

(Phone2784397, Fax2784283, Intercom: 4696 (Director), 6105 (Office) Email: director_uils@pu.ac.in

RSITY INSTITUTE OF LEGAL STUDIES Panjab University, Chandigarh

(Phone2784397, Fax2784283, Intercom: 4696 (Director), 6105 (Office) Email: director_uils@pu.ac.in