Online Application Portal for Professor of Practice

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Personal Details

(Application Form for Professor of Practice)
BIRANGANA SATI SADHANI RAJYIK VISHWAVIDYALAYA
Golaghat- 785621 :: Assam
E-mail: registrar@bssrv.ac.in

(Please read carefully before filling up the Online Application Form)

Advertisement No. & Date :*

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Name of the Post Applied for :*

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Field of Specialization opted for out of those specified in the advertisement. (if applicable) :

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First Name *

First Name

Last Name *

Last Name

Email*

Email Address

Phone No*

Phone

DOB*

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Age as on the last date of receipt of application.*

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Category*

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Are you belong to PWD (Persons with Disability)?*

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OH (Orthopedically Handicapped)

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Name of Spouse*

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Country

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Permanent Address*

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Educational Qualifications

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Degree/Diploma*

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CGPA/Percentage*

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Date of Passing*

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HSSLC(10+2)

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UG

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PG

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CGPA/Percentage*

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Date of Passing*

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Others

School/College*

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Board/University*

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Distinction/Class/Division*

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Degree/Diploma*

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Subject(Specialization/major)*

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CGPA/Percentage*

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Date of Passing*

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Particulars of GATE,CSIR NET/SLET/Ph.D. (under new regulations of UGC) clearance

Name of the Test

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Year

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Roll No.

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Subject

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Name of the Test

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Name of the Test

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Name of the Test

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Name of the Test

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Name of the Test

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Year

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Roll No.

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Subject

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Employment Details

1. Details of Employment, if any.(in chronological order)

*specify if the position is (1) Pre-Ph.D. (2) Post-Ph.D. (3) Concurrently in Ph.D.

Organization/Institution

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Position Held

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Nature of Duties

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Date of Joining

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Date of Leaving

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Length of Service

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Pay Scale

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Remarks about experience, if any

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2. Details of Employment, if any.(in chronological order)

*specify if the position is (1) Pre-Ph.D. (2) Post-Ph.D. (3) Concurrently in Ph.D.

Organization/Institution

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Position Held

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Nature of Duties

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Date of Joining

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Date of Leaving

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Length of Service

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Pay Scale

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Undertaking

I hereby declare that I have carefully read and understood the instructions and particulars supplied to me and that all statements made in this application are true and complete to the best of my knowledge and belief. I understand that the competent authority can take appropriate action against me in case of the information is found to be incorrect at any stage.

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