Online Application Portal for Professor of Practice

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*

Select Date ×

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

__Days__Month__Year

Gender*

Blood Group*

Category*

Religion*

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

Yes

Select State of nature of Disability*

OH (Orthopedically Handicapped)

VH (Visually Handicapped)

HH (hearing Handicapped)

Marital Status*

Yes

Name of Spouse*

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Present Address*

Address line one

Address line two

Address line three

Country

State

Postal Code

Permanent Address*

Address line one

Address line two

Address line three

Country

State

Postal Code

Father’s/Guardian’s Name*

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Father’s/Guardian’s Contact No*

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Mother’s Name

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Mother’s Contact No

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Educational Qualifications

HSLC

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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HSSLC(10+2)

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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UG

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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PG

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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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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Remarks about experience, if any

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