EMPLOYMENT APPLICATION– FULL TIME TEACHING POSITION · 3. HSC Mark sheet 4. School leaving...
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BITS InstituteofPhysiotherapy EMPLOYMENT APPLICATION – FULL TIME TEACHING POSITION Posi?on Qualifica?on and teaching experience required Principal MPT and Minimum 5 years as Associate Professor Date: Applicant’s Signature Employment Applica?on v1.0 ☐ Professor MPT and Minimum 5 Years as Associate Professor or Senior Lecturer. ☐ Associate Professor or Senior Lecturer MPT and Minimum 8 Years Teaching experience as Assistant Professor or Lecturer. ☐ Assistant Professor or Lecturer MPT and Teaching experience will be preferred. ☐ Clinical Therapist BPT and Teaching / clinical experience desirable Personal informa?on Surname First name Middle name Contact Details ☐ Residen?al Address ☐ Permanent Address Photograph City State Pin code Mobile Email ID Date of Birth PAN No. Age Years AADHAAR No. Gender ☐Male ☐Female Category ☐SC ☐ST ☐OBC ☐Open Religion Qualifica?on SSC % HSC % UG % PG % PG Class PG Speciality Whether pursuing Ph. D? ☐Yes ☐No ☐Completed Professional Experience (Academic or Clinical experience from a University affiliated ins?tute) Posi?on Type Dura?on ☐ Academic ☐ Clinical Years Months ☐ Academic ☐ Clinical Years Months ☐ Academic ☐ Clinical Years Months ☐ Academic ☐ Clinical Years Months Total Academic Experience Years Months Total Clinical Experience Years Months Professional Registra?on Present Employment ☐GSCPT ☐IAP ☐N/A Posi?on Whether endorsed? ☐Yes ☐No Reg No.: Ins?tute Publica?ons Na?onal Journals Interna?onal Journals Books Unpublished First author : First author : First author : First author : Co‐author : Co‐author : Co‐author : Co-author : Conferences / Seminar / Workshop / CME Involvement Ins?tute State Na?onal Interna?onal Organized : Organized : Organized : Organized : Par?cipated : Par?cipated : Par?cipated : Par?cipated : A?ended : A?ended : A?ended : A?ended : I affirm that the details men?oned are true to the best of my knowledge and belief.
Transcript of EMPLOYMENT APPLICATION– FULL TIME TEACHING POSITION · 3. HSC Mark sheet 4. School leaving...
BITS
InstituteofPhysiotherapy
EMPLOYMENT APPLICATION – FULL TIME TEACHING POSITION Posi?on Qualifica?on and teaching experience required
Principal MPT and Minimum 5 years as Associate Professor
Date: Applicant’s Signature
Employment Applica?on v1.0
☐ Professor MPT and Minimum 5 Years as Associate Professor or Senior Lecturer.
☐ Associate Professor or Senior Lecturer MPT and Minimum 8 Years Teaching experience as Assistant Professor or Lecturer.
☐ Assistant Professor or Lecturer MPT and Teaching experience will be preferred.
☐ Clinical Therapist BPT and Teaching / clinical experience desirable
Personal informa?on
Surname First name Middle name
Contact Details ☐ Residen?al Address ☐ Permanent Address Photograph
City State
Pin code Mobile
Email ID
Date of Birth PAN No. Age Years AADHAAR No.
Gender ☐Male ☐Female Category ☐SC ☐ST ☐OBC ☐Open Religion
Qualifica?on SSC % HSC % UG % PG % PG Class PG Speciality Whether pursuing Ph. D?
☐Yes ☐No ☐Completed
Professional Experience (Academic or Clinical experience from a University affiliated ins?tute) Posi?on Type Dura?on
☐ Academic ☐ Clinical Years Months
☐ Academic ☐ Clinical Years Months
☐ Academic ☐ Clinical Years Months
☐ Academic ☐ Clinical Years Months
Total Academic Experience Years Months Total Clinical Experience Years Months
Professional Registra?on Present Employment
☐GSCPT ☐IAP ☐N/A Posi?on Whether endorsed? ☐Yes ☐No
Reg No.: Ins?tute
Publica?ons Na?onal Journals Interna?onal Journals Books Unpublished
First author : First author : First author : First author : Co‐author : Co‐author : Co‐author : Co-author :
Conferences / Seminar / Workshop / CME Involvement Ins?tute State Na?onal Interna?onal
Organized : Organized : Organized : Organized : Par?cipated : Par?cipated : Par?cipated : Par?cipated : A?ended : A?ended : A?ended : A?ended :
I affirm that the details men?oned are true to the best of my knowledge and belief.
List of Documents to be attached with application1. Curriculum Vitae2. SSC Mark sheet3. HSC Mark sheet4. School leaving certificate5. UG and PG Mark sheets6. UG and PG degree certificate7. UG course completion8. GSCPT registration certificate9. Experience letters10. Teacher/ Faculty Endorsement letter from University (preferable)11. Bona fide certificate from present employer12. PAN card13. AADHAR card14. Marriage certificate (if married)15. Recent salary slip from present employer16. Relieving order from previous employer (if applicable)17. Full text article published in UGC recognised journals18. Passport size photograph
