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Zeal Polytechnic: Application Form

This document is an application form for Zeal Polytechnic. It requests information such as the applicant's name, caste, category, gender, date of birth, addresses, contact details, academic and professional qualifications including degrees earned, universities attended, subjects taught, areas of specialization, and teaching or other professional experience. It also asks for details of publications, seminars/workshops attended, books published, and co-curricular and extra-curricular activities. The applicant is to provide the requested information and sign the form, attaching any required attested documents.

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vrushali patil
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90 views3 pages

Zeal Polytechnic: Application Form

This document is an application form for Zeal Polytechnic. It requests information such as the applicant's name, caste, category, gender, date of birth, addresses, contact details, academic and professional qualifications including degrees earned, universities attended, subjects taught, areas of specialization, and teaching or other professional experience. It also asks for details of publications, seminars/workshops attended, books published, and co-curricular and extra-curricular activities. The applicant is to provide the requested information and sign the form, attaching any required attested documents.

Uploaded by

vrushali patil
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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ZEAL EDUCATION SOCETY’S

ZEAL POLYTECHNIC
Approved by AICTE, Recognized by D.T.E. & Affiliated to MSBTE
Survey No.39, Narhe, Pune, Pin - 411041 (Maharashtra)
Tel. No. (020) 67206021 /22 (Fax No. (020) 67206021

APPLICATION FORM

1. Name of the Candidate :- ________________________________________________

2. Caste :-_______________________________________________

3. Category :- ________________________________________________

4. Applied for the Post :- ________________________________________________

5. Gender :-_____________

6. Date of Birth and Age :-_________________________

7. Permanent Address :-_________________________________________________

_________________________________________________

_________________________________________________

8. Contact No. :-___________________________

9. Pan Card No :-__________________________

10. Aadhar Card No :-__________________________

11. Caste Certificate No :-__________________________

12. Caste Validity No :-__________________________

13. Non Creamy Layer No :-__________________________


14. Academic Qualifications (Bachelor Degree Onwards)

Sr. Degree Year of Class


Specialization Name of University Percentage
No. held Passing Obtained

15. Details of Teaching Experience (in reverse chronological order)

Last pay
Sr. Designation / Name of Nature of
Period drawn
No Post held Institute Appointment
(Pay Scale)

16. Details of Professional / Industrial Experience (in reverse chronological order)

Sr. Designation / Post Name of Last pay Nature of


Period
No held Employer drawn Appointment

17. Research Papers Published/Presented:

Sr.No National/International Subject Name of Journal Month Remarks


and Year
18. Seminar/ Workshop/ Conference attended:

Sr.No Title Held At Month and Remarks


Year

19. Book(s)/Other Literature Published:

Sr.No Title Year of Publication Published By Name of


Co-Author

20. Subjects Taught:

Sr.No Subject Discipline Semester/Year

21. Area of Specialization : - __________________________________________________

22. Co curricular activities carried out:-__________________________________________________

23. Extra curricular activities carried out:- ________________________________________________

24. Any other point you would like to highlight:-___________________________________________

Signature of the candidate

Note: attach required attested documents.

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