7/28/2019 psg-ptc (1)

1/13

APPLICATION for the post of HEAD OF DEPARTMENT

DEPARTMENT OF_____________________________________________

: 2 :

NAME (BLOCK

LETTERS)

DATE OF BIRTH

QUALIFICATIONS

RESIDENTIAL ADDRESS

PRESENT PERMANENT

DOOR NO.

STREET

VILLAGE/TOWN/CITY

DISTRICT

STATE

PIN

TELEPHONE/MOBILE

RELIGION COMMUNITY

CASTEOC/BC/MBC/DNC/SC/ST

MARITAL STATUS Y IF MARRIED

NAME ANDOCCUPATION

OF SPOUSE

N

OFFICIALADDRESS

OF SPOUSE

DETAILS OF CHILDREN NAME

AGE

STUDYING /EMPLOYED

JOINING TIMEREQUIRED

PSG POLYTECHNIC COLLEGE : COIMBATORE - 641 004(GOVT.AIDED AUTONOMOUS INSTITUTION APPROVED BY AICTE

AND ISO 9001:2008 CERTIFIED

7/28/2019 psg-ptc (1)

2/13

REFERENCES

DETAILS OF JOBS HELD

DESIGNATION SCALE OF PAY TOTALSALARY

ORGANISATION PERIOD OF EMPLOYMENT REASONFOR

LEAVEINGFROM TO YRS MON

EDUCATIONAL QUALIFICATIONS

UNDER-GRADUATE POST-GRADUATE RESEARCH OTHERS

DEGREE

MONTH & YEAR

COLLEGE

UNIVERSITY

CLASS & % OFMARKS

THESIS

SPECIALISATION

: 3 :

7/28/2019 psg-ptc (1)

3/13

7/28/2019 psg-ptc (1)

4/13

PAPERS PUBLISHED IN NATIONAL JOURNALS DURING THE LAST FIVE YEARS:

: 5 :

7/28/2019 psg-ptc (1)

5/13

7/28/2019 psg-ptc (1)

6/13

PAPERS PRESENTED IN CONFERENCES DURING THE LAST THREE YEARS:

MEMBERSHIP OF PROFESSIONAL BODIES

PROFESSIONAL BODY TYPE OF MEMBERSHIP POSITION HELD

: 7 :

7/28/2019 psg-ptc (1)

7/13

7/28/2019 psg-ptc (1)

8/13

PARTICIPATION IN THE ORGANISATION OF CONTINUING EDUCATIONAL PROGRAMMESDURING THE LAST THREE YEARS

PROGRAMME DURATION PERIOD NO. OF PATICIPANTS NATURE OFINVOLVEMENT

7/28/2019 psg-ptc (1)

9/13

SPONSORED RESEARCH CARRIED OUT DURING THE LAST THREE YEARS

PROJECT SPONSORINGORGANISATION

PERIOD GRANT PRINCIPALINVESTIGATOR

STUDENT PROJECTS SUPERVISED DURING THE LAST THREE YEARS

UNDER GRADUATE POST GRADUATE

: 9 :

TUTORSHIP DURING THE LAST THREE YEARSPLEASE STATE YOUR EXPERIENCE AND CONTRIBUTION AS A TUTOR

CLASS YEAR SPECIFIC CONTRIBUTION

7/28/2019 psg-ptc (1)

10/13

ACCOMPANYING STUDENTS FOR EDUCATIONAL TOURS / INDUSTRIAL VISITSDURING THE LAST THREE YEARS

CLASS VISIT TO DURATION YEAR / MONTH

DISTINCTIONS AND AWARDS RECEIVED AND PATENTS OBTAINED

STATION :

DATE : SIGNATURE OF THE APPLICANT

: 10 :

ENDORSEMENT OF THE PRESENT EMPLOYER

FORWARDED

7/28/2019 psg-ptc (1)

11/13

PLACE : Signature of the present employer

DATE : (SEAL)

_________________________________________________________________________________Note : ATTESTED XEROX COPIES of degrees, certificates, testimonials, community etc.should be annexed to the application. Candidate already employed should send their applications onlythrough their present employer. Application, incomplete in any respect or from candidates who do notfully satisfy the prescribed qualifications etc, are liable to be rejected.

PSG POLYTECHNIC COLLEGE : COIMBATORE - 641 004(GOVT.AIDED AUTONOMOUS INSTITUTION APPROVED BY AICTE

AND ISO 9001:2008 CERTIFIED)

ADVT.NO.N3/1/2013

Post : HEAD OF DEPARTMENT (for Grant-in-aid Courses)

Pay Band : Rs.37400-67000 + Academic Grade Pay 9000 plus otherallowances as prescribed by the Government of Tamilnadu

Age : Below 45 years as on 1.7.2013

----------------------------------------------------------------------------------------------------------

7/28/2019 psg-ptc (1)

12/13

Department No.of Vacancy----------------------------------------------------------------------------------------------------------

MECHANICAL ENGINEERING 1 (SCA)

----------------------------------------------------------------------------------------------------------

Qualifications & Experience:

i) Bachelors and Master's degree of appropriate branch in Engineering /

Technology with First class or equivalent either Bachelors or Masters level.

AND

Minimum of 10 years relevant experience in teaching / research / industry.

OR

ii) Bachelors degree and Master's degree of appropriate branch in Engineering /Technology with First class or equivalent either Bachelors or Masters leveland

Ph D or equivalent in appropriate discipline in Engineering / Technology

AND

Minimum of 5 years relevant experience in teaching / research / industry.

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -------

GENERAL INSTRUCTIONS

1. Applications in the prescribed form completed in all respects should be accompanied by

true copies of degree, testimonials etc., in support of their age, qualifications, professional

experience etc., and other academic distinctions, reprints of publications if any. Theoriginal certificates must be produced at the time of interview.

2. Interim correspondence in connection with the application will not be entertained.

7/28/2019 psg-ptc (1)

13/13

3. Candidates already in employment should either forward their applications through proper

channel, or annex a certificate from the employers indicating that they haveNo Objection to the applications being considered.

4. Applicants must be prepared to come for an interview before the Selection Committee on

a date to be intimated to them laterat their own cost.

a) Request for change of date of interview will not be considered.

b) The decision of the Selection Committee shall be final and no appeal or

correspondence shall be entertained in this regard.

5. The institution reserves the right to fill or not to fill any or all the posts and to call or not

to call any applicant for interview.

6. Applications that are incomplete in any respect or from candidates who do not fullysatisfy the prescribed qualifications or received after the due date etc., will be rejected.

7. Applications completed in all respects together with enclosures aforesaid should beaddressed to the PRINCIPAL, PSG POLYTECHNIC COLLEGE, PEELAMEDU,

COIMBATORE 641 004 (Tamilnadu) and sent to reach his office within 15 days from

the date of advertisement indicating the post applied for on the outer cover.

PRINCIPAL