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RANI CHANNAMMA UNIVERSITY Vidya Sangama, National Highway – 04, Belagavi – 591156 ¥ÉÆÃ£ï £ÀA. :0831-2565234/236 /203

Website: www.rcub.ac.in

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PÀÄ®¸ÀaªÀgÀÄ

RANI CHANNAMMA UNIVERSITY BELAGAVI APPLICATION FOR THE POST OF GUEST FACULTY IN ______________ (MENTION THE SUBJECT)

Name and Address 1

AFFIX

(for correspondence) of the Applicant

PHOTO

:

2

Category

3.

Date of Birth and Age

4.

Qualification : Particulars

GM / SC / ST / CAT-I / IIA / IIB / IIIA/ IIIB

Name of the University/Institute

Class Obtained

Master Degree P.G. Diploma M.Phil

5.

Whether passed/awarded NET/SLET/Ph.D. Year of Passing NET/SLET/ Award of Ph.D.

6.

Teaching Experience in number of Years

Post – Graduate Under-Graduate

Percentage of Marks obtained

Year of Passing

RANI CHANNAMMA UNIVERSITY BELAGAVI 7.

Research Experience, Please specify publications if any

No. of Publications (list the publications separately) Articles (National) Articles (International) Books Any Other

8.

9.

Whether served as Guest Faculty in the previous years in the affiliated/ constituent colleges of the University, if yes, mention the year and period served. Present Status / Work place

10

Cell No. E-Mail :

11.

Other information’s if any.

12.

List of Enclosures

1. 2. 3. 4. 5.

 Note: The application form should be submitted in 02 sets along with attested copies of Testimonials / Certificates/ Caste /category Certificates / Marks Cards and detailed bio-data.

RANI CHANNAMMA UNIVERSITY BELAGAVI DECLARATION I hereby declare that the particulars furnished above are true to the best of my knowledge & belief. If given an opportunity, I assure you sir, that I shall discharge my responsibilities to the entire satisfaction of my superiors. I understand that this is a temporary assignment for the required limited period only. I shall not be involved in any in disciplinary behavior. If I am invited to serve as Guest Faculty. I know the services of the Guest Faculty have no relation to the sanctioned post in the University. I will not claim the services of the Guest Faculty for regularization of services.

Date: Place:

SIGNATURE

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