:: Maa Pateswari University, Balrampur ::

Post & Personal Details

Post applied for

School/Department *

Name (in capital letters) *

Father/Spouse Name *

Gender *

Date of Birth *

Category *

E-mail ID *

Mobile/WhatsApp Number *

Correspondence Address *

City *

State *

District *

Pin Code *

8. Academic Qualifications

Examination	Examination Type	Name of College/University	Year of Passing	Marks Obtained / Max. Marks / Grade
UG
PG
NET/JRF
Ph.D.

9. Teaching Experience

Name of Institution & University	Permanent/Temporary/Guest	From	To

Total Years

Months

Days

10. Present Employment Details (if any)

Institution & University

Designation

From

To

11. Research Experience (after Ph.D.)

Years

Months

Days

Photograph & Signature

Recent passport-size photograph * JPG or PNG, maximum 2 MB

Signature of Candidate JPG or PNG, maximum 2 MB

Declaration

I certify that the above information is correct and factual to the best of my knowledge and belief. I understand that my application shall be summarily rejected if any information claimed above is found incorrect or false. Consequently, penal action may be initiated under the law of the land against me.

I accept the above declaration. *

माँ पाटेश्वरी विश्वविद्यालय, बलरामपुर