U N I V E R S I T Y O F K E R A L A UNIVERSITY INSTITUTE OF TECHNOLOGY SENATE HOUSE CAMPUS THIRUVANANTHAPURAM Details of Fee remitted DD# ___________Dated _______ Drawn on (Bank) ___________________ at (Branch) __________________ University Pay-in-slip# _____________ Dated __________________ Amount Rs. _______________________ APPLICATION FOR THE POST OF PRINCIPAL 1. NAME : 2. SEX : 3. AGE & DATE OF BIRTH : 4. RELIGION/CASTE : 5. ADDRESS FOR CORRESPONDENCE : (With phone no. if any) 6. EXPERIENCE* (a) Teaching : Name of Institution Designation Period From To Total Teaching Experience : __________________ Years ________________Months. (b) Administrative: Name of Institution Designation Period From To Total Experience : __________________ Years ________________Months. 7. Educational Qualifications (a) Course M.A. M. Sc. M.B.A. M. Tech. M.C.A Board/University Branch Specialisation Full time / Part time Distance Education Year of Passing Class/Division awarded (b) (c) Title University Faculty Year of Award M/ Phil. Ph D. (d) Others 8. PUBLICATIONS Name of Book/ Article Journal/Publisher Year of Publication 9. SEMINARS/CONFERENCES/WORKSHOPS ATTENDED(Give details) 10. ANY OTHER ACHIEVEMENTS (Give details) *Attested copies of certificates should be enclosed. CERTIFICATE I ______________________________________________ solemnly affirm that the information furnished above are true and correct to the best of my knowledge and belief. I undertake to abide by the rules governing the appointment of contract Principals in the University. If selected, I understand the appointment is offered will be of purely temporary nature and will not confer on me any right or stake in any future appointments in the University. Place: Signature of Applicant. Date:
