Institute for Social and Economic Change

Established in 1972 by Professor V K R V Rao, ISEC is an All-India Institute for Interdisciplinary Research and Training in the Social Sciences

APPLICATION FORM – isec

INSTITUTE FOR SOCIAL AND ECONOMIC CHANGE

Dr V.K.R.V.Rao Road, NAGARABHAVI P.O. BANGALORE - 560072

APPLICATION FORM FOR FACULTY POSITIONS

(Read item 22 in this form before filling the Application form)

M F
Yes No
Exam Degree University Year of completion Main subject Other subjects % of Marks or grade Page No.
Ph.D or its equivalent
Post-Graduation
Graduation
Others

* Give the title of doctoral thesis:

9. Work experience including teaching and research (Begin with your last/present job):

Designation/ Position (also indicate Permanent or Temporary ) Employer Experience Total Page No.
Teaching / Research From To Years Months
total

Total Experience in Yrs/Months; Teaching:

Research

Yes No
Language Read Write Speak
Yes No

12. Organisational Membership: Please give details of the type of membership of academic/professional/other organisation.

13. Publications: (Details of publications are to be provided in Appendix -1) and (Attach recent detailed CV)

Yes No
Number of Publications
Books Self authored books
Number of Publications
Number of Publications
Papers Articles in Refereed Journals
Chapters contributed in edited books
Other Publications

14. Special interests and/or any other information which you feel relevant to furnish:

15. (i) Present Position:

(ii) Present Pay and Allowances:

Scale of Pay: Rs.

Basic Pay:

Allowance:

Gross Salary: Rs.

16. If employment is offered, how soon can you join duty?

17. Are you willing to start on the initial pay of the post applied for? If not, what basic salary do you expect?

Yes No

18. Names and full addresses of two referees eg., teachers/employees not related to you. (with mobile no., telephone no., e-mail address and fax)

19. I certify that the particulars given by me in this application are true to the best of my knowledge and belief. I agree to abide by the decision of the Institute authorities regarding my suitability for employment or otherwise in the Institute.

20. I enclose copies of the following:

Date:

Signature of Applicant

21. TO BE FILLED IN BY THE EMPLOYER OF THE APPLICANT

We certify that the information given by the candidate in column 15 of the application is correct. This organization has no objection for his/her applying for the said post. In case he/she is offered the post and if he/she accepts it, he/she will be relieved of his/her duties in this organisation according to rules.

(Seal of office)

Signature of the Employer

Place:

Date:

22. OTHER INFORMATION

APPENDIX-I

Publications and Research

Books - Self authored/co-authored/edited

Title of the Book(s) Whether Sole Author or Co-author Name of Publisher (with city/country) Month & year of publication ISBN/ISSN No. Supporting Documents

Articles in Refereed Journals

Title of research article/paper(s) Name of journal Whether Sole Author or Co-author Month & year of publication, volume, no. & page nos Whether Referred/non-referred. ISBN/ISSN No. Level Int./Nat./State/Local NAAS Rating/Impact Factor Supporting Documents

Chapters contributed in edited books

Title of Chapter(s) Title of the Book(s) Whether Sole Author or Co-author Name of Publisher (with city/country) Month & year of publication ISBN/ISSN No. Supporting Documents

Other Publications

Title of Chapter(s) Title of the Book(s) Whether Sole Author or Co-author Name of Publisher (with city/country) Month & year of publication ISBN/ISSN No. Supporting Documents

Papers presented in Regional/ National and International Seminars/Conferences/Workshop/ Symposium. Indicate whether the Conference Proceedings are published.

Title/Subject of Paper presented Subject of Conference/Seminar/Symposium/Workshop Organizing Institution/ and Name of City/Country Duration From/To Whether the proceedings published Yes/No Supporting Documents

Awards.

1. International awards for fellowship, Post-doctoral fellowship, Fulbright, Commonwealth, DAAD, etc. visiting scholar, best thesis, best paper, etc.
2. National Awards UGC JRF NET, visiting scholar, best thesis, best paper, etc.

Place:

Date:

Signature of Applicant

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