JIT_Application

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					            JANSONS INSTITUTE OF TECHNOLOGY
                      APPLICATION FOR THE POST OF __________________

                         The information revealed should be accurate. False information would       Paste your recent
                          affect the chances of selection.                                             passport size
                         The decision of the Institute will be final on all matters relating to        photograph
                          appointment and binding on the applicant. No correspondence will be
                          entertained from the applicant regarding non-selection.

Personal Information
1. Name : (as in H.Sc / Pre-degree Certificate)



2. Address for Communication :




  City :                                                                        Pin Code :

  State :                                                                Country :

  Telephone No. STD Code :

  Office                                Residence                                    Fax


  Email                                                           Mobile :

3. Community Group :       OC BC MBC SC ST                    (As per Tamil Nadu Government norms)

4. Sex :    Male                 Female                   5. Nationality :

6. Date of Birth :
                      (Date)      (Month)            (Year)
7. Family Details :

                                      Name                          Qualification                  Occupation
Father / Guardian
     Mother

  Siblings if any
8. Marital Status :        Single                     Married

  If married provide the following details of your spouse:
  Name :                                                        Occupation :

   Contact Address :




9. Details of Medical history if any & blood group :



10. Academic Performance: (Please enclose attested copies of all mark sheets and degree certificate received.)
                                                                        Examining /
                  Name of        Year of    No. of     Branch / Major                    Educational    Percentage /
      Stage                                                              Certifying                                    Division
                 Examination     Passing   Attempts    Sepcialisation                     Institution      Grade
                                                                         Authority
     SSC /
  Equivalent
    HSC /
  Equivalent
   U. G.
   Degree

 P.G.Degree

Other
Qualifications
(if any) (a)

         (b)

Please account for breaks in your academic career, if any :




11. Major Extra Curricular Activities :
                                                                                      Year                    Honours
 No.                  Activity                         Role
                                                                               From          To               (if any)
  1
  2
  3
  4
  5


12. Meritorious Achievements : Academic/Professional Awards/Medals/Prizes/Scholarship/Certificates, etc.,
                                           Awarding
No.           Name of Award                                    Level             Basis of Award        Year
                                           Institution
 1
 2
 3
 4
 5

13.Work Experience : (Please furnish a certificate from the last employer)
                                         Size of
                         Annual                                                 Nature     Period       Total
          Name of                       Orgn (No. Category
No.                     Salary (Rs.                        Designation           of      From – To    (monthly)
           Orgn.                           of     (F.P.O)*
                          Lakhs)                                                Duties   (in month)    Salary
                                       Employees)
 1
 2
 3
 4
 5

* F : Full Time        P : Part Time           O : Other (Please Specify)

14. State your career objectives and goals. (Use additional sheet (A4 Paper))

15. Describe your role model. (Use additional sheet (A4 Paper))

16. (a) What are your hobbies ?

     (b) What are your strength ?

     (c) What are your weaknesses ?

17. What is the reason for choosing JIT?




18. Please Furnish Two References (Should not be close relatives)
     JIT may contact the referees, if necessary
                                   (1)                                                                                   (2)
     Name              .........................................................      Name .....................................................................
     Occupation ........................................................              Occupation .............................................................
     Address .............................................................            Address ...................................................................
     ...........................................................................      .................................................................................
     Phone ................................................................           Phone ......................................................................
     e-mail ................................................................          e-mail ......................................................................

19. Checklist: Attach photocopies of the following certificates and tick the appropriate boxes

 1       H.Sc / Pre-degree Marks Sheet                                                  4       Ph.D Certificate, if any
 2       UG Degree or Provisional Certificate                                           5       Work Experience Certificate, if any
 3       PG Degree or Provisional Certificate

20. Declaration:
     I have carefully read the instructions and agree to abide by the decision of the Institute regarding
     my selection. I certify that the particulars given by me in this application form are true to the best
     of my knowledge and belief.




Place :
Date :                                                                                                                           Signature of Applicant




                                                                            Please send to
                                         Principal
                            JANSONS INSTITUTE OF TECHNOLOGY
                                 Karumathampatti, Coimbatore – 641 659. Tamil Nadu.
                                           Tel. No. 0421 – 2336161 – 65
                                            E-mail: principal@jit.ac.in