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    Application Form

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    Hemam Prasanta
    This document is an application form for trainee teacher positions at the National Institute of Technology Mizoram. It requests personal information such as name, date of birth, contact details, education history, qualifications, experience, publications, awards and references. Applicants are asked to provide details of their academic career from Class 10 onwards, including semester-wise results for their Bachelor of Technology degree. Sections also cover thesis details, internships, conferences attended and extracurricular activities. Applicants must sign a declaration that the information provided is true and acknowledge potential consequences of supplying misleading information.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Application Form

    Uploaded by

    Hemam Prasanta
    47 views4 pages
    This document is an application form for trainee teacher positions at the National Institute of Technology Mizoram. It requests personal information such as name, date of birth, contact details, education history, qualifications, experience, publications, awards and references. Applicants are asked to provide details of their academic career from Class 10 onwards, including semester-wise results for their Bachelor of Technology degree. Sections also cover thesis details, internships, conferences attended and extracurricular activities. Applicants must sign a declaration that the information provided is true and acknowledge potential consequences of supplying misleading information.

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    Application-Form (1).docx

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    This document is an application form for trainee teacher positions at the National Institute of Technology Mizoram. It requests personal information such as name, date of birth, contact details, education history, qualifications, experience, publications, awards and references. Applicants are asked to provide details of their academic career from Class 10 onwards, including semester-wise results for their Bachelor of Technology degree. Sections also cover thesis details, internships, conferences attended and extracurricular activities. Applicants must sign a declaration that the information provided is true and acknowledge potential consequences of supplying misleading information.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    47 views4 pages

    Application Form

    Uploaded by

    Hemam Prasanta
    This document is an application form for trainee teacher positions at the National Institute of Technology Mizoram. It requests personal information such as name, date of birth, contact details, education history, qualifications, experience, publications, awards and references. Applicants are asked to provide details of their academic career from Class 10 onwards, including semester-wise results for their Bachelor of Technology degree. Sections also cover thesis details, internships, conferences attended and extracurricular activities. Applicants must sign a declaration that the information provided is true and acknowledge potential consequences of supplying misleading information.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 4

    NATIONAL INSTITUTE OF TECHNOLOGY MIZORAM

    CHALTLANG, AIZAWL (MIZORAM) 796012


    (Application Form for TRAINEE TEACHERS)

    Advertisement No. & Date : NIT-MZ/RECRUIT(TTS)/01/2014; 26/03/2014


    Please paste self
    Department (applied for) : attested recent
    passport size colour
    photograph

    1. Full Name(in block letters) :


    2. Fathers/Mothers Name :
    3. Date of Birth (DD/MM/YYYY) : 4. Age (as on last date):
    5. Nationality : 6. Gender: Male/Female
    7. Category (GEN/OBC/SC/ST/PWD) :
    8. Marital Status (Married/Unmarried) :
    9. Native Place (Village/Town, District & State) :
    10. Postal Address for correspondence :

    Pin Code:
    Phone No.: Mob. No.:
    Email-ID:
    11. Permanent Address :
    (Mention Village/Town, District and
    State you belong to)

    Pin Code:
    Phone No.: Mob. No.:
    Email-ID:
    12. Are you a B.Tech graduate from :Yes/No
    CFTIs/pursuing your study in any of Name of Institute:

    the CFTIs (like IIT, NIT, IIIT, etc.), if Address:

    yes, mention the Institutes name &


    address

    Page 1 of 4
    13. Required for candidates from non-CFTIs Yes/No Percentile/Marks:
    Do you have a valid GATE score (If Year:
    yes, please furnish the details)
    14. Do you belong to Top 15% of the : Yes/No
    students in your Institute Your Rank in your branch:

    15. Educational Qualifications (matriculation onwards and each semester B. Tech result (i.e., from Ist to
    VIIIth)):

    Sl. Examination Name of the Year of Subject/ Branch % of Marks/ Rank


    No. Passed Board/ Institute/ Passing Specialization/ Grade (CGPA)
    University
    1. Class-X

    2. Class-XII

    3. BTech - Ist Sem

    4. BTech IInd Sem

    5. BTech - IIIrd Sem

    6. BTech - IVth Sem

    7. BTech - Vth Sem

    8. BTech - VIth Sem

    9. BTech - VIIth Sem

    10. BTech VIIIth


    Sem
    11.

    16. (a) Details of B.Tech. Thesis/Project:

    Title of the Thesis Ongoing / Completed Name of the Supervisor Paper presented /
    Published (if any)

    Page 2 of 4
    (b) Give details of the summer training (if any)

    Sl.No. Name of the Duration Title of the Project/ Remarks (If any)
    Organization (From to...) Training Programme

    (c) Conference/Seminar (National and International level) participated:

    Sl. Name of the National or International Month/ Venue Title of the paper presented (if any)
    No. Conference/Seminar Year

    17. Prizes, Awards, Distinction received etc. (if any): ......

    ........

    18. Extra Curricular Activities/Hobbies:..

    ......................................................................................................................... .......................................................

    19. Please give details of two referees:

    (i) Name: (ii) Name:


    Designation: Designation:
    Full Address (Office): Full Address (Office):

    Contact No.: Contact No.:


    Email: Email:

    Page 3 of 4
    20. Any other relevant information:.......

    DECLARATION

    I declare that the statements made in this application are true to the best of my knowledge and belief.
    I understand that any misleading or wrong information supplied by me may lead to summarily rejection of
    my application /appointment (if found subsequently).

    Date: ------------------------------------
    (Full Signature of Applicant)
    Place:

    Page 4 of 4

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