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PERSONAL DETAILS
Position Applied for :
Upload you Pic :  
Title : Dr. Mr. Mrs. Ms.    
First Name : Last Name :
Date of Birth:  
Martial Status:
No.of Children:
Height : Weight :   
Permanent Address :
City :    PIN/ZIP State
Present
Address :
City :    PIN/ZIP State
Kindly specify address for correspondence: Permanent Present
Contact Phone Numbers:      
Email Id:
 
 
FAMILY DATA
 
Relation
Name
Age
Education
Occupation
Father
Mother
Husband / Wife
Child 1
Child 2
         
 
 
ACADEMIC QUALIFICATION (CLASS XTH ONWARDS)
 
SNo.
Name of
Course/
Diploma/
Degree
Name Of
Institute/
College
Name Of
University
Year Of
Passing
Full Time/
Part Time /
Correspond
ence
Specialization
/ Subjects
Div.
% Or
Cqpi
                 
Class X
Class
XII
Grad.
Post.
Grad.
Ph. D.
 
PROFESSIONAL QUALIFICATION
 
SNo.
Name of
Course/
Diploma/
Degree
Name Of
Institute/
College
Name Of
University
Year Of
Passing
Full Time/
Part Time /
Correspond
ence
Specialization
/ Subjects
Div.
% Or
Cqpi
                 
1
2
3.
4
5
 
 
PROFESSIONAL TRAINING (CERTIFICATE/DIPLOMA/DEGREE PROGRAMS)
 
S No.
Nature of Training
Duration
Period
Score Valid UP To
 Subject / Area of Traning
1.
2.
3.
4.
5.
           
 
UGC-CSIR NET CLEARED  YEAR :
   
 
GATE SCORE :
(IF APPLICABLE):
 PERCENTILE
   
 
 
RESEARCH / PUBLICATION WORK: Please give the details of your Research papers/ Articles / Books Published
 
S No.
Title of Research Paper
Title of Journal
Published by
Volume & Month
1.
2.
3.
4.
5.
         
 
 
PARTICIPATION IN SEMINARS / CONFERENCES:
 
S No.
Event
Dates
Venue
Title of papers if presented
1.
2.
3.
4.
5.
         
 
 
LANGUAGE PROFICIENCY: Please indicate languages and level of proficiency – excellent, good, and average or below avg.
 
Language.
Writing
Reading
Speaking
 
 
COMPUTER PROFICIENCY:
 
         
MS-OFFICE Yes No
SPREADSHEET Yes No
FILE MANAGEMENT Yes No
WORD PROCESSING Yes No
POWERPOINT Yes No
Additional Information
 
 
ACADEMIC EXPERIENCE (IN REVERSE CHRONOLOGICAL ORDER):
 
Name of the Organization & its Location [City] Designation
Period
From To
Specialization /
Functional Area
Last Drawn Salary
Basic DA HRA CCA Other
Allow-ances 		Total
 
Subject Taught:
 
Subject Taught at UG Level:
 
Subject Taught at PG Level:
 
 
ACADEMIC EXPERIENCE (IN REVERSE CHRONOLOGICAL ORDER):
 
Name of the Organization & its Location [City] Designation
Period
From To
Specialization /
Functional Area
Last Drawn Salary
Basic DA HRA CCA Other
Allow-ances 		Total
 
 
EXTRA CURRICULAR ACTIVITIES / INTERESTS/ HOBBIES:
 
 
 
GAMES & SPORTS: (participation, training, coached/supervised and at what level. Any prizes won):
 
 
WHY DO YOU WANT A CHANGE IN JOB?:
 
 
HOW MUCH NOTICE PERIOD WOULD YOU NEED TO JOIN, IF SELECTED?:
 
 
EXPECTED SALARY?:
 
 
Have you ever applied or been interviewed for a job at IMS? Yes No
If yes give details
 
Do you have any acquaintances or relatives associated with IMS? Yes No
If yes give details
 
REFERENCES: (Please give details of at least two referees)
 
Referee's Name Referee's Position
& Organization 		Relationship to
Applicant 		Referee's Email ID and
Phone no. 		How long you have
known the referee?
         
 
 
 
Email
 
@ims.edu.in
Password
   
 
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