Proforma-for-CAS-Old.doc - Date of eligibility -Between...

Date of eligibility -Between 01.10.2009 to 07.10.2009
PEC University Of Technology, Chandigarh.
Application for Promotion under Career Advancement Scheme
Pg No.1/3
Date of joining PEC on regular basis_______________ Post_____________ Department____________
Post presently held: Department:
Date of joining this post on regular basis:
Post to which promotion is sought:
Date of eligibility for promotion:
(Verified/not verified)
Signature/Name
1. Name in Full:
(Underline Surname)
2. Address
For correspondence Permanent
__________________________ ____________________
__________________________ ____________________
__________________________ ____________________
_______ ________ __________
Phone Fax No. E-mail
3. Date of Birth: 4. Nationality: 5. Sex:
6. Category: General/SC/ST/OBC :
(Attach relevant certificate from the authority prescribed under government rules)
7. Areas of Specialization 8. Current Areas of Research
9. Academic Record (starting with Higher Secondary or equivalent)
(Please attach brief synopsis of the Master’s /
Doctoral thesis)
Degree
(State Branch/area of
specialization)
Institution Year Marks & Division Rank (if any) Remarks
I hereby declare that all entries in this form as well as in the attached sheets are true to best of my knowledge and
belief.
There are…………enclosures with total of……………………pages attached alongwith this application form.
Date Signature
Place