OFFICE OF THE REGISTRAR
KAKATIYA UNIVERSITY
WARANGAL-506 009 Telangana 

NOTIFICATION   No.  01/2016 

Applications in the prescribed form are invited from eligible candidates for the following post, who fulfill the qualifications and conditions for the appointment so as to reach the undersigned in person or by post by 5.00 p.m. on or before 06/06/2016 :

NSS  Programme Coordinator	:	One Post 

The following are the Qualifications and other Conditions : 
QUALIFICATIONS

A)   Reader/Senior Lecturer in the University or affiliated College
B)   Principal of affiliated College, of the status of Reader, with NSS back ground
C)   Must have been a Programme Officer (NSS) for at least three years
D)   Must have undergone NSS orientation in a TOC/TORC
E)   Not more than 50 years of age at the time of selection as Coordinator

TERM / TENURE 

The Programme Coordinator will be appointed on deputation/short term contract for a period of one year (likely to be extended by another year).      No Programme Coordinator will be appointed on permanent basis

The University reserves the right to fill or not to fill up the post without assigning any reasons whatsoever, and call-letters for interview will be issued to eligible candidates only as per rules.

Date : 05/05/2016   			                       	      		               REGISTRAR

KAKATIYA UNIVERSITY
Vidyaranyapuri, WARANGAL – 506 009
TELANGANA, INDIA

APPLICATION  FOR  THE  POST  OF  NSS  PROGRAMME  COORDINATOR

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Important Note:	

a)	Read carefully the enclosed instructions to the candidates 
                     before filling the form
b)	The entries should be in the candidate’s own handwriting/
                     neatly type written  
c)	Attach the list of all enclosures in the serial order 

Notification Number:				

Date:
		
1.		Name in full (Block Letters)		
2.		Father’s Name & Occupation		
3.		Address to which communication to be sent (The University shall not be responsible if the letters are not received at this address)	
	H. No. 	
		Street :	
		Village/Town/City :	
		District :	
		Postal PIN Code :	
		Telephone Number with STD :	
		Mobile Phone Number :		
		E-mail ID :		
4.		Date of Birth & Age 
(as on 06/06/2016)		
5.		Place of Birth	Village/Town :	
		Mandal :	
		District :	
		State :	
6.		State whether you are married	YES / NO	
7.		Social Status with sub-caste
(SC/ST/BC-A/BC-B/BC-C/BC-D/BC-E/ OC)		
8.		Gender  (MALE/FEMALE)		

9.	Give particulars of educational qualifications (from SSC onwards):

Examination / Degree	Name of the Board/University	Month & year of award of the degree	Division	% of Marks	

					

					

					

10.	Are you employed? If so, give the following particulars (give the particulars of UG & PG teaching experience):

Name of the institution & post held	Name of the employer	Nature of employment	Date of joining	Scale of Pay	Total emoluments	

	

	

	

	

	

	

11.	Give particulars of NSS Programme Officer post held : 
(A separate sheet may be enclosed with the details of NSS activities undertaken during the tenure as Programme Officer).

Name of the Institution	Period	
	From	To	

	

	

	

12.	Give particulars of NSS Orientation Course undergone in a TOC/TORC :
Name of the Course Organized Institution/University 	Period	
	From	To	

			

13.	Give particulars of participation in Extension work/Community service/Corporate life (Give a short account of your contribution to community work, National Literacy Mission, etc.) :

14. 	Are you willing to accept the minimum initial pay offered?  If not, state what lowest initial pay you would accept?

15.	Any other information. 

UNDERTAKING
	
The particulars furnished above are correct to the best of my knowledge. 

Place:

Date:									Signature of the Applicant

For Government / University Servants only

Endorsement by the Head of the Department/Office or the Principal of the College

Endt. No.									Date:

Forwarded to the Registrar, Kakatiya University, Warangal, Telangana

	The applicant, Dr./Sri/Smt/Kum ________________________________________ holds a permanent/temporary post under the Department/College. His/Her character as is known to me is good and his/her work suggests that he/she would be suitable for appointment, if he/she is selected for the post.

	I certify that all the entries made in this application are correct according to his/her service book or records maintained in this office.

Full Signature._____________________________

Designation with seal: _______________________

For Office use only	

SCRUTINIZER’S  REPORT:

Name of the Candidate :
Father’s Name               :
Post applied for             :

NOT ELIGIBLE 
(If not eligible, please state reasons:

ELIGIBLE

 

Signature of the Scrutinizer

            KAKATIYA UNIVERSITY

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           SYNOPSIS OF BIO-DATA

(Synopsis of Biodata will be placed before the Selection Committee at the time of interview.  
Therefore, the candidate is informed to fill it neatly)

(To be filled in by the candidate in duplicate and to be submitted along with the Application-Form)
(If handwritten, please use BLACK PEN only)

Advertisement No. & Date 		
Post applied for   		

Name (in block letters)		
Father’s/Husband’s Name		
Date of Birth & Age (as on 06/06/2016)		
Place of Birth with District and State		
Gender : (Male/Female)			
Martial Status : (Married/Unmarried)		
Social Status with Sub-Caste :         
(SC/ST/BC-A,B,C,D,E/OC) 		

EDUCATIONAL QUALIFICATIONS (SSC onwards) :

Examination / Degree	Name of the Board/University	Month & year of award of the degree	Division	% of Marks	

					

					

					

Page-2 of Synopsis of Biodata of __________________________________ 
			   	            (write your name)

PRESENT POSITION  :

Post	College / University / Institution	Permanent/ Temporary	Present Scale of Pay	Pay	Total Salary per month	Total Period of Service as on date	

PARTICULARS OF NSS PROGRAMME OFFICER POST HELD : 

Name of the Institution	Period	
	From	To	

			

PARTICULARS OF NSS ORIENTATION COURSE UNDERGONE IN A TOC/TORC :

Name of the Course Organized Institution / University 	Period	
	From	To	

			

PARTICULARS OF PARTICIPATION IN EXTENSION WORK / COMMUNITY SERVICE/CORPORATE LIFE

	

Whether the application is forwarded by the Employer 		:   YES / NO
(If not forwarded, NOC should be submitted at the time of interview)

The particulars furnished above are correct to the best of my knowledge.			                	           Signature of the Candidate
Imp.Note:- Supporting documents should be enclosed in support of the information given above.