Indian Institute of Management Udaipur

Professor of Practice Application

Professor of Practice Application

1 Name
(As appeared in all your certificates)
2 Gender
       
3 Date of Birth
4 Marital Status
5 Category
6 Mobile
7 Email
8 Area applied for
9 Father's Name
10 Mother's Name
11 Nationality
12 Address
13 Pincode
14 State
15 Education Qualifications
(mention subject in which specialized/majored)
Name of Degree School/College/Board/University Year of Passing Percentage/CGPA Marks Obtained           
Work Experience
16 Work Experience
(In reverse chronological order)
Organization Designation Current Working Date of Joining
(Ex. DD-MM-YYYY)
Release Date
(Ex. DD-MM-YYYY)
Gross Salary Upload Doc  
Total experience in months
17 Details of Last Salary Drawn
A Basic
B Grade Pay
C Dearness Allowance
D Transport Allowance
E House Rent Allowance
Total (A+B+C+D+E) Rs.
Special Allowance if any
Any Other
18 Upload Documents
Note:- Document Upload Format (jpg, jpeg, png, doc, docx, pdf Size: Upto 1024 KB/file)
19 Disclaimer
I hereby understand and undertake that (please select the boxes)