0% found this document useful (0 votes)
18 views

Application Form Format Teaching 1

Uploaded by

Ankush Sarkar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
18 views

Application Form Format Teaching 1

Uploaded by

Ankush Sarkar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 13

For Post of

Professor and Associate Professor

RAIGANJ UNIVERSITY
Application Form
Information Summary Sheet
----------------------------------------------------------------------------------------------------------------------------------------
1. Advertisement no. with date_____________________________________________

2. Post Applied for _________________________________ Dept ______________________

3. Serial No. of Post____________________________________________

4. Bank draft No.___________________________________, dated_______________________________

Name of the Bank with Branch_____________________________________________ For Rs.____________


5. Name of the Applicant in full ………………………………………………………………………….

(a) (BLOCK Letters) (First) (Middle) (Last)

(b) Postal address in full : ……………………………………………………………………………………………………….


……………………………………………………………………………………………………………………………………………………..

(c) Phone/Mobile No. ………………………………………………… (d)E-mail…………………………………………………………

6. Date of birth (DD/MM/YYYY) ………/………/ ……………… 7. Whether a citizen of India : ……………………………

8. Mother tongue: ………………………………………

9. Current position held …………………………………… since…………………….

10. Teaching/ Research/ Industrial Experience (Most recent first)

Sl.No Previous Employer/Organization Period/Duration Position


Positions held

Use additional sheet, if necessary

11. Category (Please tick) GEN SC ST OBC-A OBC-B PWD/PC

12. Teaching Experience (in years): UG ………………………PG………………………………


13. Specialization if any ………………………………………………………
14. Whether Ph.D. is done under the UGC 2009 Regulation (Y/N) ,If yes give
details……………………………………………….
…………………………………………………………………………………………………………………………………………………………………
Those who have done Ph.D. outside India, whether a Ph.D. course work was attended (Y/N) ……………
DECLARATION
I, ……………………………………… hereby declare that all statements made in this application are true, complete
and correct to the best of my knowledge and belief. If any information is found to be incorrect at any stage,
my application shall be liable to be rejected.
Dated…………………………. Full Signature of the Applicant …………………………….
For Post of
Professor and Associate Professor

For Post of Associate Professor & Professor

RAIGANJ UNIVERSITY
Application Form

2. Advertisement no. with date_____________________________________________

3. Post Applied for _________________________________ Dept ______________________

4. Serial No. of Post____________________________________________


Affix here self-attested
5. Bank draft No.___________________________________, dated_______________________________ recent colour passport sized
Name of the Bank with Branch_____________________________________________ For Rs.____________ photograph

To
The Registrar
Raiganj University,
West-Bengal, India.

Sir,
With reference to your advertisement for the above mentioned post. I present myself as an applicant for the
same. The requisite particulars and other relevant particulars are given below.
Yours faithfully,
………………………………………………
Dated: ……………………………. (Signature of the Applicant )

1. Name of the Applicant in full___________________________________________________________


(BLOCK Letters) (First) (Middle) (Last)
2. Contact details /Address
(a)Permanent (with nearest Railway Station)
__________________________________________________________________________________________
__________________________________________________________________________________________
________________________________________________________________
(b) Address for Communication:
__________________________________________________________________________________________
__________________________________________________________________________________________
________________________________________________________________
ii) Email ………………………………………………………………………………………………….
iii)Phone (Mobile)……………………………………Resi./Office……………..………………
iv)Website/Blog: ……………………………………………………………………………………….
3. Date of birth (DD/MM/YYYY) ______________________________ 4.. Sex(please tick) : Male/Female/Third
For Post of
Professor and Associate Professor

5. Nationality by birth ________________________________________At present


___________________________________

6. Mother’s or Father’s Name, Address and Occupation (if dead, state last address and occupation before death):
_____________________________________________________________________________________________
_____________________________________________________________________________________________
____________________________________________________
7. Marital status: ___________________, If married, name of the spouse:
______________________________________
8. Applicant’s mother tongue _______________________________________.
9. What languages (including Indian language) can you read, write or speak?
Read only Speak only Read and Speak Speak and write

10. (a) Academic Records:


Examination Name of the School with Board / Duration of Year of Division % of Subject/
passed Council, College and University the Course Passing /Class/ marks Discipline*
Grade Specialization
10th.
Standard
12th.
Standard
B.A./ B.Sc/
B.Com /
B.Tech.
M.A./M.Sc
/M.Com /
M.Tech
M.Phil

Any other

b) Whether NET/SLET/SET Qualified: ___________________________________ If so, give details


______________________________________________
(c) Whether acquired/awarded Ph D/D Sc/D Lit Degree: ________________________________
If so, (i) Give details mentioning the Name of the supervisor:___________________________________
______________________________________________________________________________________
(ii) The Title of the Thesis: ………………………………………………………………………………………………………………………….
For Post of
Professor and Associate Professor

11. (a) Particulars of experience in reverse chronological order (starting from present employment)
Name of Position Held Scale of pay & Duration Nature of Reason for
Organisation/ other Work leaving
Institution allowances From To(dt)
(dt)

(b) Present Pay & Allowance: Currency:

Scale of Pay: Basic Pay: Allowance: Gross Amount Drawn:

(c) If appointed what notice period you require for joining the post :

(d) Administrative experience (if any):

12. Teaching experience:

Name of the Designation Nature of post: Class taught Duration


institution & Temp/Cont./ From - To
Scale of pay Permanent UG PG

13. Research Experience excluding years spent in M.Phil / Ph.D. (In years ) * Give details and certificates

Name of the Designation Name of the post Nature of Duration


institution & Assignment From – To
Scale of pay

14. Fields of Specialization under the Subject/Discipline


(a) (b)

(c) (d)

15. Any other relevant information, if not given above

16. ACADEMIC PERFORMANCE INDICATORS

A CATEGORY: I. TEACHING, LEARNING AND EVALUATION RELATED ACTIVITIES

i) Lectures, Seminars, Tutorials, Practicals, Contact Hours (During the last three years)

S. No. Courses/Paper Level Mode of Hours per % of classes API Score


s Taught teaching* week allotted taken (80% &
(Approx) above)* See
calculation table
For Post of
Professor and Associate Professor

* NB: Lecture (L), Seminar (S), Tutorial(T), Practical(P), Contact Hours(C)

* NB: CALCULATION OF API SCORE FOR I(i) ABOVE


API Score
(a) Classes Taken (Below 80% performance, no (Max: 50 for 100%)
score may be given); For 80% - API Score is
30, and for every 1% higher, one API Score is
awarded, subject to a maximum of 50 for
100%
(b) Teaching Load in excess of UGC norm (max Max: 10
score:10 which is over and above 50 as
under [a])

ii) Reading /Instructional material consulted and additional knowledge resources provided to students

S. No. Course/Paper Consulted Prescribed Additional Resource API Score


provided

API score based on preparation and imparting of knowledge /


instruction as per curriculum & syllabus enrichment by providing (Max. API score : 20)
additional resources to Students

iii) Use of Participatory and Innovative Teaching-Learning Methodologies, Updating of Subject Content, Course
Improvement etc.

S. No. Short Description in terms of (a) to (k) as listed below API Score

(a) Updating of Courses/Curriculum Design: 5 per course – Max 10


(b) Particip/Innovative – Interactive courses: 5
(c) Particip/Innovative – Learning Modules: 5 Max 10
(d) Particip/Innovative – Case Studies prepared: 5
(e) Use of ICT or Computer-aided methods – ppt: 5
(f) Use of ICT – Multi-media/Simulation etc: 5 Max 10
(g) Dev/Teaching Remedial/Bridge Courses: 5 each Max 10
(h) Dev/Teaching Soft skill/Communication/Personality Dev: 5 each Max
10
For Post of
Professor and Associate Professor

(i) Special Programmes in Phys.Edn./Library: 5 each Max 10


(j) Innovative Composition/Creation in Music, Fine Arts, Perf Arts: 5 each ;
Max 10
(k) Orgn/Teaching Web-based/E-Library/IT-asst teaching:

Workshop 10 points; Popularization 5 points


Max API Score : 20) Total Score:

iv) Examination Duties Assigned and Performed

S. No. Type of Examination Duties Duties Assigned Extent to which API Score
carried out(%)

(a) Invigilation: 10
(b) Evaluation: 5 Max : 10
(c) Question-paper setting: 5
(d) Internal/Continuous Assessment: 10
(e) Exam Coordination Cell/Outst or Flying
Squad: 10

(Max API Score : 25)

16. B CATEGORY: II. CO-CURRICULAR, EXTENSION, PROFESSIONAL DEVELOPMENT RELATED ACTIVITIES Please mention your
contribution to any of the following:

Sl.No. Type of Activity Average Hrs/week API Score


(i)Extension, Co-curricular & field based Activities
a) Field Study/Ed. Tours/ Placement: 5 each Max 10
b) NSS/NCC/NSO etc: Max 10
c) Student/Staff Sports Campus Publ etc: Max 10
d) Community work (Env, Hum.Rights, Peace/Relief etc):
Max 10
(Max API Score : 20)
(ii)Contribution to Corporate Life and Management of the Yearly/Semester API Score
Institution wise responsibilities
a) Governance Resp (Dean/Adhyaksha/ Warden/Coord.):
Max 10
b) Admission Comm/ Campus Dev/ Library Comm: 5 each
Max 10
c) Student Welf/ Counselling/ Discipline (Proct) 5 each Max
10
d) Conf Organization/Chair Secy/Treasurer
(I) International: 10
(II) National/Reg: 5
(III) Member: 1 each

(Max API Score : 15)


For Post of
Professor and Associate Professor

(iii)Professional Development Activities


a) Member in Professional Comm (I)National 3 (II) State 2 ;
Max 10
b) Particip in Conf/Seminars Without paper: 2 each ; Max 10
c) Short-term Courses/ Training less than a week: 5 each
Max 10
d) Membership/Particip in State/ Central Bodies/Comm: 5
each Max 10
e) Newspaper/Magaizine/ Radio-TV progr (Not covered in
Category III): 1 each ; Max 10
(Max API Score : 15)

Total Score (i + ii + iii)

16. C CATEGORY III: RESEARCH, PUBLICATIONS AND ACADEMIC CONTRIBUTIONS


A (i) Published papers in journals API Score – Category 1- Refereed – 15
Category 2- Non-Refereed – 10

S.No Title with Journal ISBN/ISSN Whether No of Co- Impact Whether API Score
page Name / Peer authors Factor if you are the
number Categorizat reviewed any main
ion author
Refereed/
Non

(ii )Public Displays/Exhibitions/Performances with or without outputs in


CD/DVD/Online/E-form/E-book API Score – International 15 each,
National 10

Sl.No Title of Show/ Company/ Categorization I. Whether reviewed/ No of Co- Whether API Score
Exhibition/Per- Agency/ International 15 Impact factor performer or Co- you are the
formance with or Instt Name each/ II. National (Reporting/Coverag authors (10 each) Solo artist/
without (Including 10 each e/Reviews/Hits/sal performer
CD/DVD/Tape/ TV/Radio (Venues/event/g es/cita- (15 each)
Online/E-form/ E- etc) allery/ studio/ tions/commen-
book version or museums) dations/ etc)
Brochures
For Post of
Professor and Associate Professor

B (i) Articles/Chapters published in Books


API Score (Per Art/Chap) Category 1: International Publ – 10
Category 2: National/ State/ Central/ Societies Publisher – 5
Category 3: Subject books by Other/ Local Publisher – 3
Category 4: Chapters in Knowledge-based Volumes – 5

Sl.No Art/Chapter Book title, ISBN/ISSN No/ (Or, Whether No of Co- Whether Impact API Score
Title with Editor & Renowned peer- authors you are Factor if
page Publisher publishers) See Cat reviewed (Points to the main any
numbers 1-4 as above for be shared) author
scores

(ii) Full papers in Conference Proceedings


API Score: 10/each
Sl.No Title with Details of ISBN/ISSN Whether No of Co- Whether Impact API Score
page Conference peer- authors you are the factor if any
number Publication reviewed (Points to main author
be shared)

(iii) Books Published as a Single/Joint Author/Editor


For Post of
Professor and Associate Professor

API Score – Category 1 Text/Reference Books by International Publisher – 50


Category 2 Text/Reference Books by National/Soc/Univ Publ – 25
Category 3 Subject Books by Other/Local Recognized Publ – 15
S.No Title with Type of Publisher & Whether peer- No of Co- Whether API Score
page Book/ and ISBN/ISSN reviewed/Impact authors you are the
number Authorship / (To be main
Categorizat shared) author
ion

(Score in above A to C be shared in case of multiple authors: 1st author 60%, other 40%)

C) Ongoing and Completed Research Projects and Consultancies


Ongoing Projects/Consultancies API Score for Projects–
Cat I: (Sc -Rs 30 lakhs+ ; Non-Sc: Rs 5 lakhs +): 20
Cat II: (Sc -Rs 5 lakhs+ ; Non-Sc: Rs 3 lakhs +): 15
Cat III: (Sc -Rs 0.5 lakhs+ ; Non-Sc: Rs 0.25 lakhs+): 10
Other approved projects of Univ/Other agencies : 5
API Score for Consultancies– (Sc -Rs 10 lakhs+ ; Non-Sc: Rs 2 lakhs +): 10
API Score for Quality Evaluation– Major Project Eval: 20 Minor Project Eval: 10
API Score for Project out come –
Sc.(Patent/Tech. Transfer/Product/Process): International level: 50, National level: 30
Non Sc. (Major policy doc of Govt. Bodies): Central level : 50, State level: 30

S.No Title Agency (Funding, Period Output/ Impact, i.e. Grant(s)/ Whether API Score
Commissioning Book/paper/ Amount Principal
and/or film/technology mobilized Investigator/
Collaborating) /Web-facility/ (so far) in Coinvestigator
Program/Process Rs. (Lakhs) or
Consultant/Qu
ality evaluator

d) RESEARCH SUPERVISION
(i) Degree-oriented: API Score – Ph.D. awarded – 10; Ph.D. Submitted – 7; M.Phil. awarded – 3;

S. No. Number Enrolled Thesis Submitted Degree awarded API Score


M. Phil or
equivalent
For Post of
Professor and Associate Professor

Ph.D. or equivalent

(ii) Non-Degree Products: API Score – Post-Doctoral – 7; National Scholar – 5;


Guidance to Foreign Scholars & Master’s level – 3;

S. No. Number Enrolled Thesis/Product/ Period (in Years/ API Score


Document/ Semesters)
Monograph
Submitted
Foreign Scholars or
Master’s level

Post-Doctoral

National

e) Conference/Seminar/Workshop paper and Training courses

(i) Papers presented in Conferences, Seminars, Workshops, Symposia

API Score – Category 1 International – 10 Category 2 National – 7.5

Category 3 Regional – 5 Category 4 Local – 3

S. No. Title of the Title of Conference / Organised by Whether International API Score
Paper Seminar /
presented National/State/Region
al/ University/College
level

(ii) Invited Lectures and Chairmanships at National/ International Conference / Seminar etc.
API Score – Category 1 International – 10
Category 2 National – 7.5
Category 3 Regional /State level – 5
Category 4 Univ/Endowment Lect – 3
S. No. Title of Lecture / Title of Organised by Whether API Score
Academic Session Conference / international
Seminar etc. /national
For Post of
Professor and Associate Professor

iii) TRAINING RECEIVED: Academic Staff College Orientation / Refresher Courses/ Methodology
Workshops/ Training/Teaching-Learning-Evaluation Technology Programmes/Soft-Skill
Development Programmes &Faculty Improvement/Dev. Programmes, including Summer and
Winter Schools attended: (Maxium-30)

Name of the Course/ Place Duration Sponsoring Agency API SCORES


Programme/Training/ & Instt (Dates) (UGC/ICAR/ICHR/ICSSR/ 2 Week & More: 20/each
Summer or Winter School Academies/Universities etc) 1 Week: 10/each
For Post of
Professor and Associate Professor

2.
3. SUMMARY OF API SCORES (In Respect of Applicants against Academic Positions)
S. No. Criteria Last Academic. Total – API Annual Av.API
Year Score for Score for
Assessment Assessment
Period Period
I Teaching, Learning and Evaluation
related activities
II Co-curricular, Extension,
Professional development etc
Total I + II
III Research and Academic
Contribution
17. Name of three referees with address details to whom the candidate is known: (1)
……………………………………………………………………………………. (2)
……………………………………………………………………………………. (3)
…………………………………………………………………………………….
18. Have you at anytime convicted by a court for any case? If so, give the details. 19.
Have you ever been dismissed / removed / asked to retire from service? If yes give
details:
20. Documents and attested copies of Certificates/Diploma/Degree, etc. (i)
……………………………………………………(ii) ………………………………………………………… (iii)
……………………………………………………(iv) ……………………………………………………….. (v)
……………………………………………………(vi) ……………………………………………………… . (vii)
……………………………………………………
21. If appointed what notice period you require for joining the post. ? _____________
DECLARATION

I, ____________________________________________________________, hereby declare that all statements made in this


application are true, complete and correct to the best of my knowledge and belief. If any information is found
to be incorrect at any stage, my application shall be liable to be rejected.

Dated…………………………. Full signature of the applicant

Note:
1. Papers and documents submitted with the application will not be returned.
For Post of
Professor and Associate Professor

2. Application, if sent by post should be sent under certificate of posting, preferably by registered
post.
3. One original and five photocopies of the duly filled-in application forms are to be submitted. All
enclosures including self-attested copies of testimonials are to be submitted in each copy.
4. Where space provided in the form is found to be inadequate, annexure may be given quoting
serial numbers under which additional information is supplied. Separate sheet(s) must be attached
wherever applicable and necessary.
5. Though Advance copy of Application will be entertained the no-objection letter from the
appropriate authority should be produced at the time of interview in case of the in-service
applicants.

6. Raiganj University does not hold itself responsible to fill up the post advertised if the post
advertised is not filled up. The University may raise the standard of qualification, experience etc. at
its discretion.

You might also like