Application Form Format Teaching 1
Application Form Format Teaching 1
RAIGANJ UNIVERSITY
Application Form
Information Summary Sheet
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1. Advertisement no. with date_____________________________________________
RAIGANJ UNIVERSITY
Application Form
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 )
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
Any other
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)
(c) If appointed what notice period you require for joining the post :
13. Research Experience excluding years spent in M.Phil / Ph.D. (In years ) * Give details and certificates
(c) (d)
i) Lectures, Seminars, Tutorials, Practicals, Contact Hours (During the last three years)
ii) Reading /Instructional material consulted and additional knowledge resources provided 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
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
16. B CATEGORY: II. CO-CURRICULAR, EXTENSION, PROFESSIONAL DEVELOPMENT RELATED ACTIVITIES Please mention your
contribution to any of the following:
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
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
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
(Score in above A to C be shared in case of multiple authors: 1st author 60%, other 40%)
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;
Ph.D. or equivalent
Post-Doctoral
National
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)
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
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.