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7/23/2019 0teaching (Final)dhhhhhhh

1/23

CENTRAL

UNIVERSITY OF HARYANA

APPLICATION FORM FOR TEACHING POSTS (Part A) - (-) /Name of the post applied for...

// School/ Department . ...1. /Name in Full....

(IN BLOC L!""!#S$%. /Father&s Name

.'. /other&s Name ). ( $/*us+and&s Name (in case of married ,omen$ ..

-. /Date of Birth /Da .../onth !" /0ear ..

(#$ %& $(2s recorded in the atriculation or e3ui4alent certi5cate$6. '/27e (( )"* ..!"/ears/months (as on the

last date 58ed for the receipt of application$9. +$/Nationalit..:. )"/ #eli7ion ..;. # /aritalStatus/arried */


2/23

1'.6 / @ermanent 2ddress

7 /@IN COD! ...8 ./@hone No 46/ Cell .

9 / 2ddress for correspondence.

7/@IN COD! ....6 /!mail ID.

1).0#& : ( *,% *. 3+; $/!ducational 3uali5cations (2ttach additional pa7es? ifre3uired$

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e3ui4ale

[email protected].

. 97 ') ( 6 /Indicate speci5callhether @h.D. de7ree has +een aarded

,Ye% ,N$

. 9.7 ') % %" " 0 / ,[email protected]. de7ree as ith course orE or not

,Ye% ,N$

$//$


3/23

1-. *, 4? (" / %$ Chronolo7ical list of e8perience (includin7current position/ emploment$

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%%.0) A0/ #esearch 7uidance0 D ('- !")Re%ear.'!&dan.e (No. of students 7uided$

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6/23

%).%: * %9 ( %&B % , $ 3 9 $/ List of selfattested testimonials attached (ori7inal to +e produced at the time of inter4ie$. @lease ticEthe ones applica+le.

i. C & * / atriculation marE sheet and certi5cateii. 'D9 C * / Intermediate marEsheet and certi5cateiii. (8E$ * / Bachelor&s @ro7ramme (Final$ marE sheet and de7reei4. > (8E$ * / aster&s @ro7ramme (Final$ marE sheet and

de7ree

4. .8 ')/ .@hil. de7ree4i. 97/7.8/ @h.D. /D.@hil de7ree4ii. 7$/7%%.7 ')/ D.Litt? D.Sc.? L.L.D de7ree4iii. $/%8?%%68 / N!"?


7/23

4 ($ 2 % 4I" $ * # (I$ *) ! # JH State hether ouha4e +een at an time (a$ dismissed? remo4ed or de+arred from Ser4ice or (+$ con4icted + aCriminal court.

3 $ @lease ticE //0!S /NO

J 5! / / ',. 6 % %9 % K " #H ',. 6 *" %L ,. I % #H I here+ declare that all entries made + me in this application aretrue? complete and correct to the +est of m Enoled7e and +elief. I understand that in thee4ent of an information +ein7 found false? incomplete or incorrect? mcandidature/appointment is lia+le to +e cancelled/terminated.

/ @lace

/ Date . , , S&'nat!re $ te A113&.ant

6/ *6 % *MN . /C& % *, *% O% *3 %#H("he endorsement +elo is to +e si7ned and forarded + the *ead of the Department/!mploerin the case of the inser4ice candidates hether in permanent or temporar capacit failin7 hich

the application is lia+le to +e reGected$.

. G , ENDORSEMENT OF THE EMPLOYER

%" %. #ef. No / Date ..

!, FOR=ARDED E%//%/ *6/- ....................% " #H E " ....................................-# % /.....................- #H E # 6 > H

*) & , %H"he applicant . (name$ is holdin7 the post of in this Colle7e/


8/23

H*),-( 6 I% )

J ,/ 0 /0...P..5! / / J.%, / /H % %" $ " 7 %.'6=1%/%%/1;;'!stt.(Sct$. :;1;;' % % & ,Q7 " 0 I #H 5! # J 0 % %4) /? ',. 7 R' %" #H% % $ 7 '6=''/%==) ;/'/%==)% " #H

...........

................ &4 & 5! /0 *3 H 5! C %L % % *3 % #H

DECLARATION,UNDERTABING($r OC Cand&date% $n30)

I? son/dau7hter of Shri resident of 4illa7e/ton/citdistrict State here+ declare that I +elon7 to the H communit hichis reco7nied as a +acEard class + the Ao4ernment of India for the purpose of reser4ation inser4ices as per orders contained in Department of @ersonnel and "rainin7 OJce emorandumNo.'6=1%/%%/;' !stt.(SC"$? dated :/;/1;;'. It is also declared that I do not +elon7 to

persons/sections (Cream Laer$ mentioned in Column ' of the Schedule to the a+o4e referredOJce emorandum? dated :/;/1;;'? hich is modi5ed 4ide Department of @ersonnel and"rainin7 OJce emorandum No.'6=''/'/%==) !stt.(#es.$ dated ;/'/%==).

@laceDate Si7nature of the Candidate

Declaration/undertaEin7 not si7ned + Candidate ill +e reGected. False declaration ill render theapplicant lia+le for termination of re7istration at an time.


9/23

Pa%te0$!r

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P$t$'ra1

) &' , CENTRAL UNIVERSITY OF HARYANA%% *) %!(""#) / $stablished vide %ct &o. ! (""#) of 'arliament

J) ,- ) ,Tea.&n' P$%&t&$n% - S!mmar0

. Name ofthe post applied for

, // Appliedfor School/Department

. /Name (in apital Letters) F*/ale/!emale /arried /

"nmarried

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$+6 -/ Date of / %irthPlace of birth DD//&&&

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11/23

/ Central


12/23

Lecture (L$? Seminar (S$? "utorial ("$? @ractical (@$? Contact *ours (C$

2@I Score

(a$ Classes "aEen (ma8 -= for 1==M performance K proportionate score

up to :=M performance? +elo hich no score ma +e 7i4en

(+$ "eachin7 Load in e8cess of


13/23

(ii$ Contri+ution to Corporate Life and

ana7ement of the Institution

0earl/Semester iseresponsi+ilities

2@I Score

"otal (a8 1-$

(iii$ @rofessional De4elopment 2cti4ities

"otal (a81-$

"otal Score (IIIIII$ (a8%-$

CATEGORY III7 RESEARCH7 PULICATIONS AND ACADEMIC CONTRIUTIONS2$ @u+lished @apers in ournals

S.

No.

"itle ith@a7e nos.

ournal ISSN/ISBNNo

,hether @eerre4ieed. ImpactFactor? if an

No. of coauthors

,hetherou are themain

author

2@IScore

B (i$$ 2rticles/ Chapters pu+lished in BooEs

S.

No.

"itle ith@a7e nos.

BooE"itle?editor Kpu+lisher

ISSN/

ISBNNo

,hether @eerre4ieed.

No. of coauthors

,hetherou are themainauthor

2@IScore

Full papers in Conference @roceedin7s

S.

No.

"itle ith pa7enos.

Details ofConference@u+lication

ISSN/ISBN No No. of coauthors

,hetherou are themainauthor

2@IScore

ii$ BooEs @u+lished as sin7le author or as editor

S.

No.

"itle ith@a7e nos.

"pe ofBooE K

2uthorship

@u+lisher KISSN/ISBN No

,hether @eerre4ieed.

No. of coauthors

,hetherou are themain

author

2@IScore

III C$. On7oin7 and Completed #esearch @roGects and Consultancies

(c$ (I K ii$ On7oin7 @roGects / Consultancies


14/23

S.

No.

"itle 27enc @eriod Arant/ 2mount

o+ilied (#s laEh$

2@IScore

(c$ (iii K i4$ Completed @roGects / Consultancies

S.

No.

"itle 27enc @eriod Arant/ 2mount

o+ilied (#s laEh$

,hether polic

document/patent asoutcome

2@I

Score

(D$ #esearch Auidance

S No Num+er !nrolled "hesis Su+mitted De7ree aarded 2@IScore

. @hil. or

e3ui4alent

@h. D. ore3ui4alent

(!$ (i$ "rainin7 Courses? "eachin7Learnin7!4aluation "echnolo7 @ro7rammes? Facult De4elopment

@ro7rammes (not less than one eeE duration$

S. No. @ro7ramme Duration Or7anied + 2@I Score

(!$ (ii$ @aper presented in Conferences? Seminars? ,orEshops? Smposia

S. No. "itle of the @aperpresented

"itle ofConference /

Seminar

Or7anied+

,hetherinternational /

national/ state/re7ional/colle7e oruni4ersit le4el

2@I Score


15/23

! (iii$ In4ited Lectures and Chairmanships at national or international conference /seminar etc.

S. No. "itle ofLecture/2cademicSession

"itle ofConference /Seminar etc

Or7anied+

,hetherinternational /national

2@I Score

IV+ SUMMARY OF API SCORESCriteria Last 2cademic.

0ear"otal 2@I Scorefor 2ssessment@eriod

2nnual 24. 2@IScore for2ssessment @eriod

I "eachin7? Learnin7 and!4aluation related acti4ities

II Cocurricular? !8tension?

@rofessional de4elopment etc

"otal III

III #esearch and 2cademic

Contri+ution

PART C OTHER RELEVANT INFORMATION@lease 7i4e details of an other credential? si7ni5cant contri+utions? aards recei4ed etc. notmentioned earlier.

S. No. Details (ention 0ear? 4alue etc? here rele4ant$

LIST OF ENCLOSURES ('lease attach+ copies of certi,cates+ sanction orders+ papers etc. wherevernecessary)

1 6% 9' :) ;- 1=

I certif that the information pro4ided is correct as per records a4aila+le ith the uni4ersit and/or

documents enclosed alon7 ith the dul 5lled @B2S @erforma.

Si7nature of the facult ith Desi7nation Si7nature of *OD/ School/Chairperson/@rincipal

@lace K DateN"he 2nnual Self2ssessment @erforma dul 5lled alon7 ith all enclosures? su+mitted for C2S promotions ill +e 4eri5ed +

the uni4ersit/colle7e and information 5led ith the I2C.


16/23

In%tr!.t&$n% $r F&33&n' !1 Part $ te PAS Per$rma

@art B of the @erforma is +ased on 2ppendi8 III? "a+le 1 of the


17/23

Indicators a8. Score

Colle7e/


18/23

(ii$ Contri+ution to Corporate Life and mana7ement of the Institution

Contri+ution to Corporate life in


19/23

CATEGORYIII+ Re%ear. and P!"3&.at&$n% and A.adem&. C$ntr&"!t&$n%

"his is to +e 5lled as per 2ppendi8 III "a+le 1? Cate7or III of the


20/23

speci5cities re3uire? adGust the ei7hta7es? ithout chan7in7 the minimum total 2@I scores

re3uired under this cate7or.

S+N$+ Nat!re $ A.t&/&t0 Ma5&m!m S.$re

1 Student related cocurricular? e8tension and5eld +ased acti4ities (such as e8tension orE

throu7h NSS/NCC and other channels? culturalacti4ities? su+Gect related e4ents? ad4isement

and counselin7$

%=

% Contri+ution to Corporate life and mana7ement of

the department and institution throu7hparticipation in academic and administrati4ecommittees and responsi+ilities.

1-

' @rofessional De4elopment acti4ities (such as

participation in seminars? conferences? short term?trainin7 courses? talEs? lectures? mem+ership of

associations? dissemination and 7eneral articles? notco4ered in Cate7or III +elo$

1-

M&n&m!m API S.$re Re>!&red 1-


21/23

CATEGORY-III RESEARCH AND ACADEMIC CONTRIUTIONS

r&e E513anat&$n Based on the teacher&s selfassessment? 2@I scores are proposed for

research and academic contri+utions. "he minimum 2@I score re3uired + teachers from this

cate7or is dierent for dierent le4els of promotion and +eteen uni4ersit and colle7es. "he

selfassessment score ill +e +ased on 4eri5a+le criteria and ill +e 5nalied + the

screenin7/selection committee.

S N$+ API% En'&neer&n',A'r&.!3t!re,

Veter&nar0S.&en.e,S.&en.e%,Med&.a3

S.&en.e%

Fa.!3t&e% $Lan'!a'e%

Art%,H!man&t&e%,S$.&a3S.&en.e%,L&"rar0,

P0%&.a3

ed!.at&$n,Mana'e

ment

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#esearch @apers

pu+lished in

#efereed ournals U #efereed ournals U 1- / pu+lication

Nonrefereed +ut

reco7nied andreputa+le Gournals

and periodicals?ha4in7 ISBN/ISSN

num+ers.

Nonrefereed +ut

reco7nied andreputa+le Gournals

and periodicals?ha4in7

ISBN/ISSN num+ers.

1= /

@u+lication

Conferenceproceedin7s as fullpapers? etc. (2+stracts

not to +e included$

Conferenceproceedin7s as fullpapers? etc.

(2+stracts not to +eincluded$

1=/ pu+lication

III () #esearch@u+lications(+ooEs? chaptersin +ooEs? other

than refereedGournal articles$

"e8t or #eference BooEs@u+lished +International@u+lishers ith an

esta+lished peer re4iesstem

"e8t or #eferenceBooEs@u+lished +International

@u+lishers ith anesta+lished peer

re4ie sstem

-= /soleauthorR 1=/chapter in anedited +ooE

Su+Gects BooEs +

National le4elpu+lishers/State and

Central Ao4t.@u+lications ith

ISBN/ISSN num+ers.

Su+Gect BooEs + /

national le4elpu+lishers /State

and Central Ao4t.@u+lications ith

ISBN/ISSN num+ers.

%- /sole

author? and -/chapter in

edited +ooEs

Su+Gect BooEs + Otherlocal pu+lishers ith

ISBN/ISSN num+ers.

Su+Gect BooEs +Other local pu+lishersith

ISBN/ISSN num+ers.

1- / soleauthor? and' / chapter in

edited +ooEsChapterscontri+uted toedited Enoled7e+ased 4olumespu+lished +

International@u+lishers

Chapters contri+utedto edited Enoled7e+ased 4olumespu+lished +International

@u+lishers

1= /Chapter

Chapters in Enoled7e+ased 4olumes +Indian/National

le4el pu+lishersith ISBN/ISSNnum+ers and ith

num+ers of nationaland internationaldirectories

Chapters inEnoled7e +ased4olumes inIndian/National le4elpu+lishers ith ISBN/ISSN num+ers and

ith num+ers ofnational andinternationaldirectories

- / Chapter

III (C) RESEARCH PROKECTS

III(C)(&)

Sponsored @roGectscarried out/on7oin7

(a$ aGor @roGectsamount mo+ilied ith7rants a+o4e

aGor @roGectsamount mo+iliedith 7rants a+o4e

%= /each@roGect


22/23

'=.= laEhs -.= laEhs

(+$ aGor @roGectsamount mo+ilied ith

7rants a+o4e -.= laEhsup to '=.== laEhs

aGor @roGects2mount mo+ilied

ith minimum of#s.'.== laEhs up to

#s. -.== laEhs

1- /each@roGect

(c$ inor @roGects

(2mount mo+ilied ith7rants a+o4e #s.

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inor @roGects

(2mount mo+iliedith 7rants a+o4e

#s. %-?=== up to #s.' laEh$

1=/each @roGect

III (C)(&&)

Consultanc@roGects carried out

/ on7oin7

2mount mo+ilied ithminimum of #s.1=.==

laEh

2mount mo+iliedith minimum of

#s.%.= laEhs

1= per e4er#s.1=.= laEsh

and #s.%.=laEsh?

respecti4elIII (C)

(&&&)

Completed proGects

ualit!4aluation

Completed proGect

#eport (2cceptancefrom fundin7 a7enc$

Completed proGect

report (2ccepted +fundin7 a7enc$

%= /each maGor

proGect and1= / each

minor proGectIII (C)

(&/)

@roGects

Outcome / Outputs

@atent/"echnolo7

transfer/@roduct/@rocess

aGor @olic

document of Ao4t.Bodies at Central and

State le4el

'= /each

national le4eloutput orpatent /-=/each forInternational

le4el?III (D) RESEARCH GUIDANCE

III (D)(&)

.@hil. De7ree aarded onl De7ree aarded onl ' /eachcandidate

III(D)(&&)

@h.D De7ree aarded De7ree aarded 1= /eachcandidate

"hesis su+mitted "hesis su+mitted 9/each

candidate

TRAINING COURSES AND CONFERENCE , SEMINAR =ORBSHOP

PAPERS#efreshercourses?ethodolo7orEshops?"rainin7?"eachin7Learnin7!4aluation

"echnolo7@ro7rammes? Soft

SEills de4elopment@ro7rammes?

FacultDe4elopment

@ro7rammes(a8 '= points$

(a$ Not less than to

eeEsduration

(a$ Not less than to

eeEsduration

%=/each

(+$ One eeE duration (+$ One eeEduration

1=/each

III(E)(&&)

@apers inConferences/Seminars/

orEshops etc.UU

@articipationand@resentation of

researchpapers(oral/poster$ in

@articipationand@resentation of

researchpapers(oral/poster$ in

a$ Internationalconference

a$ Internationalconference

1= each

+$ National +$ National 9.- /each

c$ #e7ional/State le4el c$ #e7ional/Statele4el

- / each


23/23

d$ Local

Documents

0teaching (Final)dhhhhhhh