<<< ATMIYA INSTITUTE OF TECHNOLOGY & SCIENCE>>>

Faculty for Engineering/Diploma/MCA/MBA

ANNUAL APPRAISAL REPORT FOR THE ACADEMIC YEAR ____________ (TEACHING FACULTY) FORM A (To be filled in by the candidate) Name: _____________________________________ Designation: ________________________________ Department/Centre____________________________ Date of joining the institute: ____________________ Date of Birth: ______________________________ Highest Qualification: _______________________ Full time / Part-time: ________________________ Present Post held from: ______________________

PRIMARY WORK (Attach extra sheet wherever necessary) I. Sr. No. TEACHING/INSTRUCTIONAL WORK ASSIGNED: Even Semester: (II/IV/VI/VIII) Subject Code Subject Name No of hours engaged per week L T P B.E./M.E./ Diploma/ MCA/MB A GTU RESULT IN % Remarks

1. 2. 3. 4. 5. Average Load Hours / Week Odd Semester: (I Yr./III/V/VII) Sr. No. Subject Code Subject Name No of hours engaged per week L T P B.E./M.E./ Diploma/ MCA/MB A AITSs GTU RESULT IN % Remarks

1. 2. 3. 4. 5. Total Average Load (Odd + Even) = Hours/Week L = Lecture, T = Tutorial, P = Lab Course / Practical

II.

SUPERVISORY SUPPORT PROVIDED / RESEARCH WORK(Exclude PhD work) : (Briefly describe ongoing Projects/Supervision/Publications, etc.)

a) Sr. No. 1. 2. 3. 4. 5. 6 7 b) Sr. No. 1. 2. 3. 4. 5.

Project Work guided to Students: (B.E. /DIPLOMA/ M.E./MBA/MCA) : Title of Project Name of Students B.E./M.E./Diploma/ MCA/MBA Current Status Remarks

Industry Sponsored Projects / Research Project / Consultancy / Testing: Detail Major/Minor/Industry, etc. Current Status Remarks

III.

CONTRIBUTION IN QUALITY IMPROVEMENT PROGRAM :-

a) Publications: Research papers / Books / Articles / Patent etc. Sr. No. 1. 2. 3. 4. 5. b) Activities Organized at Institute: Seminars / Workshops / Conferences / Training/ STTP etc. Sr. No. Title of Activities Designation (Convener,coconvener,member etc.) If sponsored provide full details Remarks Title of Publication Author(s) Details in Order Journal / Conference /Patent/ Publishers Details Remarks

1. 2. 3. c) Achievements: Awards / Recognition / Membership of Professional bodies during the year: Sr. No. 1. 2. 3. d) Participation: Seminars / Workshops / Conferences / STTP etc. Sr. No. 1. 2. 3. 4. Title (International. National, State etc.) Duration From To Remarks Details Remarks

IV.

Contribution in Department Development / Up gradation (Exclude GTU Assignment):

V. Sr. No. 1. 2. 3. 4. 5.

OTHER SERVICES (Include GTU assignment): Administrative assignments / Special Duties Designation Usefulness Remarks

( If required use Separate sheet)

Difficulties in achieving target and suggestions with regard to academic improvement may be written below (Use separate sheet if the space is insufficient) :

Date: ___________________

Faculty Signature

FORM D I agree / do not agree with the evaluation of the reporting officer and I am recording my observations below.

1. 2.

Name of the reviewing officer Designation

:_____________________________ :___________________________

Signature of the reviewing officer with date.