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हररिययाणया ककेंददरिरीय रविश्विरविदयालय

CENTRAL
UNIVERSITY OF HARYANA

FOR OFFICE USE ONLY

कतायतार्यालिय पतरयदग हकत त
SERIAL

NO.

(

कतरम

सद ख्यता) Draft
Demand
Number_________________Amount________

Issuing Bank & Address___________________Date
APPLICATION FORM FOR TEACHING
POSTS (Part – A)
शशैकक्षिक पददद कक कलिए आवकदन-पततर (भयाग-अ)
PASTE HERE A
आविवेरदत पद कया नयाम /Name of the post SIGNED
applied for……..………………………………….
COPY OF
YOUR RECENT
SIZE
स्ककल/रविभयाग/ School/ Department ……. PASS-PORT
…………………………………………...
PHOTOGRAPH
1. पकरिया नयाम /Name in Full..…..
……………………………………………………
(IN BLOCK LETTERS)
2. रपतया कया नयाम/Father’s Name
………………………………………………………………………………….
3. मयातया कया नयाम/Mother’s Name …………………………………………………………………………………
4. परत कया नयाम (रविवियारहत रस्तदरियययों कवे रलए)/Husband’s Name (in case of married Women) ………………………..
…………
5. जन्म रतरथ/Date of Birth: रदन/Day …………….…..मयाह/Month ………………विरर्ष /Year ……………..
(ममैटदरिरीक यया समकक्ष पदरिमयाण- पतदरि)(As recorded in the Matriculation or equivalent certificate)
6. उमदरि/Age (आविवेदन पतदरि पदरियारपत कवे रलए रनरयार्षररित अयोंरतम रतरथ परि ……………..विरर्ष/years……मयाह/months (as on the
last date fixed for the receipt of application)
7. रियाष्टदरिरीयतया/Nationality……………………………………….….
8. रमर्ष/ Religion ……………………………………………..
9. विमैवियारहक रस्थरत /MaritalStatus:रविवियारहत/Married
अरविवियारहत/ Unmarried
10. रलयोंग/ Sex:
पपरूर / Male
मरहलया/ Female

11. क्यया आप रकसरी आरिरक्षत विगर्ष सवे आतवे हमै?/Do you
नहरीयों/No

belong to any reserved category? हयाह/Yes

यरद हयाह तय शदरिवेणरी रनरदर्षष्ट करिकें /(अनप.जयारत/अनप. जनजयारत/अरपवि/शयारिरीररिक अक्षम) If yes, specify the category
(SC/ST/OBC/PWD)
12. यरद हयायों तय ब्ययौरिया दकें/ If physically disabled, indicate the relevant particulars

अक्षिमतता ककी पतरकककत/
Nature of
Disability

a. अयोंरतया/ कम ददरष्ट/ Blindness or low vision :
b. शदरिविण बयाररत/ Hearing impairment
c. मरस्तष्क कया रिक्त पक्षयाघयात/ (अरस्थ रविकलयायोंगतया कवे सभरी मयामलवे
शयारमल / Locomotor disability or cerebral palsy
(includes all cases of Orthopaedically
handicapped) )

यकद लितागग हद तद हताहाँ कलिखक/
If applicable,
Write ‘yes’

अक्षिमतता कता
पतरकतशत/
Percentage
of
disability

13. स्थयाई पतया/ Permanent Address
………………………………………………………………………………………………………………………………
……………………
………………………………………………………………………………………………………………………………
………………………………………………………………………………………
रपन कयड /PIN CODE …………….…..फयन न./Phone No ……………………मयबयाईल/ Cell ………………….…
पतदरियाचयारि कया पतया/ Address for correspondence
……………………………………………………………………………………………………………………………….
……………………………………………………………………………………………………………………………………
…………………………………………………………………………………रपन कयड/PIN CODE …………..……….….ईमवेल /Email ID…………………………………………………………………………….
14. शमैक्षरणक ययग्यतया (आविश्यकतया अनपसयारि अरतररिक्त पदष्ठ लगयाए)/Educational qualifications (Attach additional pages, if
required)
पताठत यकतरम
कता नताम/
Name
of the
course

बदरर्या
/कवश्वकवदतालिय
कता नताम/
Name of
the Board
/ University

(a)

उतकीरर्या तता कता
मताह/ वरर्या
/Month
& Year
passed

(b

(c)

शत
रक
रकी
/
D
iv
is
io
n

अदकद
कता
पतरकतश

%
of
Mar
ks

(
d
)

(e)

सकीजकीपकीए(यकद
गतरककरगद
पतररतालिकी/
CGPA
(if
grading
is
applicabl
e)

कवरय/ Subjects
studied

(f))

(g)

10th
Class /
equivale
nt
10+2
/
equivale
nt
Bachelor
’s
degree
Master’s
degree
M.Phil. /
equivale
nt
Ph.D.
क्यया परीएचडरी करी उपयारर पदरियापत हय गई /Indicate specifically
whether Ph.D. degree has been awarded

हताद/Yes

क्यया परीएच.डरी उपयारर कवे सयाथ कयसर्ष विकर्ष शयारमल थया/ Whether
Ph.D. degree was with course work or not

हताहाँ /Yes

नवेट//स्लवेट व्ययाख्ययातया कवे रलए यरद
कयई हय/ NET/SLET for
lectureship, if any

यरद कयई अन्य परिरीक्षया उतरीणर्ष करी
हय/Any other exams
passed

रविरय/ Subject

नहकी द/No

नहकी द/No

अनतकतरमतादक/ Roll No

वरर्या /
Year

कसस्थिकत/
Position

if any (Mention here only numbers. पदसट रडॉक्टरलि अनतभव कता ब्ययौरता/ Details of Post doctoral experience एजकस द की/ मकजबतान सदसस्थितान/ Host कब सक /From कब तक/ To Agency Institute date date 18.कवशकर यदग्यतता/ Academic distinctions अकतादकमक पताठत यकतरम कता नताम/बडॉरकी/ Name of the Academic Course / Body अवकध/ Duration पतरताप्त अकतादकमक वशैकशष्ट /Academic distinction obtained 19. कवसततार कक कलिए पतननः मतकदत रत पतरकतयताहाँ सदलिग्न करकद।) Publications. of PB AGP s e years/ months (As on date of Advertisem ent) (a) (b) (c) (d) (e) (f) 16. of months i) सनतातक सतर/ Under-graduate level ii) सनतातकदत्तर सतर /Post-graduate level b) पदसट रडॉक्टरलि अनतभव/ Post-doctoral experience c) अन्य अनतभव यकद हद/ Other experience. if any कतलि अनतभव/ Total experience 17.यकद कदई हद तद (यहताद ककवलि सदख्यता कता उल्लिकख करकद. अनपभवि करी पदरिकदरत/ Nature of experience a) कशक्षिर/ Teaching वरर्या / No.15. अनपभवि बढ़तवे कदरिम मकें (वितर्षमयान रस्थरत /रियजगयारि सरहत) Chronological list of experience (including current position/ employment) Nature of अनतभव ककी अवकध/ वकतनमतान/ Scale Appoint पदनताम व वकतनमतान/ कनयदक्तता कता नताम व Period of of Pay ment / Designation Experience पतता work / & scale of Name & कब सक कब वरर्या एवद मताह ककी Duties pay address From तक/ सदख्यता( कवज्ञतापन of date कनयतकक्त ककी To ककी कतकस्थि कद) पकीबकी/ एजकीपकी/ employer पत र कककत/ कतायर्या dat No. of years मताह/ No.पतरकताशन . The details and copies of the reprints be enclosed) .

पतरकताशन/ Publications (a) (पतरकताकशत) सवकीककत/ मतदतरर/ इद रकक्स/आईएसबकीएन/आईएसएसएन सदख्यता)/ Accepted / In Print (Published [Indexed / ISBN / (No.) (d) पतसतककद/ Books शदध पतरकताशन/ Research Publications अन्य पतरकताशन/ Other publication 20. attended.) ISSN numbered] (No.) कतलि सदख्यता/ Total (No. शदध पकरयदजनता ( ककवलि बताह्य कवत पतरतायदकजत) Research projects (only externally funded) पकीआई/कद-पकीआई यता अनतदतान ककी रताशकी एवद अवकध/ जयायोंचकतयार्ष कवे रूप मकें/ As पगरर्या ककी पकरयदजनता कता नताम/ Title पतरयदकजत एजकस द की Amount of PI/CO-PI or /Funding of projects completed grant and Investigator Agency duration चताकलित शदध पकरयदजनता/ Title of ongoing projects .) अदतररताष्ठटत रकीय सदख्यता International (No.) (b) (c) सम्पदरिवेररत (ख एवद ग कक अकतकरक्त) Communicated [other than b & c] (No. रताष्टत रकीय (सदख्यता) National (No.) 21. कवचतार सदगदष्ठकी /Seminars सदगदष्ठकी/सम्मकलिन/ कतायर्या शतालिता/ परकक्षिर कतायर्या कतरम मकद भताग कलियता/ Seminars/ Conferences/ Workshops/ Training programmes.

कफिलि यता समकक्षि/(सदख्यता)/ M. / Equivalent (No. शयर रनदर्देशन/ Research guidance शदध कनदर्दे शन (कवदताकस्थिर्यायदद ककी सदख्यता)Research guidance (No.) पतरकतमताह कतलि वकतनमतान (र) Gross Pay / Total Salary p.) पकीएच. of students guided) एम.m.) जकीपकी/एजकीपकी (र) GP/AG P (Rs.22.वतर्या मतान कसस्थिकत Present position पद/ Designatio n कवश्वकवदतालिय /सदसस्थितान कता नताम/ Name of the University / institution वकतनमतान मकद वकतन(र) Pay in Pay Band (Rs.) पगरर्या/Completed चताकलित/ Under supervision 23.D.) वकतन वकदतकध कतकस्थि (कतकस्थि/मताहनः Increment date (Date/Month ) . (No. (Rs.रकी/ (सदख्यता)/ Ph.Phil.

रटपपणरीणीः स्वि अरभपदरिमयारणत पदरिमयाण पतदरिययों कवे रबनया (उम्मरीदवियारि हवेत प लयागक) आविवेदन पतदरि स्विरीकदत नहरीयों रकए जयाएयोंगवे। N.D. उच्च मयाध्यरमक कया अयोंक पतदरि एवियों पदरिमयाण पतदरि/ Intermediate marksheet and certificate iii.Phil.एलएलडरी उपयारर/ D. CSIR-JRF Award Certificate ix.Litt.जयारत/अनपजनजयारत/अरपवि आरद) Caste Certificate issued by the Competent Authority (OBC/SC/ST/etc) x. L.B. मयाध्यरमक कक्षया कया अयोंक पतदरि एवियों पदरिमयाण पतदरि/ Matriculation mark sheet and certificate ii. सरीएसआईआरि-जवेआरिएफ पदरिमयाण पतदरि / NET. अनपशस यों या पतदरि/ Recommendation letter(s) xii.Sc. xvii. अवियाडर्ष फमैलयरशप/ Award (s) /Fellowship (s) xiii. अनपभवि पदरिमयाण पतदरि/ Experience certificates xi. सयोंलग्न स्वि-अरभपदरिमयारणत पदरिमयाण-पतदरिय करी कप ल सयोंख्यया (शब्दययों मकें)/Total Number of above self-attested testimonials attached (in words………………………………………………………………………………………………….Phil degree vii.. degree vi. स्नयातकयतरि (फयाइनल) कया अयोंक पतदरि-एवियों पदरिमयाण पतदरि / Master’s Programme (Final) mark sheet and degree v. UGC-JRF. Applications without the above self-attested testimonials (applicable to the candidate) will not be entertained .. xviii.24. सयोंलग्न स्वि अरभपदरिमयारणत पदरिमयाण पतदरिययों करी सकचरी (मकल सयाक्षयात्कयारि कवे समय पदरिस्तपत करिनवे हययोंगवे) कदपयया लयागक कय रचरन्हत करिकें)/ List of self attested testimonials attached (original to be produced at the time of interview). xvi. परीएचडरी/ डरी. i. एम.L.D degree viii. नवेट/यकजरीसरी-जवेआरिएफ. पदरिकयाशन/ Publication (s) xiv. /D.रफल/ Ph. (ययग्य अररकयारिरी दयारिया पदरिदत जयारत पदरिमयाण-पतदरि(अनप. Please tick the ones applicable. D. अक्षमतया पदरिमयाण पतदरि/ Disability Certificate xv. स्नयातक (फयाइनल) कया अयोंक पतदरि-एवियों पदरिमयाण पतदरि / Bachelor’s Programme (Final) mark sheet and degree iv. रडरलट/डरीएससरी.रफल उपयारर/ M.

... आवकदक कक हसतताक्षिर / Signature of the Applicant स्थयाई/ अस्थयाई सवेवियारित अभ्ययाथर्थी रनययक्त /रविभयागयाध्यक्ष सवे अनपमयदन तथया अगदरिसयाररित करियाएयों ऐसया नया करियानवे परि आविवेदन अस्वियारीकद त रकयया जया सकतया हमै। (The endorsement below is to be signed and forwarded by the Head of the Department/Employer in the case of the in-service candidates whether in permanent or temporary capacity failing which the application is liable to be rejected)... …………………....... His/Her next date increment is ……………………We have no objection to his/her application being considered.रू हमै तथया सयाथ हरी एजरीपरी/जरीपरी. No …………… रदनयायोंक/ Date …………………………... removed or debarred from Service or (b) convicted by a Criminal court. कदपयया रटक करिकें Please tick हयाह/YES नहरीयों/NO महैं घयरणया करितया/तरी हक ह रक उपयपक्त दरी गई सभरी सकचनयाएयों मवेरिरी जयानकयारिरी मकें सहरी औरि पकणर्ष हमै। उपयपक्त कयई भरी जयानकयारिरी गलत यया अपकणर्ष रसद्ध हय तय मवेरिरी रनयपरक्त कय रयाररिज रकयया जया सकतया हमै। I hereby declare that all entries made by me in this application are true. His/Her present Pay Rs…………………………in the Pay structure of Rs………………. with AGP/GP Rs……………….......... Ref. incomplete or incorrect.... अगतरसताकरत/ FORWARDED आविवेदक……………………………………नयाम……………………………………………पद परि इस महयारविदयालय/रविश्विरविदयालय/सयोंस्थयान/रविभयाग मकें अस्थयाई/रूप मकें .. my candidature/appointment is liable to be cancelled/terminated..... स्थयान/ Place ………………………… रदनयायोंक/ Date …………………………...… (name) is holding the post ……………………………………… in this College/University/Institution/Department in temporary/substantive basis since……..... complete and correct to the best of my knowledge and belief...per month..………………......रू हमै। यरद इनकवे आविवेदन कया स्विरीकयारि रकयया जयातया हमै तय हमकें कयई आपरत नहरीयों हयगरी। अररकयारिरी कवे हस्तयाक्षरि मपहरि सरहत। The applicant …………………………….…………(date).....रदनययों सवे कयायर्षरित हमै। इनकया वितर्षमयान विवेतन.......... कनयदक्तता दतारता अनतमददन/ ENDORSEMENT OF THE EMPLOYER सयोंदभर्ष सयों......and he/she is drawing salary of Rs.... I understand that in the event of any information being found false.बतयाए रक (क) आप कभरी नयौकरिरी सवे बरयार्षस्तय हटयाए गअ हमै यया (र) अपरियाररक मयामलययों मकें दयररी पयाए गए हमै यया जवेल गए हहैं। State whether you have been at any time (a) dismissed............. of a is of of Signature of the Officer (with office seal) ..

Estt..रजलया………………………….36012/22/1993Estt... रदनयायोंक 8-9-1993 कवे आलयक मकें भयारित सरिकयारि नवे सवेविया मकें आरिक्षण हवेत प रपछडया विगर्ष करी शदरिणरी मकें रिरया हमै। यह भरी घयरणया रक जयातया हमै रक महैं कद रिरीमरी लवेयरि शदरिवेणरी सवे सयोंबर यों नहरीयों हक ह ...) dated 9/3/2004.......(Sct). which is modified vide Department of Personnel and Training Office Memorandum No.... dated 8/9/1993.36012/22/93.घदररता/शपस्थि (ककवलि अन्य कपछरता वगर्या कक आवकदक कक कलिए ) महैं……………………………… पपतरिद /तदरिरी शदरिरी …………………………………… गदरियाम/शहरि…………………. son/daughter of Shri resident of village/town/city district State hereby declare that I belong to the _ community which is recognized as a backward class by the Government of India for the purpose of reservation in services as per orders contained in Department of Personnel and Training Office Memorandum No. Place: Date: Signature of the Candidate Declaration/undertaking not signed by Candidate will be rejected... False declaration will render the applicant liable for termination of registration at any time.घयरणया करितया/तरी हक ह रक महैं………………………. रदनयायोंक. .... It is also declared that I do not belong to persons/sections (Creamy Layer) mentioned in Column 3 of the Schedule to the above referred Office Memorandum.(Res..36033/3/2004 Estt.(SCT).. dated 8/9/1993..... आविवेदक कवे हस्तयाक्षरि रबनया हस्तयाक्षरि घयरणया /शपथ कय अस्विरीकदत करि रदयया जयाएगया। घयरणया पतदरि रमध्यया रसद्ध हयनवे परि रकसरी भरी समय आविवेदन अस्वियारीकद त रकयया जया सकतया हमै। DECLARATION/UNDERTAKING (for OBC Candidates only) I.रियाज्य………………….समपदयाय कया/करी हक । ह रजसवे पसर्षनवेल एवियों टद रिवेरनयोंग कयाययार्षलय मवेमवेरिकेंडम सयों... जय उपयपक्त मवेमयरिकेंडम कवे ककॉलम-3 मकें सयोंदरभर्षत हमै।रजसवे परिसनवेल एवि टदरिवेरनयोंग रविभयाग कवे मवेमयरिकेंडम 36033/2004 रदनयायोंक 9/3/2004 सवे पररिविरतर्षत रकयया गयया हमै। स्थयान.

अनतभव बढ़तक कतरम मकद Chronological list of experience पद एव वकतनमतान कनयदक्तता कता नताम व पतता Designation & Name & scale of pay address of employer 6. नताम /Name (in Capital Letters) 3 .D. of No. if any 5.अनत. जन्म कतकस्थि/ Date of Place of birth 4.हकरयतारता ककददतरकीय कवश्वकवदतालिय / CENTRAL UNIVERSITY OF HARYANA सयोंसद कवे अरररनयम सयों 25(2009) कवे तहत स्थयारपत / Established vide Act No. NET/SLET for lectureship .जताकतयअनत.Phil. / equivalent Ph. of years Month s अनतभव ककी अवकध/ Period of Experience कब सक From date कब तक To date पतरकताशन/ Publicati ons कतायर्या ककी पतरकककत/ Nature of work/duties वरर्या /मताह ककी सदख्यताNo.) सम्पतरककरत/ Communica ted . of years/ Months पतरकताकशत (आईएसबकीएन/ आकीएसएसएन) (सदख्यता) Published [ISBN / ISSN] (Nos. 25 (2009) of Parliament 1 . जनजताकत/अकपव/कवकलितादगय/अन्य Gen/SC/ST/OBC/PWD/others जन्म स्थयान/ Birth DD/MM/YYY वदरर्या /कवश्वकवदतालिय कता नताम/ Name of the Board/ University Pasteyour recent passport size Photograph उतताकीरर्या तता कता वरर्या /मताह Month & Year Passed/Award शतरकरकी/ Divis ion सकीजकीपकीए (यकद लितागग हद) CGPA (if applicable) अदकद कता पतरकतशत/ % of Marks Bachelor’s degree Master’s degree M.Summary आवककदत पद कता नताम Name of सकगलि/कवभताग कक कलिए आवककदत Applied the post applied for for School/Department 2 . अध्यतापन अनतभव Teaching Experience कतलि वरर्या / कतलि मताह No. अध्यतापर कसस्थिकत कववरर /Teaching Positions .) सवकीककत/ मतदतरर मकद (सदख्यता) Accepted /In Print (Nos. शशैक्षिकरक यदग्यतता/ Education al qualificati ons पताठत यकतरम कता नताम/ Name of the course पतरर/मकहलिताMale/Fem ale कववताकहत/अकववताकहत Married / Unmarried समतदताय/ शतरकरकी Community/Category: सतामता.

attended/organized etc.) एम.रकी (सदख्यता) Ph.) वकतनमतान (र) Pay Scale (Rs.Phil. (Rs.) कतलि वकतनमतान पतरकतमताह (र) Gross / Total Salary p.D.i) स्नयातक स्तरि Undergraduate level पतसतककद / Books ii) स्नयातकयतरि/ Postgraduate level शदध पतरकताशन/ Research Publications अन्य पतरकताशन/ Other publications पयस्ट डकॉक्टरिल अध्ययापन अनपभवि /Postdoctoral: Teaching/Researc h 7.) पकीएच.m.) पकणर्ष/ Completed चयारलत/ Under Supervision मगलि वकतन (र) Basic Pay (Rs. (No.) वकतन वकदतकध ककी कतकस्थि (कतकस्थि/मताह) Increment date (Date/Month) आविवेदक कवे हस्तयाक्षरि/ Signature of the applicant .) (No.कवचतार गदष्ठकी/सम्मकलिन/कतायर्या शतालिता/ पतरकशक्षिर कतायर्या कतरम सहभताकगतता/ आयदकजत आकद। Seminars/ Conferences/ Workshops/ Training programmes.) (No. / Equivalent (No. भतारत मकद (सद) कवदकश मकद कतलि In India (सद)Abroad (सद )Total (No.) 8.कफिलि/ समकक्षि(सदख्यता) M. वतर्या मतान पद/ Present Designatio n कवश्वकवदतालिय/ सदसस्थितान कता नताम Name of the University / Institution शदध कनदर्दे शन( सदख्यता) Research guidance (No.

मयातया कया नयाम/ Mother’s Name : 4. वितर्षमयान पद एवियों गदरिवेड विवेतन/ Current Designation & Grade Pay: 7. No. Seminars. Practical’s.हररिययाण ककेंददरिरीय रविश्विरविदयालय / Central University of Haryana सतामतान्य सगचनता/ GENERAL INFORMATION पतरदशर्या न आधताकरत मगल्यताकदन पतररतालिकी कक कलिए शशैक्षिकरक सव-मगल्यताकदन पतरदर्या शन सगचकतादक(एपकीआई) / Self Assessment of the Performance Based Appraisal System (PBAS) for Academic Performance Index (API) 1. अयोंरतम पदयन्नरत Date of last Promotion : 8. क्यया सयाल भरि मकें आपनवे कयई उपयारर यया नई शमैक्षरणक ययग्यतया गदरिहण करी हमै।Whether acquired any degrees or fresh academic qualifications during the year: 11. क्यया सयाल भरि मकें आपनवे कयई अरभमपररीकरिण/ पपनशचन कयसर्ष रकयया हमै/ Academic Staff College Orientation/Refresher Course attended during the year: कयसर्ष कया नयाम स्थयान अविरर पदरिययरजत एजकेंसरी गदरिरीष्म स्ककल Place Duration Sponsoring Agency summer school Name of the Course PART B: ACADEMIC PERFORMANCE INDICATORS (Please see detailed instructions of this PBAS Performa before filling out this section) CATEGORY: I. रपतया कया नयाम/ Father’s Name : 3. रविभयाग/ Department : 6. स्थयाई पतया (रपन सरहत) Permanent Address (with Pin code) : टवे रलफयन न./ Telephone No ई-मवेल Email 10. Tutorials. Contact Hours (give semester-wise details. परत कया नयाम/ Husband’s Name : 5. where necessary) S. LEARNING AND EVALUATION RELATED ACTIVITIES (i) Lectures. of classes per week allotted No. नयाम/ Name (in Block Letters) : 2. Course/Paper Level Mode of teaching No. पतदरियाचयारि कया पतया (रपन सरहत) Address for correspondence (with Pin code): 9. TEACHING. of Classes conducted % of Classes/ Practical’s taken as per documented record .

Updating of Subject Content. EXTENSION. S. Short Description Total Score (Max Score: 20) (iv) Examination Duties Assigned and Performed S. No. Course Improvement etc.. CO-CURRICULAR. Contact Hours (C) API Score (a) (b) Classes Taken (max 50 for 100% performance & proportionate score up to 80% performance.Lecture (L). Co-curricular & field based Activities Total (Max:20) Average Hrs/week API Score . score:20) Additional Resource Provided API Score (iii) Use of Participatory and Innovative Teaching-Learning Methodologies. Practical (P). No. API Score Extent to which carried out (%) API Score Total Score (Max: 25) CATEGORY: II. below which no score may be given Teaching Load in excess of UGC norm (max score:10) (ii) Reading / Instructional material consulted and additional knowledge resources provided to students S.. Tutorial (T). Seminar (S). No. Course/Paper Consulted Prescribed API score based on Preparation and imparting of knowledge/ instruction as per curriculum & syllabus enrichment by providing additional resources to Students (max. Type of Activity (i) Extension. PROFESSIONAL DEVELOPMENT RELATED ACTIVITIES Please mention your contribution to any of the following S. Type of Examination Duties Duties Assigned No.

Title with Type of Publi Whether Peer sher & Book & reviewed. of coauthors Whether you are the main author API Score No. Title with page Details of Conference No. Title with Journal ISSN/ISBN Whether Peer No. RESEARCH. of coauthors Whether you are the main author API Score No.Whether Page nos. No reviewed. Factor. ISSN/ Authorshi ISBN No p API Score No. No. Page nos. ISBN editor & No publisher Full papers in Conference Proceedings S. Ongoing and Completed Research Projects and Consultancies (c) (I & ii) Ongoing Projects / Consultancies . if any main author B (i)) Articles/ Chapters published in Books S. Publication ISSN/ISBN No ii) Books Published as single author or as editor S. Title. Impact authors you are the No. reviewed. Title with Book ISSN/ Whether Peer Page nos. nos. No. of co. of coauthors Whether you are the main author API Score III C). PUBLICATIONS AND ACADEMIC CONTRIBUTIONS A) Published Papers in Journals S.(ii) Contribution to Corporate Life and Management of the Institution Yearly/Semester wise responsibilities API Score Total (Max: 15) (iii) Professional Development Activities Total (Max:15) Total Score (I+II+III) (Max:25) CATEGORY: III.

(D) Research Guidance S No Number Enrolled Grant/ Amount Mobilized (Rs lakh) Grant/ Amount Mobilized (Rs lakh) Thesis Submitted API Score Whether policy API document/patent as Score outcome Degree awarded API Score M. Programme Duration Organized by API Score (E) (ii) Paper presented in Conferences. or equivalent Ph. D. Title of the Paper presented Title Conference Seminar of / Organized by Whether international / national/ state/ regional/college or university level API Score . or equivalent (E) (i) Training Courses. Title Agency Period (c) (iii & iv) Completed Projects / Consultancies S. No. Faculty Development Programmes (not less than one week duration) S. Teaching-Learning-Evaluation Technology Programmes. Workshops.S. Phil. No. Symposia S. Seminars. No. Title Agency Period No.

papers etc. IV. Details (Mention Year. Signature of the faculty with Designation Signature of HOD/ School/Chairperson/Principal Place & Date N:B: The Annual Self-Assessment Performa duly filled along with all enclosures. awards received etc. . Title of Lecture/Academic Session Title Conference Seminar etc SUMMARY OF API SCORES Criteria of / Organized by Last Academic. wherever necessary) 1 6 2 7 3 8 4 9 5 10 I certify that the information provided is correct as per records available with the university and/or documents enclosed along with the duly filled PBAS Performa. Year Whether international national API Score / Total – API Score Annual Av. value etc. S. Learning and Evaluation related activities II Co-curricular. where relevant) LIST OF ENCLOSURES: (Please attach. No. Extension. S.E (iii) Invited Lectures and Chairmanships at national or international conference /seminar etc. not mentioned earlier. submitted for CAS promotions will be verified by the university/college and information filed with the IQAC. Professional development etc Total I+II III Research and Academic Contribution PART C: OTHER RELEVANT INFORMATION Please give details of any other credential. sanction orders. significant contributions. No. API for Assessment Score for Period Assessment Period I Teaching. copies of certificates.

 The Performa is to be filled as per these tables and self-assessment scores given. and by the screening cum Verification Committee or Selection Committee as the case may be. Use of Innovative teaching-learning methodologies. No score should be assigned if a teacher has taken less than (say) 80 % assigned classes. Table 1. fresh reading materials. then two point to be assigned for each extra hour of classes (ii) Imparting of Knowledge / instruction vis a vis with the prescribed material (Text book /Manual etc) and methodology of the curriculum (100% compliance= 20 points) Max Score: 10 Max Score: 20 (iii) Use of participatory and Innovative Teaching-Learning Methodologies. Updated subject content and course improvement. Updating of Subject Content. Course Improvement etc. The self-assessment scores are subject to verification by the university/ college. Teaching and Evaluation Related Performance (i) a Lectures/Practical’s/Tutorials/Contact classes taken should be based on verifiable records. library. Laboratory manuals etc. Maximum score if there is 100 % achievement.Instructions for Filling up Part B of the PBAS Performa  Part B of the Performa is based on Appendix III. It is to be filled out for the recently completed academic year. ICT Based Teaching material: 10points/each b. Participatory Learning modules: 5 points/each Developing and imparting Remedial/Bridge Courses and Counseling modules (Each activity : 5 points) Developing and imparting soft skills/communication skills/personality development courses/modules (Each activity : 5 points) Developing and imparting specialized teaching-learning programmes in physical education.  The self-assessment scores are further to be based on the indicators/activities given below. Indicators/ Activities Updating of courses. Universities may modify the detailed indicators and related scores based on their experience and requirement without changing the score requirements assigned to categories and sub-categories in Appendix III. a. use of ICT. Interactive Course: 5 points/each c. Max Score: 50 b. If teacher has taken classes exceeding UGC norm. performing and visual arts and other traditional areas (Each activity: 5 points) Organizing and conduction of popularization programmes/training courses in computer assisted teaching/ web-based learning and e-library skills to students (a) Workshop / Training course: 10 points each (b) Popularization program: 5 points each Maximum Aggregate Limit (iv) Examination Related Work 10 10 20 Maximum Score 10 10 10 10 10 . Universities may give allowance for periods of leave where alternative teaching arrangements would ordinarily be made. maximum scores that can be given or carried forward is indicated in the Table. innovative compositions and creations in music. NB. design of curriculum. (5-single course) Preparation of resource material. Table 1 of the UGC Regulations 2010. For each category. I.

socialism.5 points. Positions held/Leadership role played in organization linked with Extension Work and National service Scheme (NSS). peace. (maximum of 5 or 10 depending upon intensity of duty)(100% compliance= 10 points) Maximum Aggregate Limit B(iv) 10 10 25 II: Co-curricular. or flying squad duties etc. drought relief. (5 points each) 10 Maximum Aggregate Limit 20 10 10 . democracy. (Invigilation. humanism. scientific temper. campus publications (departmental level 2 points. (100% compliance=20 points) Max. NCC or any other similar activity (Each activity 10 points) 10 Students and Staff Related Socio Cultural and Sports Programmes. Question paper setting – 5 points). secularism.Indicators College/University end semester / Annual Examination work as per duties allotted. Evaluation of answer scripts. industry-implant training and placement activity (5 point each). Community work such as values of National Integration.10 points. Extension and Profession Related Activities and Participation in the Corporate Life of the Institution (i) Extension and Co-curricular Related Activities Institutional Co-curricular activities for students such as field studies/educational tours. small family norms etc. institutional level 5 points). flood or. Score 20 College/University examination/Evaluation responsibilities for internal/continuous assessment work as allotted (100% compliance= 10 points) Examination work such as coordination.

radio talks etc. popular lectures. library committee (5 points each). At national level : 3 points each b. Warden. 10 Responsibility for. Maximum Aggregate Limit 10 10 10 15 (iii) Professional Development Related Activities Indicators / Activities Membership in profession related committees at state and national level a. School Chairperson. Organization of Conference/ Training: International (10 points). Counseling and Discipline (5 each). At site level : 2 points each Participation in subject associations. or participation in committees for Students Welfare. Vice Principal. (1 point each). National/regional (5 points). IQAC coordinator (10 points each) Participation in committees concerned with any aspect of departmental or institutional management such as admission committee. professional development. Publication of articles in newspapers. Institutional governance (Each activity: 5 points) Membership/ participation in Bodies/Committees on Education and National Development (5 each). 10 Institutional Governance responsibilities like. articles in college magazine and University volumes (2 point each). seminars without paper presentation (each activity : 2 point) Participation in short term training courses less than one week duration in educational technology. campus development. subject related events. Director. Maximum Aggregate Limit Maximum Score 10 10 10 10 10 10 . curriculum development. Dean. Examination reforms.(ii) Contribution to Corporate Life and management of the Institution Contribution to Corporate life in Universities/colleges through meetings. magazines or other publications (not covered in category 3). conferences. Bursar.

updating of subject content. As before. Summary of API Scores The summary must take into account the maximum score limits for each set of indicators as given in Appendix III. (c) participation in examination and evaluation. 2010 APPENDIX – III TABLE – I PROPOSED SCORES FOR ACADEMIC PERFORMANCE INDICATORS (APIs) IN RECRUITMENTS AND CAREER ADVANCEMENT SCHEME (CAS) PROMOTIONS OF UNIVERSITY / COLLEGE TEACHERS. The model table below gives groups of activities and API scores.curricular and extension activities. new courses etc. category II API scores are proposed for co. CATEGORY I: TEACHING. Similar PBAS Performa could be developed by the universities for the Cadres of Librarian / Deputy Librarian / Assistant Librarian and Director of Physical Education & Sports / Deputy Director of Physical Education & Sports / Assistant Director of Physical Education & Sports based on the API Scoring pattern outlined in Appendix III: Tables – IV to IX of the UGC-Regulations. The list of activities is broad enough for the minimum API score required (15) in this category to accrue to all teachers. Maximum Score 50 10 20 20 5 Examination duties (Invigilation. practicals. S. (b) domain knowledge. LEARNING AND EVALUATION RELATED ACTIVITIES Brief Explanation: Based on the teacher’s self-assessment.CATEGORY:III. The minimum API required by teachers for eligibility for promotion is 15. tutorials. question paper setting. adjust the weightages. It will be noticed that all teachers can earn scores from a number of items. and Professional development related contributions. University may prescribe minimum cut-off (net of due leave). The self-assessment score should be based on objectively verifiable criteria wherever possible and will be finalized by the screening/selection committee. CATEGORY II: CO-CURRICULAR. The minimum API score required by teachers from this category is 75. Brief Explanation: Based on the teacher’s self-assessment. Research and Publications and Academic Contributions This is to be filled as per Appendix III Table 1. the self-assessment score should be based on objectively verifiable criteria and will be finalized by the screening/selection committee. Wherever the research contribution is jointly made. for 1 and 5 above. the API scores should be shared between the contributors as per the formula provided in the Table 1. EXTENSION AND PROFESSIONAL DEVELOPMENT RELATED ACTIVITIES. Category III of the UGC Regulations 2010. contact hours undertaken taken as percentage of lectures allocateda Lectures or other teaching duties in excess of the UGC norms Preparation and Imparting of knowledge / instruction as per curriculum. A list of items and proposed scores is given below. below which no scores may be assigned in these sub-categories. seminars. in case institutional . API scores are proposed for (a) teaching related activities.No . III. Universities will be required to detail the activities and in case institutional specificities require. 25 evaluation/assessment of answer scripts) as per allotment. (d) contribution to innovative teaching. Total Score 125 Minimum API Score Required 75 Note: a: Lectures and tutorials allocation to add up to the UGC norm for particular category of teacher. syllabus enrichment by providing additional resources to students Use of participatory and innovative teaching-learning methodologies. Table1 IV. whereas some activities will be carried out only be one or a few teachers. say 80 %. 1 2 3 4 Nature of Activity Lectures. without changing the minimum total API scores required under this category. Universities may detail the activities or. course improvement etc.

specificities require. training courses. subject related events. lectures. membership of associations. short term. conferences. adjust the weightages. extension and field based activities (such as extension work through NSS/NCC and other channels. 1 2 3 Nature of Activity Student related co-curricular. advisement and counseling) Contribution to Corporate life and management of the department and institution through participation in academic and administrative committees and responsibilities. cultural activities. without changing the minimum total API scores required under this category.No. not covered in Category III below) Minimum API Score Required Maximum Score 20 15 15 15 . S. dissemination and general articles. Professional Development activities (such as participation in seminars. talks.

(Abstracts not to be included) IIIA III (B) Research Publications (books. etc. Conference proceedings as full papers. 10 /chapter in an edited book 25 /sole author. API scores are proposed for research and academic contributions. S No. other than refereed journal articles) Text or Reference Books Published by International Publishers with an established peer review system Subjects Books by National level publishers/State and Central Govt. Publications with ISBN/ISSN numbers. Chapters contributed to edited knowledge based volumes published by International Publishers Max.CATEGORY-III: RESEARCH AND ACADEMIC CONTRIBUTIONS Brief Explanation: Based on the teacher’s self-assessment. Conference proceedings as full papers. points for University and college teacher position Chapters in knowledge based volumes in Indian/National level publishers with ISBN /ISSN numbers and with numbers of national and international directories 5 / Chapter Major Projects amount mobilized with grants above 20 /each Project 15 / publication 10 / Publication 10/ publication 50 /sole author. Chapters contributed to edited knowledge based volumes published by International Publishers Chapters in knowledge based volumes by Indian/National level publishers with ISBN/ISSN numbers and with numbers of national and international directories III (C) III(C) (i) RESEARCH PROJECTS Sponsored Projects (a) Major Projects carried out/ amount mobilized with grants above ongoing Faculties of Languages Arts/Humanities/So cial Sciences/Library/ Physical education/Manage ment Refereed Journals * Non-refereed but recognized and reputable journals and periodicals. chapters in books. having ISBN/ISSN numbers. and 3 / chapter in edited books 10 /Chapter . APIs Engineering/Agricultu re/ Veterinary Science/Sciences/Med ical Sciences Research Papers published in: Refereed Journals * Non-refereed but recognized and reputable journals and periodicals. and 5/ chapter in edited books 15 / sole author. The minimum API score required by teachers from this category is different for different levels of promotion and between university and colleges. (Abstracts not to be included) Text or Reference Books Published by International Publishers with an established peer review system Subject Books by / national level publishers /State and Central Govt. etc. Subject Books by Other local publishers with ISBN/ISSN numbers. having ISBN/ISSN numbers. The self-assessment score will be based on verifiable criteria and will be finalized by the screening/selection committee. Subject Books by Other local publishers with ISBN/ISSN numbers. Publications with ISBN/ISSN numbers.

3 lakh) Amount mobilized with minimum of Rs.0 laksh.30.00 lakhs Minor Projects (Amount mobilized with grants above Rs.2.Phil. Training.000 up to Rs.00 lakhs Major Projects Amount mobilized with minimum of Rs. Faculty Development Programmes (b) One week duration (Max: 30 points) III(E) (ii) Papers in Conferences/ Seminars/ workshops etc.000 up to Rs.0 lakhs 5.0 lakhs III (C) (ii) Consultancy Projects carried out / ongoing (c) Minor Projects (Amount mobilized with grants above Rs.00 lakhs up to Rs.5 /each 5 / each . Bodies at Central and State level III (D) III (D) (i) III(D) (ii) RESEARCH M. Teaching-LearningEvaluation Technology Programmes. GUIDANCE Degree awarded only Degree awarded only Ph.0 lakhs up to 30. 3 /each candidate 10 /each candidate 7/each candidate SEMINAR WORKSHOP (a) Not less than two weeks duration 20/each (b) One week duration Participation and Presentation of research papers (oral/poster) in a) International conference b) National c) Regional/State level 10/each 10 each 7.00 lakh III (C) (iii) Completed projects : Quality Evaluation Completed project Report (Acceptance from funding agency) Completed project report (Accepted by funding agency) III (C) (iv) Projects Outcome / Outputs Patent/Technology transfer/ Product/Process Major Policy document of Govt.D Degree awarded Degree awarded Thesis submitted Thesis submitted TRAINING COURSES AND CONFERENCE PAPERS Refresher (a) Not less than two courses. 5 lakh) Amount mobilized with minimum of Rs. 5.2.3.10. weeks Methodology duration workshops.10. Soft Skills development Programmes.0 laksh and Rs.** Participation and Presentation of research papers (oral/poster) in a) International conference b) National c) Regional/State level / 15 /each Project 10/each Project 10 per every Rs.0 lakhs (b) Major Projects amount mobilized with grants above 5. 25. respectively 20 /each major project and 10 / each minor project 30 /each national level output or patent /50 /each for International level. 50.

It is incumbent on the Coordination Committee proposed in these Regulations and the University to prepare and publicize within six months subject-wise lists of journals. screening/selection committees will assess and verify the categorization and scores of publications. 2. Notes. the API score for paper in refereed journal would be augmented as follows: (i) indexed journals – by 5 points. the points would accrue for the publication (III (a)) and not under presentation (III (e)(ii)). (iii) papers with impact factor between 2 and 5 by 15 points.III(E) (iv) Invited lectures or presentations for conferences/ / symposia d) Local – University/College level (a) International d) Local – University/College level (a) International 3 / each (b) National level (b) National level 5 10 /each *Wherever relevant to any specific discipline. The API for joint publications will have to be calculated in the following manner: Of the total score for the relevant category of publication by the concerned teacher. ** If a paper presented in Conference/Seminar is published in the form of Proceedings. (iv) papers with impact factor between 5 and 10 by 25 points. 1. (ii) papers with impact factor between 1 and 2 by 10 points. the first/Principal author and the corresponding author/supervisor/mentor of the teacher would share equally 60% of the total points and the remaining 40% would be shared equally by all other authors. . Till such time. periodicals and publishers under categories IIIA and B.