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SHRI G.S.

INSTITUTE OF TECHNOLOGY & SCIENCE


(An Autonomous Institution, Established in 1952)
23, Park Road, INDORE, Pin– 452 003 (MP) Ph.:(0731) 2434095, 2538760, 2541567,2548334-8
Fax : 0731-2432540. website : www.sgsits.ac.in

No.Estt/Advt./2014/3594 FACULTY RECRUITMENTS Date : 22.02.2014

Shri G.S. Institute of Technology & Science is a grant in aid autonomous institute of
Madhya Pradesh offering UG and PG programmes in Engineering/ Technology/Pharmacy/Applied
Sciences & Management. The Institute invites applications in prescribed proforma from eligible
candidates for the post of Assistant Professor, Associate Professor and Professor. The reservation for
SC/ST/OBC/Women/PH category shall be applicable as per M. P. Government Norms. The
qualification and experience shall be as per AICTE / UGC / M.P. Government norms.
SC/ST/OBC candidates of outside M.P. shall be considered under unreserved category. The
institute reserves the right to call only short listed candidates for interview on the basis of academic
performance, experience, publications, higher qualification etc. decided by the Institute and to hold
interview on priority for a discipline or post. The number of posts may increase or decrease as per the
requirement of the institute at the time of interview/appointment.
The application form & detailed information of qualification, experience, pay scales etc. can
be downloaded from institute website www.sgsits.ac.in.
Those who have applied in response to Advertisement No. Estt/Advt./2012/740 dated
27.07.2012 need not apply again. However, they are required to submit filled up API proforma. They
may also submit their revised resume in the prescribed application proforma along with additional
documents, if any before the last date of submission of form without any application fees.
The last date of receipt of completed application form in the prescribed application and API
proforma alongwith demand draft of Rs. 1500/- (Rs. 750/- in case of SC/ST of M.P. Domicile) in
favour of Director, SGSITS, Indore payable at Indore towards application fees in the Institute is
15.04.2014.
DIRECTOR
SHRI G.S. INSTITUTE OF TECHNOLOGY & SCIENCE
(An Autonomous Institution, Established in 1952)
23, Park Road, INDORE, Pin– 452 003 (MP) Ph.:(0731) 2434095, 2538760, 2541567,2548334-8
Fax : 0731-2432540. website : www.sgsits.ac.in

No. Estt/Advt/2014/ Date : 22/02/2014


Advertisement No. Estt/Advt/2014/ 3594 dated 22.02.2014.
APPLICATION PROCEDURE, QUALIFICATION AND EXPERIENCE FOR VARIOUS
POSTS ADVERTISED
APPLICATION PROCEUDRE : The complete details on prescribed application form
together with attested copies of all marks-sheets, certificates and list of publications, etc.
accompanied by a Demand Draft of Rs. 1500/- (Rs. 750/- for SC/ST candidate of M.P.
domicile) in favour of Director, SGSITS, Indore payable at Indore to be submitted by
15.04.2014 to the office of Director, SGSITS, Indore.
Sleeper class TA will be paid to candidates belonging to SC/ST categories of M.P. domicile
called for interview as per rules.
Higher starting salary in the pay scales may be considered for deserving candidates having
higher qualification/experience.
In case a candidate wants to apply for more than one post or for the same post in different
disciplines, then separate application for each post along with Demand Draft towards
application fees for each application will have to be submitted.
DETAILS OF VACANT POSTS
(a) U.G. Program
Sr.No. Department Professor Associate Assistant
Professor Professor
1. Civil Engg.& Applied Mechanics ST-01 --- UR-01, ST-01
2. Electrical Engg. ST-01 SC-01, ST-01 ---
3. Industrial & Production Engg. ST-01 UR-03 (W-01), OBC-01, ST-01
ST-01, SC-01
4. Central Workshop --- UR-01 ---
(WS Supdt.)
5. Computer Engg. UR-01 UR-01, ST-01 ST-01, SC-01
6. Electronics & UR-01, ST-01 SC-01, ST-01 UR-01, ST-01
Telecommunication Engg.
7. Mechanical Engg. ST-01 UR-02, OBC- OBC-01, ST-02
01
ST-02, SC-01
8. Electronics & Instrumentation UR-01 --- ---
Engg.
9. Pharmacy ST-01 UR-02, SC-01, UR-02, OBC-01
ST-01 SC-02, ST-02
10. Applied Physics --- ST-01 UR-02
11. Applied Chemistry --- UR-01, ST-01 SC-01, ST-01
12. Applied Mathematics UR-01 ST-01, UR-01 OBC-01, SC-01
ST-01
Contd…
…contd. from previous page
(b) P.G. Program
Sr.No. Department Specialization Professor Associate
Professor
1. Civil Engg.& Applied Structural --- UR-01
Mechanics Transportation --- UR-01
Water Resource UR-01 UR-01
M.Tech. in UR-01 UR-01
Environmental Engg.
M.E. Environmental UR-01 UR-01
Engg. (CPHEEO-
Temporary Post)
2. Electrical Engg. Dig. Tech. Instr. UR-01 UR-01
Power Elx. UR-01
3. Industrial & Production Engg. Industrial UR-01 ---
Engineering &
Management
4. Computer Engg. Computer UR-01 UR-01, ST-01
5. Mechanical Engg. Tribology & Maint. --- UR-01
Engg.
6. Pharmacy M.Pharm. (Medicinal UR-01 ---
& Pharmaceutical
Chemistry)
(c) Self Finance Program (UG & PG)
Sr.No. Department Professor Associate Assistant
Professor Professor
1. Information Technology UR-01, ST-01 SC-01, UR-02, ST-02
ST-01
2. Bio Medical Engg. UR-01 UR-01, UR-01, ST-01,
ST-01 SC-01
3. Computer Technology & UR-01 ST-01 ST-01, SC-01,
Application (MCA) UR-01
4. Electronics & Instrumentation - UR-01 UR-01, ---
M.Tech. (Micro Electronics & ST-01
VLSI Design)
5. Management (M.B.A.) UR-01 UR-01 SC-01, ST-01,
OBC-01
6. Pharmacy - M.Pharm. UR-01 UR-01 UR-01
(Industrial Pharmacy)

Note : - 1.ST-Scheduled Tribe, SC-Scheduled Caste, OBC-Other backward Classes,


UR-Unreserved (General), W-Woman & PH- Physically Handicapped.

Contd….
…contd. from previous page
QUALIFICATION
ASSISTANT PROFESSOR : (Pay Scale : Rs. 15600-39100+6000).

Engineering: B.E./B.Tech and M.E./M.Tech in relevant branch with First Class or


equivalent either in B.E./B.Tech. or M.E./M.Tech.
M.C.A. : B.E./B.Tech and M.E./M.Tech in relevant branch with First Class or equivalent
either in B.E./B.Tech. or M.E./M.Tech.
OR
B.E./B.Tech. and MCA with First Class or equivalent in either B.E./B.Tech. or MCA.
OR
MCA with first class or equivalent with two years relevant experience.
Pharmacy : Bachelor and Master degree in Pharmacy with First Class or equivalent either
in Bachelor or Master Degree.
Applied Sciences :

First Class Master degree in appropriate branch from recognized university/Institute or


equivalent.
Note :- Preference will be given to candidates having cleared the National Eligibility Test
(NET) conducted by the UGC, CSIR or similar test accredited by the UGC like SLET/SET.

For MBA Programme : First class or equivalent in Masters Degree in Business


Administration or equivalent and 02 years relevant experience is desirable.

ASSOCIATE PROFESSOR: (Pay Scale : 37400-67000+9000)


Engineering:
1. Qualification as above that is for the post of Assistant Professor, as applicable and
Ph.D. or equivalent, in appropriate discipline.
2. Post Ph.D. publications and guiding Ph.D. student is highly desirable.

Experience : Minimum of 5 years experience in teaching / research / industry out of which 2


years post Ph.D. experience is desirable.
M.C.A. :
1. Qualification as above that is for the post of Assistant Professor, as applicable and
Ph.D. or equivalent, in appropriate discipline.
2. Post Ph.D. publications and guiding Ph.D. student is highly desirable.

Experience : Minimum of 5 years experience in teaching / research / industry out of which 2


years post Ph.D. experience is desirable.
Pharmacy :
1. Qualification as above that is for the post of Assistant Professor, as applicable and
Ph.D. or equivalent, in appropriate discipline.
2. Post Ph.D. publications and guiding Ph.D. student is highly desirable.
Contd….
…contd. from previous page
Experience : Minimum of 5 years experience in teaching / research / industry out of which 2
years post Ph.D. experience is desirable.

M.B.A.:
1. Qualification as above that is for the post of Assistant Professor, as applicable and
Ph.D. or equivalent, in appropriate discipline.
2. Post Ph.D. publications and guiding Ph.D. student is highly desirable.

Experience : Minimum of 5 years experience in teaching / research / industry out of which 2


years post Ph.D. experience is desirable.

Applied Sciences :
1. Qualification as above that is for the post of Assistant Professor, as applicable and
Ph.D. or equivalent, in appropriate discipline.
2. Post Ph.D. publications and guiding Ph.D. student is highly desirable.

Experience : Minimum of 5 years experience in teaching / research / industry out of which 2


years post Ph.D. experience is desirable.

PROFESSOR : (Pay Scale : Rs. 37400-67000 + 10000/- )

Engineering, M.C.A., M.B.A., Applied Science & Pharmacy :


1. Qualifications as above that is for the post of Associate Professor, as applicable.
2. Post Ph.D. publications and guiding Ph.D students is highly desirable

Experience : Minimum of 10 years experience in teaching / research / industrial experience of


which at least 5 years shall be at the level of Associate Professor.
OR
Minimum of 13 years experience in teaching / Research / Industry.

In case of research experience, good academic record and books/research paper


publications/IPR /Patents record shall be required as deemed fit by the expert members of the
Selection Committee.

If the experience in industry is considered, the same shall be at managerial level equivalent to
Associate Professor with active participation record in devising/designing, planning,
executing , analyzing, quality control, innovating, training, technical books/ research paper
publications / IPR / patents, etc. as deemed fit by the expert members of the Selection
Committee.

Note :
1. Equivalence for Ph.D. is based on publication of 5 International Journal papers, each
Journal having a cumulative impact index of not less than 2.0, with incumbent as the
main author and all 5 publications being in the authors’ area of specialization.
2. Ph.D. shall be from a recognized University.
Contd….
…contd. from previous page
3. If a class/division is not awarded, minimum of 60% marks in aggregate shall be
considered equivalent to first class/division. If a Grade Point System is adopted the
CGPA will be converted into equivalent marks as below.

Grade Point Equivalent Percentage


6.25 55%
6.75 60%
7.25 65%
7.75 70%
8.25 75%

4. In Pharmacy for U.G. program, the candidates shall have the M.Pharm. Degree
qualification in the core branch of specialization namely Pharmaceutics (Industrial
Pharmacy, Pharmaceutical Technology)/ Pharmacology/ Pharmacognsy/
Pharmaceutical Chemistry commensurate with the need of the department in
accordance with the prevailing scheme of syllabi.

For the post under M.Pharm. (Industrial Pharmacy) programme, candidates having
industrial experience will be given preference.

5. In all UG program of Engineering and Applied Sciences and Computer Technology


and Application department the candidates with PG degree in the area of
specialization commensurate with the need of department in accordance with the
prevailing scheme of syllabi shall be preferred.
6. The candidate who have obtained qualifying degrees (UG/PG/Ph.D.) from Institutions
approved by AICTE/UGC/PCI as per rule shall only be considered for appointment.
7. Every person recruited on initial post such as Assistant Professor shall be appointed
initially for a period of three years on contract. On completion of this period,
performance of the candidates shall be reviewed and, if found suitable, he/she shall be
offered a regular appointment.
8. The selected candidates will be eligible for Contributory Provident Fund, Mediclaim,
Group Insurance, HRA, CCA, however as per the Gazette notification No. 77
dated 05.03.2004 of M.P. State Government, the staff appointed after this notification
will not be eligible for Gratuity & EL encashment etc.
9. Conduct of any person appointed under these rules shall be governed by the Madhya
Pradesh Services (conduct) rules 1965, as amended from time to time.
10.The institute reserves the right to call only short listed candidates for interview on the
basis of academic performance, experience, publications, higher qualification etc.
decided by the Institute and to hold interview on priority for a discipline or post.
11. Deserving candidates, if selected, can be considered on deputation.

DIRECTOR
D:\Establishment\Office Files\Advt\Teaching Advertisement (Regular-17.02.2014).doc
API PROFORMA

(Based on Government of India Gazettee Notification No. 247 dated 8th November 2012)

CATEGORY-III: RESEARCH AND ACADEMIC CONTRIBUTIONS

Brief Explanation: Based on the teacher’s self-assessment, API scores are proposed for research
and academic contributions. The self-assessment score will be based on verifiable criteria and
will be finalized by screening/selection committee.

Sl. APIs Engineering/Pharmacy Faculties of Languages Max. points for


No. /MCA /Humanities/Social University and
Sciences/Management College teacher
/Applied Sciences position
III A Research Papers Refereed Journals * Refereed Journals * 15/ publication
published in :
Non-referred but Non-referred but 10/ publication
recognized and recognized and
reputable journals and reputable journals and
periodicals, having periodicals, having
ISBN/ISSN number. ISBN/ISSN number.
Seminar/Conference Conference International 10/
proceedings as full proceedings as full publication
papers, etc. (Abstracts papers, etc. (Abstracts National 5/
not to be included) not to be included) publication
III B Research Text or Reference Text or Reference 50/ sole author;
Publications Books Published by Books Published by 10/ chapter in an
(books, chapters International International edited book
in books, other Publishers with an Publishers with an
than refereed established peer established peer
journal articles review system review system
Subjects Books by Subjects Books by 25/ sole author;
National level National level 5/ chapter in
publishers/State and publishers/State and edited books
Central Govt. Central Govt.
Publications with Publications with
ISBN/SSN Numbers. ISBN/SSN Numbers.
Subject Books by Other Subjects Books by 15/ sole author;
local publishers with Other local publishers and 3/ chapter in
ISBN/ISSN numbers with ISBN/ISSN an edited books
numbers

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Pharmacy office 2013-13 AICTE/gmalviya/Monday, February 24, 2014
Chapters contributed to Chapters contributed to 10/Chapter
edited knowledge based edited knowledge based
volumes published by volumes published by
International Publishers International Publishers
Chapters contributed to Chapters in Knowledge 5/Chapter
edited knowledge based based volumes in
volumes published by Indian/National level
International Publishers
publishers with
Chapters in Knowledge
based volumes by ISBN/ISSN numbers and
Indian/National level with numbers of national
publishers with and international
ISBN/ISSN numbers and directories
with numbers of national
and international
directories

III(C) RESEARCH PROJECTS


III(C)(i) Sponsored Major Projects amount Major Projects amount 20/ each Project
Projects mobilized with grants mobilized with grants
carried above Rs.30.0 lakh above Rs.5.0 lakh
out/
ongoing
Major Projects amount Major Projects amount 15/ each Project
mobilized with grants mobilized with minimum
above Rs.5.0 lakhs up to of Rs.3.0 lakhs up to
Rs.30.00 lakh Rs.5.00 lakh
Minor Projects (Amount Minor Projects (Amount 10/ each Project
mobilized with grants mobilized with grants
above Rs.50,000 up to above Rs.25,000 up to
Rs.5 lakh) Rs.3 lakh)
III(C)(ii) Consultanc Amount mobilized with Amount mobilized with 10 per every Rs.3.0
y Projects minimum of Rs.3.00 lakh minimum of Rs.1.00 lakh lakh and Rs.1.0 lakh
carried Respectively
out/
ongoing
III(C)(iii) Completed Completed project Completed project 20/ each major
projects Report (Acceptance from Report (Accepted by project
Quality funding agency) funding agency)
10 /each minor
Evalution
project

III(C)(iv) Projects Major policy document Major policy document 30/ each national
Outcome of Govt. Bodies at Central of Govt. Bodies at Central level output or
/Outputs and State level and State level patent
Patent/Technology Patent/Technology 50/ each for
transfer/Product/Process transfer/Product/Process international level

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III (D) RESEARCH GUIDANCE
III (D) (i) M.Phil/ME/ Degree awarded only Degree awarded only 3/ each candidate
M.Tech/
M.Pharm.
III (D) (ii) Ph.D Degree awarded Degree awarded 10/each candidate
Thesis submitted Thesis submitted 7/each candidate
III (E) TRAINING COURSES AND CONFERENCE/SEMINAR/WORKSHOP PAPERS
III (E)(i) Attended Not less than two weeks Not less than two 20/ each
Refresher Duration weeks Duration
courses,
Methodology One week duration One week duration 10/ each
workshops,
Training,
Teaching
Learning-
Evaluation
Technology
Programmes,
Soft Skills
development
Programmes
Faculty
Developoment
Programmes
(Max:
30 points)

III (E)(ii) Papers in Participation and Participation and


Conferences/ Presentation of research Presentation of
Seminars/ papers (oral/poster) in research papers
workshops (oral/poster) in
etc** a) International a) International 15 / each
conference conference
b) National b) National 10 / each
c) Regional/State c) Regional/State 5 / each
level Level
d) Local d)Local 3 / each
University/ University/College
College level level
III (E)(iii) Invited lectures (a) International (a) International 10 /each
or
presentations (b) National level (b)National Level 5 / each
for
conferences/
Symposia

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Pharmacy office 2013-13 AICTE/gmalviya/Monday, February 24, 2014
* Wherever relevant to any specific discipline, the API score for paper in referred journal
would be augmented as follows: (i) indexed journals – by 5 points; (ii) papers with impact
factor between 1 and 2 by 10 points; (iii) papers with impact factor between 2 and 5 by 15
points; (iv) papers with impact factor between 5 and 10 by 25 points.

** If a paper presented in Conference/Seminar is published in the form of Proceedings, the


points would accrue for the publication (III (a)) and not under presentation (III (e) (ii)).

Notes:

1. Screening/selection committees will assess and verify the categorization and scores of
publications.

2. 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, the first/Principal
author and the corresponding author/supervisor/mentor of the teacher would share equally
total score, if the number of authors are more, than the first two authors would share
equally 60% of the total points and the remaining authors would share equally 40% of the
points.

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Pharmacy office 2013-13 AICTE/gmalviya/Monday, February 24, 2014
TABLE- II (c)

Minimum Scores for APIs for direct recruitment of teachers in University departments/Colleges, and
weightages in Selection Committees to be considered along with other specified eligibility
qualifications stipulated in the Regulations.
Assistant Professor/ Associate Professor/ Professor/equivalent
equivalent cadres (Stage I) equivalent cadres (Stage cadres (Stage 5)
4)
Minimum Minimum Qualification as Consolidated API secure Consolidated API score
API Scores stipulated in these requirement of 300 requirement of 400 points
Regulations points from category III from category III of APIs
of APIs

Note: For Universities/Colleges for which Sixth PRC Awards are applicable, Stages 1, 4 and 5
correspond to scales with AGP of Rs.6000, 9000 and 10000 respectively.

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Pharmacy office 2013-13 AICTE/gmalviya/Monday, February 24, 2014
API SCORE DETAILS

Name of Candidate:…………………………………………………

Father’s Name:……………………………………………………….

Department:…………………………………………………..Post Applied for:……………………………………………..

CATEGORY III

(RESEARCH, PUBLICATIONS AN ACADEMIC CONTRIBUTIONS)

A) Published Papers in Journals


Sl. Title with Page Journal ISSN/ISBN Whether No. of Whether API
No. Nos. No. peer Co- you are Score
reviewed, authors the main
impact author
factor, if
any

B (i) Articles/Chapters published in Books

Sl. Title with Page Book Title, ISSN/ISBN Whether No. of Whether API Score
No. Nos. editor & No. peer Co- you are
publisher reviewed authors the main
author

(ii) Full Papers in Conference Proceedings

Sl. Title with Page Details of ISSN/ISBN No. of Whether you are the API Score
No. Nos. Conference No. Co- main author
Publication authors

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Pharmacy office 2013-13 AICTE/gmalviya/Monday, February 24, 2014
(iii) Books Published as single author or as editor

Sl. Title with Type of Publisher Whether No. of Whether You API
No. Page Nos. Book & & peer Co- authors are the main Score
Authorship ISSN/ISBN reviewed author
No.

iii (c) Ongoing an Completed Research Projects and Consultancies

(c) (i & ii) Ongoing Projects/Consultancies

Sl. Title Agency Period Grant/Amount Mobilized API


No. (Rs.Lakh) Score

(c) (iii & iv) Completed Projects/Consultancies

Sl. Title Agency Period Grant/Amount Whether policy API


No. Mobilized (Rs. In document/patent as Score
Lakh) outcome

(D) Research Guidance

Sl. No. Number Thesis Submitted Degree awarded API


Enrolled Score
M.E./M.Tech./Master
in appropriate field
Ph.D. or equivalent

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(E) (i) Training Courses, Teaching-Learning-Evaluation Technology Programmes, Faculty
Development Programmes (not less than one week duration)

Sl. Programme Duration Organised by API


No. Score

(E) (ii) Papers presented in Conferences, Seminars, Workshops, Symposia

Sl. Title of the Title of Organised Whether API


No. paper Conference/Seminar by international/national Score
presented /state/regional/College
or University level

(E) (iii) Invited Lectures and Chairmanships at national or International


conference/seminar, etc.

Sl. Title of Title of Organised Whether API


No. Lecture/Academic Conference/Seminar, by international/national Score
Session etc.

CONSOLIDATED API SCORE : …………………..

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Pharmacy office 2013-13 AICTE/gmalviya/Monday, February 24, 2014
List of Enclosures :

Please attach copies of certificates, sanction orders, etc. wherever necessary.

S.No. Details of Enclosures S.No. Details of Enclosures

Declaration

I certify that the information provided is correct as per records available in


University and/or documents enclosed.

Signature of the Faculty with Designation& Department


Place:

Date:
Forwarded by

Signature of Head of Department/Section Incharge


Place:

Date:
Page 9 of 9
Pharmacy office 2013-13 AICTE/gmalviya/Monday, February 24, 2014
An Autonomous Institution, Established in 1952

SHRI G.S. INSTITUTE OF TECHNOLOGY & SCIENCE


(An Autonomous Institution, Established in 1952)
23, Park Road, INDORE, Pin– 452 003 (MP) Ph.:(0731) 2434095, 2538760, 2541567,2548334-8 Fax :
0731-2432540. website : www.sgsits.ac.in

Advertisement No. Estt/Advt/2014/3594 dated 22.02.2014.

APPLICATION FORM FOR THE POST OF _______________________ Please paste Your


Recent Passport
IN THE ______________________________________ DEPARTMENT Size Photograph
Here

Payment Details: Demand Draft No. : _________________Rs. _____________


Date _____________ Name of Bank: __________________________________

1. Full name (in Block letters) : __________________________________________


(Surname) (Name)
2. Father’s Name : ____________________________________________________
(Surname) (Name)
3. Postal address in full for : ___________________________________________________
Correspondence
____________________________________________________

____________________________________________________

____________________________________________________

City________________________Pin Code_________________

E-mail______________________Phone No. : ______________

4. Permanent address : ____________________________________________________

____________________________________________________

City________________________Pin Code_________________

Phone No. : ___________________Mobile No. ____________

5. Sex (Male /Female) : ____________________________________________________

6. Date of Birth : ____________________________________________________


(Date) (Month) (Year)

7. Place of Birth : ____________________________________________________


(Vill/Town/Distt.) (State)

8. Marital Status : ____________________________________________________

9. Nationality : ____________________________________________________

Cont… 2
…2…

10. Membership of Professional Bodies : _____________________________________


: ____________________________________________

: ____________________________________________

11.(a) Status of present Central/State Govt. ( )


employer, if employed: Autonomous body ( )
Private Estt. ( )

(b) State the address of : ____________________________________________________


present employer
____________________________________________________

(c) Present salary drawn : ____________________________________________________

12. Academic qualifications

No. Degree/Exam. Branch/ Year of University/ % of Division/ Encl.


specialization passing Institute/ Marks Grade No.
Board
1. 10+2/Higher Secondary

2. B.E. / B.Tech./ B.Pharm./


B.Sc.

3. M.E. / M.Tech./ M.Pharm./


M.C.A./ M.Sc. / MBA

4. Ph.D.

5. Other (specify, if any)

13. Area of Specialization____________________________________________________

14. Details of Ph.D. Degree (if awarded)

(a) Year of Registration _________________________________

(b) Year of Award _________________________________

© Name of Faculty of University in which Ph.D. _________________________________


awarded

(d) Name of Board of studies of University in which _________________________________


Ph.D. awarded

(e) Title of Thesis ________________________________

________________________________
(f) Whether the Ph.D. awarded through a Process of ________________________________
admission, registration, course work and external
evaluation as have been laid down by UGC ________________________________
regulations, 2009 (Yes/No)
If Yes attach appropriate supporting documents – Encl. No………
Cont… 3
…3…

15. Particulars of employment and Experience :-

a. Experience in Academic Institute

S. Name of Post Pay Scale Name of Date of Date of Total Encl.


No. Held Employer Joining Leaving Experience No.

b. Experience in Industrial Organisation

S. Name of Post Pay Scale Level of post Name of Date of Date Total Encl.
No. Held (Supervisor/ Employer Joining of Experie No.
Manager Leavi nce
ng

c. Experience in Other Organisation

S. Name of Post Held Pay Scale Name of Employer Date of Date of Total Encl.
No. Joining Leaving Experience No.

Cont… 4
…4…

16. Scientific publications, presentations and patents, etc.

(a) Paper Publications (Total Number _____)

S. Article Research Paper National International Encl. No.


No. Journal Journal

(b) Book Publications (Total Number _____)

S. Name of Book Publisher Year of Encl. No.


No. Publication

(c)Paper Presentations (Total Number _____)

S. Name of Conference Conference Year Mode of Title of Encl.


No. Host National International presentation Research Paper No.
Institute/Agency oral/poster

(d)Patents (Total Number _____)

S.No. Title of Patent and Name Description Registration Year of Encl.


of Inventors National International No. Grant No.

17. Research Project Grant Awards :

S. Year of Year of Funding Scheme Title of Amount Encl. No.


No. Award Completion Agency Project Sanctioned

Cont… 5
…5…

18. Participation in Summer/Winter / Other School(s) and other courses :

S. Name of Course Duration Name of Organizer Remarks, if any Encl. No.


No.

19. Experience of organizing seminar/symposium/winter-summer school/conference etc.

S.No. Details of Scientific event Year Capacity of participation Encl. No.

20. Referee/Reviewer in Scientific


Journal/Magazine : _________________________________________
_________________________________________

21. Consultancy projects undertaken : _________________________________________


_________________________________________

22. Award/Honors received :_________________________________________

________________________________________
23. Contribution to educational innovation, design of new curricula and courses, and technology mediated
teaching learning process
_________________________________________
________________________________Encl . No. (___)

24. Brief description of major achievements


in last five years : ________________________________________________________
________________________________________________________

25. Minimum pay acceptable in the :______________________________________


scale of pay

26. Appropriate period required for :_____________________________________


Joining, if selected :

27. Give the name, profession and 1. _________________________________________


present full postal address with
phone number and E-mail ID _________________________________________
of two persons
not related to you and to whom
reference may be made & attach
testimonials from them 2. _________________________________________

______________________________(Encl. No. ……)


Cont… 6
…6…

28. Declaration to be signed by the Candidate:-

I hereby declare that the entries made in this form from 1 to 28 are true and correct to the best of my knowledge
and belief.

Signature___________________________

Full Name __________________________

PLACE :________________ DATE : ________________

29. No Objection Certificate of Employer:


(to be signed by the Head of the Institution in the case of candidate already serving (whether
permanent or temporary).

No.____________________ DATED_____________________

The application of Shri/Smt./Kumari_____________________________________________________


S/D/O Shri_____________________________ who is working as _______________________in the
pay scale of Rs. _________________________________ in our organization since ________ in a
temporary/permanent capacity is hereby forwarded for consideration for the post of
_______________________________ in SGSITS, Indore. Nothing against his/her character is known
to the undersigned which may render him/her unsuitable for employment on the above post. This
organization has no objection if he/she is considered for appointment in your institution.

Name & Signature of the


Competent forwarding officer

Designation: _________________
Seal of Office_________________

Place :_____________

Date : _______________

Cont… 7
…7…

CHECK LIST
The applicant shall ensure that following enclosures are submitted along with the application to
confirm the eligibility for the post of _______________________________ as per advertisement.

Sr. No. Documents Enclosure No. Remarks Comments of Scrutinizer


(for office use only)

D:\Establishment\Office Files\Advt\Application Proforma - Teaching (Regular - 22.02.2014).docx

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