Sri Karan Narendra Agriculture University, Jobner

APPLICATION FORM FOR THE POSTS OF TEACHING CADRE

श्रीकर्णनरें द्रकृ षिविश्वविद्यालयजोबनेर-जयपरु (राजस्थान)-303329

1. Application form for the post of …Assistant Prof. ...Discipline…ENGLISH…….

2. Advertisement No: SKNAU/Teaching/2023/02/1852…Dated: 01/02/2023………… Recent self-
3. Category for which application is to be considered attested
i. UR/BC/MBC/SC/ST/EWS - …………UR………. Photograph
ii. General/Woman - …Woman ……….
If woman, mention category – General/Divorced/Widow- …Divorced ……………….
iii. Persons with Disabilities - Yes/No No
4. Bank Draft No: ………………...Dated:………………… …………………
Name of bank: …………………………………………...

PERSONAL INFORMATION

1. Name (In Block Letters):…BHARTI…SHOKEEN……………………………………………….

2. Father’s/ Husband’s Name:……Mange Ram Berwal……….…………………………………….
3. Mother’s Name……………Prem Lata………………...……………………………………………
4. Sex: Male/Female- Female
5. Date of Birth: (In figures)--01.12.1975…. (In words): First December Nineteen Seventy Five
6. Age: …47 Years…………..Years………3.Months……….Month (As on Date of advertisement)
7. Nationality:……………………Indian………..…………………………...
8. Domicile State:………Haryana…………………………………………….
9. Aadhar/UID Number:……………………………………………………...
10. Present Postal Address:………Bharti Shokeen, 117 Girls Hostel………..
28/1 Delhi Technical Campus, Knowledge Park-3, Greater Noida (UP)
Pin code: …201306…………………………..
Tel No:………………………………………..Mobile No: ………………9999067429….…………
E-mail ID……shokeenbharti@gmail.com………..
11. Permanent address: - : …C/o Rahul Berwal, Berwal Bhawan………….
Multan Colony, Jind Road, HANSI (Haryana)…………………………..

Pin code: ………125033………..Tel No: …9812588663…..

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 12. (a) Do you belong to Scheduled Caste/ Scheduled Tribe of Rajasthan?
YES/NO (Attach Proof - Enclosure No. ……………….)- NO
(b) Do you belong to BC/MBC/EWS of Rajasthan?
YES/NO (Attach Proof - Enclosure No. ………...…...) - NO
(c) Do you belong to Specially Abled (PH) Classes of Rajasthan? NO
YES/NO (Attach Proof - Enclosure No. ………………)
13. (a) Are you married? Yes/No
(b) If yes, how many children do you have?
(i) On 01.06.2002 ……NO………………
(ii) After 01.06.2002 ……ONE (girl child)
14. Character Certificate from the two responsible persons, not related to you but well acquainted with your
academic performance and conduct:(Attach Proof - Enclosure No………………………)
Name, Designation & Address Name, Designation & Address
Prof. Pradeep Kumar Das, Chairperson Prof. Saugata Bhaduri
Centre for Linguistics, SLL&CS Centre for English Studies, SLL&CS
Jawaharlal Nehru University, New Delhi Jawaharlal Nehru University, New Delhi

Pin Code: 110067 Pin Code: 110067

Tel.No. (Office) +91-11-26704234 Tel.No. (Office) +91-11-26704662;
Mobile Number: +91-9868608884 Res) +91-11-26742755;
+91-8527908884 Mobile Number: +91-9999965054
Email ID: pradeep11@hotmail.com Email ID: bhaduris@jnu.ac.in

15.Character Certificate from the Head of Institution last attended: …………………. Enclosure No.
16. (a) Have you ever been Arrested/Prosecuted/
Convicted by a criminal court? Yes/No- NO
(b)If your reply to the above is affirmative
Please give the circumstances and the sentence. ………NA……………………
(c) Have you ever been subjected to any Departmental Inquiry?
If yes, please give details. ……………NO………………

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 17. Have you ever been debarred from appearing at any Examination/Selection conducted by the Union
Public Service Commission/Govt./University/Board of any Other Educational Institute/Authority? If
so, give particulars. ……………NO………………

18. Academic Qualifications (Secondary School Examination Onwards) –Attach Proof

Examination/ Board/ Subjects/Specialization Year of Division/Marks Encl.

Degree University passing In %, OGPA No.
High School/ Board of Hindi, Eng., Science 1990 63%
Secondary School Edu., SST, Maths, Sanskrit
Haryana
HigherSecondary/10+2 Board of Hindi, Eng., Pol.
Board School Edu., Science, Economics, 1993 60%
Haryana Sanskrit
Graduation Kurukshetra Hindi, Eng., 1996 69%
Uni. Economics, Sanskrit
Post PU Chandigarh ENGLISH 1998 55.5%
Graduation
NET _________ ____ NA _________ ______ _________ ____

Ph.D (Submitted JNU, Delhi ENGLISH 2023 Course work

January 2023) not required
with MPhil
Other MPhil (Eng.) Kurukshetra ENGLISH 1999 60%
Uni.
PGDTE EFLU Post Graduate 2005 GPA-3.1
Hyderbad Diploma in Teaching Grade-B
of English
Specialization in Ph.D……………………………………………………………………………………..
19. Awards & Recognitions …………………. Enclosure No.

20. Participation in training/ seminar/ symposium/conference etc.…………………. Enclosure No.

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 (a) Training Programmes & Short-Term Courses:
Sr. Date Training Programmes & Short- Organized by Encl.
No. Term Courses
1. July 25- 29, (One Week)-Faculty Development National Institute of
2022 Programme on Digital Tools for Teaching Technical Teachers
and Learning Training and
Research, Chandigarh
May 6-11, (One week)- Faculty Development ICT
2020 Programme on Presentation Skills
2. December (One Week)-Short Term Course on National Institute of
3-7, 2018 Student Centered Instructional Strategies Technical Teachers
through ICT Training and
Research, Chandigarh
3. April 27, Orientation Program on ODL and Indira Gandhi National
2018 Strengthening of SSS for Academic Open University, Delhi
Counsellors
4. May 15-18, Short Term Course on Understanding IIT Kharagpur
2009 and Interrogating Post-modernism
5. Dec. 4-6, National Course on General Semantics PU Chandigarh &
2008 Forum on
Contemporary Theory,
Vadodara

(b) Invited Talk/Lecture/Workshop:

Sr. Date Training Programmes & Short- Organized by Encl.
No. Term Courses
1. June 10, Conducted a Workshop on ‘Writing Skills Indian Institute of Dalit
2015 for Social Science Research’ at Indian Studies, New Delhi
Institute of Dalit Studies, New Delhi
2. December delivered a Talk on ‘Academic Writing’ in School of Social
3-7, 2018 the workshop ‘Research Methods in Social Sciences, JNU Delhi.
Sciences’ School of Social Sciences, JNU
(c) Editing work of Govt. Bodies:
Sr. Date Title of Edited Volume Encl.
No.
1. Feb 2020 All India Report on the Education of SC in Research Project of IIDS
India funded by ICSSR
2. Feb 2020 All India Report on the Education of ST in Research Project of IIDS
India funded by ICSSR
3 March 2018 Violence Free Safe Metropolitan Spaces for Research Project of IIDS
Women and Girls in Delhi- A Study funded by ICSSR
4. Jan. 2016 Status of Dalit Development in Karnataka Indian Institute of Dalit
Studies, Delhi

(d) Participation in Seminar/ Symposium/Conference

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 Sr. Date Title of Paper Presentation Seminar/ Encl.
No. Symposium/Conference
1 Nov.29-30, Email Mishap in Placement Drive International Conference
2018 on Management Cases,
BIMTECH G.Noida

2 29-30 Digital Language Laboratory at IIT Delhi- Seminar at Aligarh Muslim

Dec.2017 Challenges, Changes & Innovations University
3 11-12 English Language Classroom at IIT Delhi: National workshop at IIT
March, 2014 Gathering Ideas Delhi
4 8-9 Oct., Language Testing for Im(migration): 3rd International ELT Conf.
2012 In(validity) and Ir(relevance) at BITS Pilani
5 26-27 Nov. Language Proficiency Test for Citizenship: 8th Annual Conference
2011 A Comparative Study from UK and US RASE Bikaner, Rajasthan
6 5-7 Nov. Teaching of English as a second language 1st International ESL EFL
2009 to immigrant and refugee students Conference, Udaipur,
Rajasthan
7 October Literary Festival ‘Writing the Future’ HUSS, IIT Delhi
2008
8 20 Jan. 2008 Learning Effective Teaching Skills
Workshop at Rajiv Gandhi
National Law University,
Patiala, Punjab
9 2-3 Nov. First Chandigarh Language & Literature Panjab University,
2007 Congress Chandigarh
21. Co-Curricular and Extra-Curricular Activities…………………. Enclosure No.- NA
22. Experience- Research/Teaching/Extension/Administrative (Indicating post held with period –Attach
proof)
Post held Organization Pay scale& Basic Pay & Period Nature of Proof
Grade pay Emoluments work Encl.
From To No.
Assistant GGSIPU Delhi 70,122 Consolidated 06.04.2016 Present Teaching
Prof. affiliated college 2023
DTC, G.Noida
English Department of 45,000 Consolidated 04.07.2008 10.05.2015 Teaching,
Language HUSS, IIT Delhi Language
Instructor Lab
Lecturer in University 10,000 per Consolidated 20.08.2007 10.03.2008 Teaching
English Institute of Legal month
Studies, PU
Chandigarh
Academic IGNOU, Delhi As per Rs. 700 per 26.9.2016 31.12.2016 Teaching
Counselor lectures lecture
Academic IGNOU, Delhi As per Rs. 700 per 08.05.2017 31.12.2017 Teaching
Counselor lectures lecture

23. Publications:

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 S.N. Category of Publication Give only Numbers
A Number of research papers published in standard referred journals/ 7
referred proceedings
B Number of authored books published ___
C Number of edited books published 1
D Number of mass awareness literature (booklet) published ___
E Number of popular articles/ non-referred proceeding papers, book 1
chapter, presented extended summary, etc.

Give detailed information for various types of publications as mentioned above in tabular form with separate
table for each category of publications. If necessary, the format of the table given below may be suitably
amended to suit the type of publications.

(a) Research papers published in journals of NAAS rating of 6.0 and above:

S.No. Author(s Title of Name of Volume/ Year of NAAS Proof

) paper Journal / Issue/ ISBN publishing Ratings Enclosed at
/publication publisher No. page no.

1. Kamlesh Women Singing Oxford Under 2023 Under

Singh, in a North University publication Publicatio
Suman Indian Rural Press (attached n
Sigroha & Community: A Oxford
Bharti
Case Study University
Shokeen
Press
agreement)

2. Bharti Knowledge SAGE ISBN: 978- 2019 ______

Shokeen Translation & Publications 93-532-
& Translational 8554-8(HB)
Kamlesh Research(book

Singh chapter)

3. Kamlesh religious and Routledge ISSN: 1367- 2017 _______

Singh, spiritual 4676 (Print)
Suman messages in 1469-9737
Sigroha,
folk songs: a (Online)
Dalbir

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 Singh & study of
Bharti
women from
Shokeen
rural india

(b) Research papers published in journals of State Government Universities (earlier listed in UGC):
S.No. Author(s) Title of Name of Journal Volume/ Year of NAAS Proof
paper / publisher Issue/ ISBN publishin Ratingas Enclosed
/publication No. g at page no.

1. Bharti Responding to Interdisciplinary ISSN 0974- 2016 ______

Shokeen ELT Journal of 3421
Challenges Linguistics (IJL)
with Innovation University of
Kashmir
--A Case Study

Assessing
2. Bharti
Communication
Interdisciplinary ISSN 0974- 2018 ______
Shokeen Skills for Journal of 3421
& Bindu Employability Linguistics (IJL)
Sharma among University of
Engineering
Kashmir
Students

3. Bharti Soft Skills Journal of ISSN: 2229- 2018 _______

Shokeen Trainers: A University Institut 3906
Short Term e of Legal Studies,
Solution for Panjab University
Placements Chandigarh

4. Bharti YOU ARE Interdisciplinary ISSN 0974- 2020 ________

Shokeen NOT Journal of 3421
WELCOME: Linguistics (IJL)
The University of
‘Shibboleth’ Kashmir
Story of
Language
Testing for

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 Immigration
(c): Popular articles in reputed magazines; book chapters; full length proceeding papers of National/International
Symposium/Conferences:
S.No. Author(s) Title of paper Name of Volume/ Year of NAAS Proof
/publication Journal / Issue/ publishing Ratingas Enclosed
publisher ISBN No. available at page
on closing no.
date of the
application
(Attach
Proof)

1. Bharti Language Testing for International 2017 ______

Shokeen Im(migration): ISSN
Journal of
In(validity) and 2347 -
Ir(relevance) Advance
3258
Research
and
Innovation

2. Bharti Edited Book jSR ISBN: 2017 ______

Shokeen Paradigm Shift In Indian Publishing 978-81-
Economy:Demonetizatio
& n House LLP 933112-
Vhuyashi 0-2
Das

24. Significant contribution in two pages- Attach separate sheet (Encl.No………)

25. Total number of enclosed pages including application form ………………….
26. Other Information, if any:

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 DECLARATION
I certify that the above information is correct and complete to the best of my knowledge and belief
and nothing has been concealed/distorted. If at any time, it is found that any information is
false/concealed/distorted, then my appointment shall be liable to summarily termination without any
notice/ compensation & criminal case may be initiated against me under the relevant provision of
Indian Panel Code and other law applicable.
Further, I have gone through the score card, general note and conditions mentioned in the
advertisement and website www.sknau.ac.in before filling the application form.

Place: …Greater Noida

Date: …………………..

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 INSTRUCTIONS FOR FILLING OF APPLICATION FORM
1. The application form must be submitted typed in MS word (Times New Roman,12 font size),
maintaining the margins which are required for official use.
2. Do not change the format, sequence and numbering of the information asked in the form.
3. No point should be omitted. If a point is not applicable to a candidate, ‘Not applicable’ may be
written against it.
4. If the space provided in any column is found insufficient, information may be supplied on a separate
sheet indicating the enclosure number at the suitable place.
5. Every page of the application form, score card and enclosures must be signed by the candidate at the
bottom of the page.Unsigned applications will be rejected
6. Every page of the application form self-assessed score card & all enclosures, must be numbered.
7. All the enclosures must be self- attested by the candidate with date. Originals must not be enclosed
with the application form. The candidate will have to produce the original copies of all certificates
and documents attached at the time of interview for verification.
8. The page number of the enclosures must be indicated in the application form at the given appropriate
place.
9. Whole text of publication need not be enclosed. Attach only first page/ pages showing the necessary
details of publication like title, author(s), date/ year of publication and name of journal/ publication.
10. In case an ‘Advance Copy’ is sent, the DD for application fee and all enclosures must be attached
with the ‘Advance Copy’.
11. The applicant must mention correct and working Email. ID. All the correspondences will be done on
provided Email. ID and university will not be responsible for non-receipt of information due to
incorrect Email. ID.
12. The candidate must fill his/her self-assessed score (candidates score) in Score Card provided by the
University and must be attached with the application form. Application received without duly filled
candidates score card will not be considered.

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 STATEMENT OF ANNEXURE
Candidate’s name: _______________Post: _________________ Discipline: ___________
S.No. Particulars of Annexure (Proof) Annexure No.
1. Date of Birth
2. Category Certificate
(BC/MBC/SC/ST/EWS/PH/Widow/Divorcee of Rajasthan
State)
3. Bonafide Certificate
4. Academic Qualification
A High School/Secondary mark sheet/grade sheet
B High School/Secondary certificate
C Higher Secondary/Sr. Hr. Secondary (10+2) mark
sheet/grade sheet
D Higher Secondary/Sr. Hr. Secondary (10+2) certificate
E Graduation mark sheet/ grade sheet
F Graduation degree
G Post Graduation mark sheet/grade sheet
H Post Graduation degree
I Ph.D mark sheet/ grade sheet
J Ph.D degree
K NET/SET Certificate
L Others
5. Awards
6. Honours
7. Fellowships
8. Trainings
9. Winter/Summer School
10. Seminar/ Symposia
11. A Publications in NAAS rated Journals
B Other Publications
12. Service Experience
13. Co- Curricular and Extra-Curricular Activities
14. Others

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