Professional Documents
Culture Documents
Name: ________________________________________
Paste Self-
attested Recent
Designation: ___________________________________ Passport Size
Photograph
Institute/Center: ___________________________________
NOTE: The research scores claimed by the applicant must be based on objectively verifiable criteria, and
supported with documentary evidence. Research scores that cannot be verified will not be considered.
PLEASE READ THE INSTRUCTIONS FOR EACH CATEGORY CAREFULLY, AND FOLLOW THEM. In case of
any ambiguity/clarification UGC Regulations 2018 will be final.
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PART – A (1)
Father’s Name :
2.
Mother’s Name :
3.
Gender :
5.
Nationality :
6.
Category (SC/ST/OBC/General) :
7.
Current Designation :
8.
Institute/ Center :
9.
Date of Promotion/Appointment to current post :
10.
(attach proof)
Current Pay Scale & Grade Pay :
11.
Mobile Number :
14.
E-Mail ID :
15.
Year of Class
Qualifications College/ University
Passing with %
Graduate Degree (UG)
Post Graduate Degree (PG)
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PART – A (2)
ELIGIBILITY
Eligibility for Associate Professor (Academic Level 13A) to Professor (Academic Level 14)
A. An Associate Professor who has completed three years of service in Academic Level 13A
B. A Ph.D. degree in the subject concerned/allied/relevant discipline.
C. Details of research publications in the peer-reviewed or UGC-listed journals out of which three
research papers should be published during the assessment period (at least ten)
*Enclose Reprint
E. The candidate fulfills a minimum of 110 Academic/Research Score as per Appendix II, Table 2 (UGC
Regulations – 2018)
Remarks of Head
Fulfills the minimum requirement/ doesn’t fulfill the minimum requirement from (A) & (D).
Part B:
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(Compulsory for all Levels)
Assessment Criteria and Methodology
(as per Appendix II: Table I of UGC Regulations – 2018 )
(a) Administrative responsibilities such as Head, Principal, Chairperson/ Dean/ Director/ Co-
ordinator, Warden, etc.
(b) Examination and evaluation duties assigned by the college/ university or attending the
examination paper evaluation
(c) Student related co-curricular, extension and field based activities such as student clubs, career
counselling, study visits, student seminars and other events, cultural, sports, NCC, NSS and
community services
S. No Academic Year Nature of the work Encl No.
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S. No. Academic Year Nature of the work Encl No.
(f) Conducting minor or major research project sponsored by national or international agencies
S. Title of the R & Funding Sanction Amount Ongoing/ PI/ Co-PI Encl
No. D Project Agency Number and Sanctioned Completed No.
Date
(g)At least one single or joint publication in peer-reviewed or UGC list of Journals
S. Title of the Author Name Year, Peer- Impact Areyou Encl
No. Research (s) of the Volume Reviewed/ Factor as First/ No.
Paper Journal & Number and UGC list per Corres./
ISSN Pagination Serial No. Clarivate Co-
Number of the Analytics author
Journal (Yes/No)
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Summary of Assessment Criteria and Methodology for Assessment Period
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Part C:
(Compulsory for promotion to Associate Professor (Academic Level 13A) and Professor
(Academic Level 14)
(The research score shall be from the minimum of three categories out of six categories.)
S. Title of the Name Year, Sl. No. in Impact No. of Are you Claimed Encl
No. Research of the Journal Volume & UGC Factor* Author Sole/ Score No.
Paper & ISSN Page no. Approved (s) First/
Number list/ Peer- Corres./
Reviewed Co-author
Total (1)
per paper-08 Marks (for Faculty of Sciences & other related disciplines)
per paper-10 Marks (for Faculty of Languages/ Humanities/ Arts/ Social Sciences/ Library/ Education/
Physical Education/ Commerce/ Management & other related disciplines)
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* Impact factor to be determined as per Thomson Reuters (Clarivate Analytics) list
(Note: Enclose all journals papers in sequence, i.e., Journal first page along with proof of ISSN No., peer reviewed,
IF, Supervisor, UGC-CARE/ Scopus/ WoS).
S. Title of the Book Title, Year ISBN No. of Are you Claimed Encl
No. publication editor and No. Author Sole/ Score No.
publisher (s) First/
Corres./
Co-author
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(a)(iv) Editor of Books by International Publishers: (10 Marks each)
S. Title of the Name of the Year ISBN No. of Are you Claimed Encl
No. Book publisher No. Editors Sole/ Score No.
(s) First/
Corres./
Co-author
S. Title of Book Book/ Year ISBN No. of Are you Claimed Encl
No. Chapter/ Research Journal Title, No./ ISSN Author Sole/ Score No.
paper and No (s) First/
publisher Corres./
Co-author
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3. Creation of ICT mediated Teaching Learning pedagogy and contents and development of
new and innovative courses and curricula
(a) Development of Innovative Pedagogy: (05 Marks each)
(b) Design of New Curricula and Courses: (02 Marks per curricula/course)
(c) MOOCs
MOOC Quadrants means: Quadrant 1: Video Lectures; Quadrant 2: E-content (supporting material like PPT,
Pdf, animation etc); Quadrant 3: Discussion Forum (with Learners); Quadrant 4: Assessment
(Objective/Descriptive tests, Quizzes etc)
Development of complete MOOCs in 4 quadrants (4credit course) (In case of MOOCs of lesser credits 05
marks/credit)- 20 Marks
MOOCs (developed in 4 quadrant) per module/lecture- 05 Marks
Content writer/subject matter expert for each module of MOOCs (at least one quadrant)- 02 Marks
Course Coordinator for MOOCs (4 credit course) (In case of MOOCs of lesser credits 02 marks/credit)- 08
marks
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Total of 3 [(a) to (d)]
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No. seeking agency claimed No
(b) Awards/Fellowship:
S. Name of the award / Name of the Academic International/ Year Claimed Encl
No. Fellowship Body/ Society/Association National Score No
Total 5C
International- 10 marks; National- 07 marks; State- 04 marks.
6. Invited Lectures/ Resource Person/ Paper Presentation in Seminars/ Conferences/ Full Paper in
Conference Proceedings/ Policy Document submitted to Body/ Organisation/ Government.
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(a) International Conference/Seminar (Abroad)
S. Title of the lecture/ Invited Lecture/ Title of Year/ Claimed Encl
No. paper Paper Presentation/ Conference/ duration Score No
Full paper in the seminar,
conference Organizer
proceeding
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Summary of Total Claimed Score by the Applicant (Only from Section C)
Category
1 2 3 4 5 6
Total 1 Total 2 Total 3 Total 4 Total 5AB Total 5C Total 6
*For the purpose of calculating research score of the teacher, the combined research score from the categories of 5(c)-
Policy Document and 6-Invited lectures/Resource Person/Paper presentation shall have an upper capping of thirty
percent of the total research score of the teacher concerned.
Annexure-A
Designation: ________________________________________________
Institute/Center: ________________________________________________
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Name
Total
For the purpose of assessing the grading of this Activity, all such periods of duration which have been spent by the
teacher on different kinds of paid leaves such as Maternity Leave, Child Care Leave, Study Leave, Medical Leave,
Extraordinary Leave and Deputation shall be excluded from the grading assessment. The teacher shall be assessed
for the remaining period of duration and the same shall be extrapolated for the entire period of assessment to
arrive at the grading of the teacher.
Annexure-A
Designation: ________________________________________________
Institute/Center: ________________________________________________
Page 15 of 17
Total
For the purpose of assessing the grading of this Activity, all such periods of duration which have been
spent by the teacher on different kinds of paid leaves such as Maternity Leave, Child Care Leave, Study
Leave, Medical Leave, Extraordinary Leave and Deputation shall be excluded from the grading
assessment. The teacher shall be assessed for the remaining period of duration and the same shall be
extrapolated for the entire period of assessment to arrive at the grading of the teacher.
Signature of applicant:
Name of applicant:
Designation :
Name of institute:
I have personally verified all facts and figures mentioned above in this form
from originals of enclosures attached and also from my office records. I
recommend upgradation of pay scale from(Reader) to
(Professor)From(date)………………..to applicant Mr/Dr/Mrs/Ms ……………….. .
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