Application Form

1 Your Name : *
2 Designation : *
3 College / Institution : *
4 Department : *
5 Discipline :
6 Category(Senior / Junior) :
7 Address for Communication : *
  a) Mobile No. : *
  b) Email ID : *

8 Qualification with specialization:
Degree Major Specialization Year of Passing University % of Marks University Ranks if any
P.G
M. Phil
Ph. D
D S/ D. Lit

9. Additional Qualification if any (Degree / Diploma / Certification)
S.No Qualification Year of Passing
1

10 Teaching Experience
Classes
Years
FromTo
 Institutions Department Duration
UG
PG

11 Achievements in Teaching (past 5 years)
Classes Subjects Handled
Academic Years
FromTo
 Results Produced % Pass University Ranks Produced
UG
PG
M.Phill

Note: Furnish details of the following in maximum of 5 sentences
  • Novel methods of teaching adopted
  • Teaching aids / Materials used
  • Teaching method / Materials innovated
  • Innovative methods adopted for maximizing pass percentage / Distinction and University Ranks
  • Innovative methods adopted to make the students skilled and employable
  • Innovative methods adopted to maintain students discipline

    		•
    12 Research Guidance – M. Phil. & Ph. D. Accomplished
    S.No Name of the Student / Students Title Center Date of Commencement Date of Completion
    1

    13 Research Guidance – M. Phil. & Ph. D.On Going
    S.No Name of the Student / Students Title Center Date of Commencement Date of Completion
    1

    14 Research Projects 13.1 Accomplished/ On Going
    S.No Name of the Student / Students Title Center Date of Commencement Date of Completion
    1

    15 Visits Abroad
    Country Purpose
    Duration
    FromTo
    		 Qualification acquired if any Experience gained

    16 Details of Publications: 15.1 Articles
    S.No Name of the Journal National/ International/ Refereed Title Author(s) Date of Issue and Volume Page Nos
    1

    17 Books/Book lets/Monographs published /under publication.
    S.No Title Year of Publication Author(s) No of Pages Price
    1

    18 In House Magazines/News/Journals
    S.No Position Name
    Period
    FromTo
    1 Editor
    2 Member

    19 Seminars –Paper Presentation / Participation 16.1.State Seminar
    S.No Name of the Event Date(s) Address of the Institution/Organization where held Theme of the Seminar Title of the Paper Presented / Participated
    1

    20 National Seminar
    S.No Name of the Event Date(s) Address of the Institution/Organization where held Theme of the Seminar Title of the Paper Presented / Participated
    1

    21 International Seminar
    S.No Name of the Event Date(s) Address of the Institution/Organization where held Theme of the Seminar Title of the Paper Presented / Participated
    1

    22 Seminar /Meeting – Presided Over / Chaired / acted as Resource Person
    S.No Nature of Participation Name of the Event Date(s) Address of the Institution/Organization where held Title of the Paper Presented / Participated
    1

    23 Seminars/Events Organized
    S.No Name of the Event Date(s) Address of the Institution/Organization where held Inter College/State/ National/ International
    1

    24 University Assignments/Representation
    S.No Position University Bodies
    Period
    FromTo
    1 Member Syndicate
    2 Member Senate

    25 In House Magazines/News/Journals
    S.No Position Name of the Board
    Period
    FromTo
    1 Chairman
    2 Member
    3 Chairman
    4 Examiner

    26 Ph. D Public Viva voce
    S.No Position Name of the Candidate Title Venue Date
    1

    27 Role in Co & Extra curricular activities: Last 5 years
    S.No Position
    Period
    FromTo
    1

    28 Membership in the University Inspection Commission
    S.No Position Subject Name of the Commission(Subject) Date of Inspection
    1 Chairman
    2 Member

     
     
    29 Furnish any other relevant information to be considered for the award:

    30 Are you a recipient of Life Time Achievement Award ?
    Yes No