Non-Teaching Application Forms
Non-Teaching Application Forms
1. Full Name (In block letters)___________________________________________ 2. Post applied for Department______________________ 3. (a) Father s/Husband s Name: ________________________________________ (b) Mother s name:_________________________________________________ 4. Address with phone/email (if available): Address for Correspondence Address: Address: Permanent Address
Paste Attested Passport Size Photograph
Phone: Phone: Email: 5. (a) Date of Birth: (b) Place of Birth: (d) Male or Female: (e) Marital status: (f) Religion: 6. Educational Qualifications (Strike off which is not applicable): Exam Passed University/ Year of Percentage of Board Passing Marks/Grade Matric Hr.Sec./Pre.Univ./ 10+2/ Inter/Equivalent BTech/BBA/BSc/B.Com/ Any Other MTech/MBA/MCom/MA/ MSc /MCA /Any other NET/GATE M.Phil Subject Ph.D
Topic of Thesis
............................................... ..
... Year of Award of Degree . Name of the University/Institute that has awarded the Ph.D. Degree .
...
7.
Teaching/Professional/Research positions held (Give in chronological order starting with the present post). Pay Scale Basic Pay Period of employment Nature of duties/ work
8. (a) Has there been any break in your service career? ________________________________________ If so, give details thereof with reasons_________________________________________________ (b) Have you ever been punished during your service:________________________________________ or convicted by a Court of Law? If so, give details._______________________________________ (c) Have you ever been declared medically unfit? or asked to submit your resignation or discharged or Dismissed from service? If yes, give details on a separate sheet._____________________________ 9. (a) Total teaching experience(full-time) in Institute/College/University:_________________________ (b) Total Research experience: ______________________________________________________ (c) Any other experience: ______________________________________________________ 10. Guidance/Supervision of Ph.D. Thesis: (a) Number of Candidates registered for Research Supervision at present: ____________________ (b) Number of Candidates who have successfully Completed/Submitted Ph.D Thesis. 11. Have you studied Hindi up to Matric standard? Yes/No 12. Present Designation and Grade Pay (Rs) In the Pay Scale of (Rs). Total Emoluments .. 13. List of Publications: Publications Books a) Independently b) Jointly Research Papers a) Independently b) Jointly Patents a) Independently b) Jointly Any Other Publication a) Independently b) Jointly *Paper accepted for publication will carry weight equivalent to published paper 2 Published With details of publication Accepted for Publication With details
14. RESEARCH AND ACADEMIC CONTRIBUTIONS (Applicable to Professors & Associate Professor only)
S.N. APIs Engineering / Sciences Humanities / Library / Physical Education / Management Max. Points for university & College teacher position. API Score Self Verified App. API allotted Score+ Score# 40/publication
III A Research Refereed & Indexed Journals journals with impact factor /Review Papers* published in: Refereed & Indexed Journals with impact factor 2-5 Refereed & Indexed Journals with impact factor 1-2
Refereed & Indexed Journals journals with impact factor above 5 Refereed & Journals with factor 2-5
25/publication
20/publication
Refereed Journals
Refereed Journals
15/publication
Non-refereed but recognized and reputable journals & periodicals, having ISBN/ISSN no. Conference proceedings as full papers, etc. (Abstracts not to be included)
Non-refereed but recognized & reputable journals & periodicals, having ISBN/ISSN no.
10/publication
IIIB
Research Publications (Books, chapters in books, other than refereed journal articles)
50 / sole author (book) & 10 each chapter in an edited book 25/sole author (book) and 5 each chapter in an edited book. 15/sole author (book) & 3 each chapter in an edited book.
Subjects Books by National Level Publishers / State and Central Govt. Publications with ISBN/ISSN no. Subject Books by Other local publishers with ISBN/ISSN numbers
Subjects Books by National Level Publishers / State & Central Govt. Publications with ISBN / ISSN no. Subject Books by Other local publishers with ISBN/ISSN numbers
Chapters contributed to edited Knowledge based volumes published by International Publishers Monographs /books Published without ISBN / ISSN no/ edited conference proceedings / refresher course proceedings / case studies, etc.
Chapters contributed to 10/chapter edited Knowledge based volumes published by International Publishers Monographs / books published10 without ISBN / ISSN numbers /each edited conference proceedings/ refresher course proceedings / business games/case studies, etc. Chapters in Knowledge based 5/chapter volumes by Indian /National Level publishers with ISBN / ISSN numbers & with numbers of national &international directories. points
Chapters in Knowledge based volumes by Indian/National Level publishers with ISBN / ISSN numbers and with numbers of national and international directories.
RESEARCH PROJECTS Sponsored Projects carried out/ ongoing Major Projects amount mobilized with grants Rs. 50.0 Lakhs & above /Major Projects amount mobilized with grants above Rs. 30.0 Lakhs Major Projects amount mobilized with grants above Rs. 5.0 Lakhs up to Rs.30.00 Lakhs Major Projects amount 30/20 per mobilized with grants Rs. project per 10.0 Lakhs and above / Major year of Projects amount mobilized operation. with grants above Rs. 5.0 Lakhs Major Projects amount 15/Project per mobilized with grants above year of Rs. 3.0 Lakhs up to Rs. 5.00 Operation. Lakhs 10/Project per year of Operation.
Major / Minor Projects Major/Minor Projects (Amt. mobilized with grants (Amount mobilized with Rs.50,000-5 lakh) grants Rs. 25,000-. 3 lakh) IIIC Consultancy (ii) Projects carried out /ongoing Amount mobilized above Rs. 10.00 lakh
Amount mobilized above 10 per project Rs. 2.00 lakh per year
Amount mobilized between Rs. Amount mobilized between 5 per project 10,000/- and Rs. 10.00 lakh Rs. 10000/- and Rs. 2.00 lakh per year IIIC (iii) Completed projects Projects Outcome/ Outputs Completed project Report Completed project Report 20/each major project & 10/ each minor project. 30/each national level incl. patent granted; 50/ each for international level including patent granted; & 15/each for patent applied
IIIC (iv)
Major Policy document of Govt. Bodies at Central and State Government/Semi Govt Level.
IIID
RESEARCH GUIDANCE Degree awarded Dissertation submitted Degree awarded Degree awarded i) Thesis submitted ii) Thesis evaluated of other Universities. iii) Viva-voce conducted of other Universities. Degree awarded Dissertation submitted Degree awarded Degree awarded i) Thesis submitted ii) Thesis evaluated of other Universities. iii) Viva-voce conducted 3/each candidate. 2/each candidate. 1/each candidate. 10/each candidate 7/each candidate 5/each candidate 3/each candidate Continued on page ---6---
IIID Master Degree (i) (with disserat ation or Project Work) Bachelor Degree Project work IIID (ii) Ph.D
TRAINING COURSES AND CONFERENCE/SEMINAR/SYMPOSIUM/WORKSHOP PAPERS Refresher, STP, QIP, Orientation courses, workshops+, Training, Teaching Learning- Evaluation Tech. Programme, Soft Skills Level. Programme, FDP Papers in Conferences/ Seminars/ Symposia/ workshops etc. (a) Not less than 2 weeks duration. (b) One week duration. (a) Not less than 2 weeks duration. (b) One week duration 20/each
10/each
III E (ii)
Participation and Presentation of research papers (oral/ poster) in a)International b) National c) Regional/ State level d) Local-University/ College level.
Participation and Presentation of research papers (oral/poster) in a) International 10/each b) National c) Regional/State level d) Local- University/ College level. a) International/Foreign b) National c) Regional/State level d)LocalUniversity/College level 7.5/each 5/each 3/each 10/each 7.5/each 5/each 3/each
III E (iii)
IIIE Academic Contribution (iv) through organization of RefresherCourses/ Orientation Programmes/ Conferences/ Seminars/ Workshops, etc. IIIE (v)
As a member of the organizing committee or the Advisory Committee a)International b) National c) Regional/ State level
As a member of the organizing committee or the Advisory Committee a) International 10/each b) National c) Regional/State level 7.5/each 5/each
Academic Member of University Court/ Contribution through Executive/Academic council / FC / Sports Council/ IQAC/ participation in Purchase Committee, House quality enhancement/ allotment committee, NAAC sustenance efforts. committee, UG / PG Boards of Studies, Governing Bodies of Colleges/Institutions, Inspection Committee, member of editorial board etc.
Member of University 7points Court/ Executive Council each/year. /Academic council / FC / Sports Council/ IQAC, Purchase Committee, House allotment committee, NAAC committee, UG / PG Boards of Studies, Governing Bodies of Colleges/ Institutions, Inspection Committee, member of editorial board etc. Continued on page ---7---
III F (i)
Academic Contribution A) Chairperson, Director through leadership at of Sports, Programme different level Director (weekend / Distance Education), Head (T&P), PRO, coordinator CIL/ Test house/excellence centre and any other similar non teaching duties to teachers.
A) Chairperson, Director of Sports, Programme Director (weekend/ / Distance Education), Head (T&P), PRO, coordinator CIL/ Test house/ excellence centre and any other similar non teaching duties to teachers.
B) Incharges, Warden, B) Incharges, Warden, Programme Chairperson, NSS Programme Chairperson, Coordinator, Coordinator NSS Coordinator, Alumni Association, Nodal Coordinator Alumni Officer, Coordinator / Incharge Association, Nodal Officer, International Affair Cell, Co- Coordinator / Incharge coordinator (TEQIP, SAP International Affair Cell, /FIST), Training & Placement Co-coordinator (TEQIP, Advisor, Course Coordinator/ SAP /FIST), Training & Lab Incharge, Coordinator / Placement Advisor, Course Incharge of various cells etc. Coordinator/ Lab Incharge, Coordinator / Incharge of various cells etc. III F (ii) Academic Contribution A) VC, PVC, and Registrar through leadership At senior level B) Dean Academic Affairs, Dean (Colleges), Dean Students Welfare, Deans of Faculties, Proctor, Faculty worked as COE/COF, Chief Warden, Research Coordinator, Librarian, Coordinator (TEQIP, SAP / FIST) etc. III G Fellow of Academies Research/Academic Fellowship Citation of Research Work a) International b) National a) International b) National Above 10-20 citation per paper
A) VC, PVC, and Registrar 40 points for each, subject to maximum of 40 points per year B) Dean Academic Affairs, 30 points Dean of Colleges, Dean for each, Students Welfare, Deans of subject to Faculties, Proctor, Faculty maximum worked as COE/COF, Chief of 30 points warden, Research co- per year ordinator, Librarian, Coordinator (TEQIP, SAP / FIST) etc. a) International b) National a) International b) National Above 10-20 citation per paper 10 each 5 each 10 each 5 each 1 each/citation
+ To be filled by the candidate. # To be Verified by screening committee. Note: In case of joint publications: a) If research supervisor/mentor/principal investigator/co-principal investigator and project fellow/research scholar(s) (Ph.D, M.Tech and M.Phil. etc) make publication, each will get full points, provided the contents of research paper should be a part of Thesis/ dissertation/ Project report.
b) c)
In case of joint publication other than (a) above, marks (as specified against each category in the table above) shall be equally divided among all the authors. API Score for III E (ii) will be claimed solely by the author who participated and presented the paper (oral/poster). However, 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)). Documentary proofs are required for claiming API score claimed in point 14.
d)
It is certified that the foregoing information given by me is correct and true to the best of my knowledge and belief and no material information has been concealed. Further, I am aware of the fact that if the information given above is found incorrect or false at any stage, I am liable to be punished.
Date
No Objection Certificate (For Employed candidates) This is to certify that the institute/ college/ university has no objection if Mr./Mrs./Dr
.. is appointed by the
Deenbandhu Chhotu Ram University of Science & Technology, Murthal. His/ her work and conduct at this place is . as per the records. He/ she bears a .Character.
Head of Institute/ College /University with Seal .. For office use only Recommendation of Screening Committee
For office use Application Form No (To be filled up by the Candidate) Demand Draft No . Dated Amount: .........
:________ _____________________________ :_____________________________________ :_____________________________________ :_____________________________________ :_____________________________________ :_____________________________________ :_____________________________________ :_____________________________________ ______________________________________ ______________________________________ :______________________________________
13. Sr. No. i. ii. iii. iv. v. vi. vii. viii. ix.
:______________________________________ :_____________________________________ ______________________________________ ______________________________________ Academic/Professional Qualification (Attach attested copies of mark sheets & certificates) Examination passed Board/ Year of % age of Division/ Subject/ University passing marks Class Specialization obtained Matric/Hr. Sec. 10+2/Inter/Pre. Engg. B.A./B.Sc. B. E./B. Tech./ B.Sc.(Engg.)/B. Arch. M.A. /(M.Sc./ M. Com/MBA M.E./M.Tech./M.Arch. M. Phil Ph. D. Any other 9
14.
15.
Details of Research Publication (Attach reprints of research papers) a) International Journals :_____________________________________ b) National Journals : _____________________________________ c) International Conference :_____________________________________ d) National Conference :_____________________________________ e) Seminar :_____________________________________ f) Workshop. : _____________________________________ Total :_____________________________________ 16. Do you belong to any reserved category : Yes/No (Scheduled Caste/Scheduled Tribes/Backward Class/ Ex-Serviceman/ Physical Handicapped). If yes, state the category and attach the attested copy of certificate issued by the competent authority. 17. Experience (Attach attested copies of relevant certificates):Sr. No. Organization/ Dept. Post Held Basic Pay & Pay scale drawn/ being drawn From To Total Experience Reason for leaving
1 2 3 4 18. Details of present employment (Attach Employer s Certificate) a) Name of the organization :_____________________________________ b) Designation : ____________________________________ c) Pay Scale :____________________________________ d) Basic Pay :____________________________________ e) Date of Next increment :____________________________________ Basic pay acceptable :____________________________________ Minimum joining period required :____________________________________ Reference from the two responsible persons of the field and not related to you (i)______________________________ (ii)______________________________ ____________________________________ ____________________________________ 10
22.
:___________________________________
Certified that the above information furnished by me in this application form is correct and true and nothing has been concealed in it. I also undertake to accept the liability for any action under the rules for any wrong-statement or concealment of facts on my part. Place: Date: Signature of applicant
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IMPORTANT INSTRUCTIONS FOR ADVERTISEMENT Candidates must go through the following instructions before filling up the application form:
1. Name of the post applied for must be super-scribed at the top of the envelope as under:Application for the post of ___________________________ .
2. Those who are already in employment should submit their Application Form through proper channel. 3. Reservation of posts of S C/ BC/ PH/ ES M/ S ports will be for Haryana residents only and as per other conditions of reservation policy of State Govt./University. 4. Candidates applying for the posts under ES M category should submit a certificate duly issued by the Zila S ainik Board to the effect that his/ her father has not availed the benefit of re-employment in any Government service, Public S ector Undertakings including Para-Military Forces, in view of S tate Government instructions. 5. The complete application forms should reach the office of Registrar, Deenbandhu Chhotu Ram University of Science & Technology, Murthal (Sonepat) - 131039 by 14th June, 2013. 6. The application forms received after due date shall be rejected. The incomplete application forms shall also be rejected. 7. The applicants must specifically mention the Category of the post in which he/she is must enclose the attested copies of the documents. applying for and
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