GAUHATI UNIVERSITY : GUWAHATI - 14 : ASSAM

APPLICATION FORMAT FOR TEACHING AND ADMINISTRATIVE POSTS

(Direct Recruitment)
NB: a) For Teaching posts, the whole application including the Part-B on Academic Performance
Indicators need to be filled in.
b) For Administrative posts, the Part-B on Academic Performance Indicators need not be filled in.
c) Incomplete Applications, Applications without the application fees or without the signature are
likely to be rejected.
PART-A : GENERAL INFORMATION

a. ADVERTISEMENT NO. & DATE : ..... POST NO. : ......

b. NAME OF THE POST APPLIED FOR : .
c. SPECIALISATION APPLIED FOR: ..
d. DEPARTMENT/ CENTRE/ OFFICE APPLIED FOR :
e. CATEGORY APPLIED FOR (PLEASE TICK) :
(attested copy of certificate to be submitted, except

UR

SC

ST

OBC PWD EX-SER

for UR)

f. Details of fees paid and enclosed : Demand Draft /University Challan No. ..
Amount : Rs. Date : .. Bank : Branch : .....

1.

Name in full (in block capital letters) : .

2.

Fathers name : ....

3.

Permanent Address : ..
.
..
PIN : Contact phone no. .

4.

Address for communication : ...

.
..

PIN : Contact phone no. .

Email id : ....
5.

Date of birth in Christian era : ...

6.

Age on the date of application ( that is : ..) : ...

7.

Nationality : .

8.

Religion : ..

9.

Sex : .

10.

Category (SC/ST/OBC/ PWD/EX-SER) (Pl. attach copy of certificate): ..

11.

Details of Academic Qualifications (Please enclose attested photocopies) :

Exam. passed

Year of Division/ Percentage Name of the

passing
Class
of marks
University

Matriculation/
HSLC

PU/ HSSLC

B.A/ B.Sc/ B.Com

& equivalent

M.A/ M.Sc/ M.Com

& equivalent

M.Phil

Ph.D

Others (Please
specify)

Board/ Rank
and
Remark,
if
any

12.

Particulars of NET/SLET/GATE etc (Pl. enclose photocopies) :

Name of the Test

Name
of
organization

the Month
and Year

Roll No.

Subject

Score,
where
applicable

13.

Subject in Masters degree : ..

14.

Field of specialization in Masters degree : .....

15.

Title of the Ph. D thesis : .

.
.

16.

Name and address of the Ph.D guide : ...

PIN : .... Contact phone no. : .

Email id : ..

17.

Length of teaching experiences at UG level : .. years .. months

18.

Length of teaching experiences at PG level : .. years .. months

19.

Length of administrative services : . years .. months

20.

Length of research experiences : .. years .. months

21.

Length of research guidance at doctoral level experiences : .. years .. months

22.

No. of Ph.D students presently guiding : ..

23.

No. of Ph.D students finally registered for Ph. D degree : ..

24.

No. of students awarded Ph.D degree :

25.

Total nos. of Seminar/Conferences attended: International .

National Regional/Local /Others .

26.

No. of research papers presented in Seminar/Conferences (please enclose list giving title of the
paper, authors, whether oral or poster, names of the seminar/ conference, dates, venue and
country) : International National Regional/Local/Others

27.

Details of past services in Teaching and Administrative posts in Colleges and Universities/
Institutions/National Laboratories/CSIR/ICAR/UGC/ etc (Pl. enclose supporting documents):

Name of the
post held

Name of the
Institution

Length of Scale of pay

services :
/Pay band/
band pay/
AGP/ GP as
applicable

Temporary/
Permanent/
Ad-hoc etc

Nature of
duties

Remark, if
any

28.

Names of Seminar/ Summer Institute/Refreshers Courses/ Symposia attended (Pl. attach

additional sheet, if required) :

Srl.
no

Name of the Seminar etc

Date

Venue

Paper presented
(yes/No) or not

Sponsored by

29.
Srl.
No

List of Research publications (Pl. attach additional sheet, if required) :

Title of the Research Paper
published

Year of
publication, Vol.
& No.

Name of the
journal

National /
International

30.

Present position held with date : ....

31.

Present Pay Band, Band Pay and AGP/GP : ..

32.

Effective date of present Pay Band, Band Pay and AGP/GP :

33.

Name of the employer, with address : .

PIN : Contact phone no. ... Email id : ...

34.

Names of two referees not related to the applicant :

a)
..
.
PIN : Contact phone no. ... Email id : ...
b)
..

PIN : Contact phone no. ... Email id : ...

35.

Any Additional information, the candidate wishes to provide, if any (Pl. attach additional
sheet, if required) :

36.

Declaration :
I hereby declare that I have carefully read and understood the instructions and regulations referred
here in and that all the statements made in this application are true and complete to the best of my
knowledge and belief. I understand that the competent authority can take appropriate action against
me in case any of the information is found to be incorrect at any stage.

Signature of the applicant : .

Date : ..

Name in full : .

Place : .

Designation / Department:
Address :
.

PART-B : ACADEMIC PERFORMANCE INDICATORS

(For detailed instructions of this PBAS proforma, the candidates should refer to the UGC regulations on
minimum qualifications for appointment of teacher and other academic staff in the Universities and
Colleges and measures for maintenance of standards in Higher Education 2010 published vide reference
No. F.3-1/2009 dated 30 June 2010. Some instruction for filling up this part B to this PBAS proforma is
also included at the end of this form, which may also be seen before filling up)

CATEGORY : 1 TEACHING, LEARNING AND EVALUATION RELATED ACTIVITES

(i) Lecturers, Seminar, Tutorials, Practical, Contact Hours (give Semester-wise details, where necessary)
S.No.

Course/Paper

Level

Mode of
teaching

No. of class
per
week
allotted

No. of classes
conducted

Percentage
of
classes/Practical
taken
as
per
documented record

Lecture (L), Seminar(S), Tutorial(T), Practical(P), Contact Hours(C)

API Score
(a)
(b)

Classes Taken (max. 50 for 100% performance & proportionate score up

to 80% performance, below which no score may be given
Teaching Load in excess of UGC norm (max Score:10)

(II) Reading/Instructional material consulted and additional knowledge resources provided to students.
S.No.

Course/Paper

Consulted

Prescribed

Additional
Resource Provided

API score based on preparation and Imparting of knowledge/Instruction as per curriculum &
syllabus enrichment by providing additional resources to students(max. score:20)

API Score

(III) Use of Participatory and Innovative Teaching-Learning Methodologies, Updating of Subject Content,
Course improvement etc.
S.NO.

Short Description

API Score

Total Score (Max Score:20)

(IV) Examination Duties Assigned and Performed

S.No.

Type of Examination Duties

Duties Assigned

Extent to which carried

out(%)

API Score

Total Score (Max:25)

CATEGORY : II CO-CURRICULAR, EXTENSION, PROFESSIONAL DEVELOPMENT

RELATED ACTIVITIES
Please mention your contribution to any of the following :
S.No.

Type of Activity
(I) Extension, Co-curricular & filed based
Activities

Total (Max:20)
(II) Contribution to Corporate Life and
Management of the Institution

Average Hrs/week

API Core

Yearly/Semester wise responsibilities

API Score

Total (Max : 15)

(III) Professional Development Activities

Total (Max:15)
Total Score (I+II+III) (Max:25)

CATEGORY : III RESEARCH, PUBLICATIONS AND ACADEMIC CONTRIBUTIONS

A)
S.No.

B)(I)
S.No.

Published Papers in Journals

Title with
page nos.

Journal

ISSN/ISBN
No.

Whether peer
reviewed Impact
Factor, if any

No. of
Co-authors

Whether you
are the main
author

API Score

Articles/Chapters published in Books

Title with
page nos.

Book Title,
editor &
publisher

ISSN/ISBN
No.

Whether peer
reviewed

No. of
Co-authors

Whether you
are the main
author

API Score

B)(II) Full Papers in Conference proceedings

S.No.

Title with
page nos.

Details of Conference
publication

ISSN/ISBN
No.

No. of Coauthors

10

Whether you are the

main author

API Score

B)(III) Books Published as single author or as editor

S.No.

Title with
page nos.

Type of Book &

Authorship

Publisher &
ISSN/ISBN
No

Whether peer
reviewed

No. of
Co-authors

Whether you
are the main
author

API Score

III)C) Ongoing and Completed Research Project and Consultancies

(c) (I & II) Ongoing Projects/Consultancies
S.No.

Title

Agency Period

Grant/Amount
Mobilized (Rs. Lakh)

API Score

(c) (III & IV) Completed Projects/Consultancies

S.No.

Title

Agency

Period

Grant/Amount
Mobilized (Rs.
Lakh)

Whether policy
documents/patent as
outcome

API Score

(D) Research Guidance

S.No.

Number Enrolled

Thesis submitted

M.Phil or equivalent
Ph.D. or equivalent

11

Degree awarded

API Score

(E) (I) Training Course, Teaching-Learning-Evaluation Technology Programmes, Faculty Development

Programme (not less than one week duration)
S.No.

Programme

Duration

Organized by

API Score

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

S.No

Title of the Paper

presented

Title of Conference/
Seminar etc.

Organized by

Whether
International/National/State/
Regional/College or
University level

API Score

(E) (III) Invited Lecturers and Chairmanships at national or International Conference/Seminar etc.
S.No

Title of Lecturer/
Academic Session

Title of Conference/
Seminar etc.

Organized by

Whether International/
National

API Score

IV. SUMMARY OF API SCORES

Criteria

I
II

III

Last Academic Year

Teaching, Learning and Evaluation

related activities
Co-curricular, Extension,
Professional development etc.
Total I+II
Research and Academic
Contribution

12

Total-API Score for

Assessment Period

Annual AV. API Score for

Assessment period

PART-C : OTHER RELEVANT INFORMATION

Please give details of any other credential, significant contributions, awards received etc. not mentioned earlier.
S.No.

Details (Mention Year, value etc. where relevant)

LIST OF ENCLOSURES: (Please attach, copies of certificates, sanction orders, papers etc. wherever necessary)
1

10

I certify that the information provided is correct as per records available with the University and/or documents
enclosed along with the duly filled PBAS Proforma.

Signature of the faculty with

Designation, Place & Date

Signature of HoD/Principal

N.B. : The Annual Self-Assessment proforma duly filled along with all enclosures,
submitted for CAS promotions will be verified by the University and information filed with the IQAC.

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INSTRUCTIONS FOR FILLING UP PART -B OF THE PBAS PROFORMA

Part B of the Proforma is based on Appendix III, Table 1 of the UGC Regulations 2010. It is to be filled out for the
recently completed academic year.
The proforma is to be filled as per these tables and self-assessment scores given. For each category, maximum
scores that can be given or carried forward is indicated in the Table.
The self-assessment scores are further to be based on the indicators/activities given below. Universities may modify
the detailed indicators and related scores based on their experience and requirement without changing the score
requirements assigned to categories and sub-categories in Appendix-III, Table-1.

N.B. : The self-assessment scores and subject to verification by the University/College,

and by the Screening Cum Verification Committee or Selection Committee as the case may be.
I.

Teaching and Evaluation Related Performance

(i) a.
Lecturer/Practicals/Tutorials/Contact classes taken should be based on Max Score : 50
verifiable records.
No. score should be assigned if a teacher has taken less than (say) 80%
assigned classes. Universities may give allowance for periods of leave where
alternative teaching arrangements would ordinarily be made.
Maximum score if there is 100% achievement.
b.
If teacher has taken classes exceeding UGC norm, then two point to be Max Score : 10
assigned for each extra hour of classes

(ii)
Imparting of knowledge/instruction vis a vis with the prescribed material Max Score : 20
(Text book/Manual etc.) and methodology of the curriculum (100%
compliance=20 points)

(iii) Use of Participatory and Innovative Teaching-Learning Methodologies, Updating of subject Content,
Course Improvement etc.
Indicators/Activities
Updating of courses, design of curriculum (5-single course)
Preparation of resource material, fresh reading materials, Laboratory manuals
etc.
Use of Innovative teaching-learning methodologies; us of ICT; Updated
subject content and course improvement
a. ICT Based Teaching material : 10 points/each

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Maximum Score
10
10
10

b. Interactive Course : 5 points/each

c. Participatory Learning modules : 5 points/each
Developing and imparting Remedial/Bridge Courses and Counseling modules
(Each activity : 5 points)
Developing and imparting soft skills/communication skills/personality
development course/modules (Each activity : 5 points)
Developing and imparting specialized teaching-learning programmes in
physical education, library, innovative compositions and creations in music,
performing and visual arts and other traditional areas (Each activity : 5 points)
Organizing and conduction of popularization programmes/training courses in
computer assisted teaching/web-based learning and e-library skills to students
(a) Workshop/Training Course : 10 points each.
(b) Popularization program : 5 points each
Maximum Aggregate Limit

10
10
10

10

20

(iv) Examinations Related work

Indicators
College/University end semester/Annual Examination work as per duties
allotted.
(Invigilation-10 points; Evaluation of answer scrips-5 points; Question paper
setting-5 points).
(100% compliance=20 points)
College/University
examination/Evaluation
responsibilities
for
internal/continuous assessment work as allotted (100% compliance=10
points)
Examination work such as coordination, or flying squad duties etc. (maximum
of 5 or 10 depending upon intensity of duty) (100% compliance=10 points)
Maximum Aggregate Limit B (iv)

Maximum Score
20

10

10
25

II : Co-curricular, Extension and Profession Related Activities and Participation in the Corporate Life of the
Institution.
(i)

Extension and Co-curricular Related Activities:

Institutional Co-curricular activities for students such as field

studies/educational tours, industry-implant training and placement activity (5
point each).
Positions held/Leadership role played in organization linked with Extension
Work and National service Scheme (NSS), or any other similar activity (each
activity 10 points)
Students and Staff Related Socio Cultural and Sports Programmes, Campus
publications (departmental level 2 points, institutional level 5 points)
Community work such as values of National Integration, secularism,
democracy, socialism, humanism, peace, scientific temper; flood or, drought
relief, small family norms etc. (5 points each)x
Maximum Aggregate Limit

15

10

10

10
10

20

(ii)
Contribution to Corporate Life and Management of the Institution :
Contribution to Corporate life in Universities/Colleges through meetings,
popular lectures, subject related events, articles in college magazine and
University volumes(2 points each)
Institutional Governance responsibilities like, Vice Principal, Dean, Director,
Warden, Bursar, School Chairperson IQAC coordinator (10 points each)
Participation in committees concerned with any aspect of departmental or
institutional management such as admission committee, campus development,
library committee (5 point each).
Responsibility for, or participation in committees for Students Welfare,
Counseling and Discipline (5 each)
Organization of Conference/Training : International (10 points)
National/Regional (5 points)
Maximum Aggregate Limit
(iii)
Professional Development Related Activities :
Indicator/Activities
Membership in profession related committees at state and national level
a. At national level : 3 points each
b. At site level : 2 points each
Participation in subject associations, conferences, seminars without paper
presentation
(Each activity : 2 point)
Participation in short term training course less than one week duration in
education technology, curriculum development, professional development,
Examination reforms, Institutional governance (each activity : 5 points)
Membership/participation in Bodies/Committees on Education and National
Development( 5 each).
Publication of Articles in newspapers, magazines or other publications (not
covered in category 3); radio talk etc. (1 point each).
Maximum Aggregate Limit

10

10
10

10

15

Maximum Score
10

10

10

10
10
15

CATEGORY : III Research and Publications and Academic Contributions

This is to be filled as per Appendix III Table-1, Category III of the UGC Regulations 2010. Wherever the
research contribution is jointly made, the API Scores should be shared between the contributors as per the
formula in the Table-1
III

Summary of API Scores

The summary must take into account the maximum score limits for each set of indicators as given in
Appendix III, Table-1
IV.
Similar PBAS proforma could be developed by the Universities for the Cadres of Librarian/Deputy
Librarian/Assistant Librarian and Director of Physical Education & Sports/Deputy Director of Physics Education &
Sports/Assistant Director of Physical Education & Sports based on the API Scoring pattern outlined in Appendix
III: Tables-IV to IX of the UGC Regulations, 2010.

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