Application Form for the post of Assistant Professor (as per NCTE)

in the Subject of _______________________________________

For Office Use Only

Inward No.: Account General
Date:
Sr. No.

Total Pages verified (Yes/No) :

Payment verification Detail : DD No./Reference No. Date :

D.D. No. _______________ For online Payment :

Date : ___/____/2024, Rs.________, Bank Name : State Bank of India, Vesu Branch, Surat
Name of the Bank : ______________________ Account Number : 00000040240013948
Branch_____________ Payable at _________ IFSC Code : SBIN0013358

Total Page Numbers including all Enclosures

1. Full Name (as per SSC / HSC

Mark sheet in Block letter) : Affix here
your latest
Passport
Father’s/Husband’s Name : size Photo
Mother’s Name:
Gender:

2. (i)Please Tick ()appropriate. Please enclose Caste Certificate of appropriate authority, if

applicable

S.C. S.T. OBC / SEBC EWS General PH Page No

(Note: Attach certificates from the competent authority wherever applicable)

(A) Caste Certificate No. :____________________(B) Issue Date: __________________

(C) (i) Name of Issuing Authority_________________

(ii) Whether candidate belongs to Minority ? (YES/NO)

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 (iii) Ex-Serviceman (YES/NO)

(iv) Birth Place _______________ Tal. ____________ Dist._______________ State ______________

(v) Native Place_______________ Tal. ____________ Dist._______________ State ______________

(vi) Religion _____________ (vii) Nationality ___________ (viii) Mother tongue_____________

(ix) Blood Group_____________ (x) Height _________ cms (xi) Weight ___________ Kgs.

(xii) Personal Marks of Identification: ___________________________________________________

(xiii) Languages Known :

Languages Known Read Write Verbal Communication

Gujarati
Hindi
English

3. Date of Birth: / /
(dd/mm/yyyy)
Specify age in years, months and days from date of birth to last date of receiving application in
following table:

Year Month Days Page No

(Attach copy of the School Leaving Certificate/Birth Certificate etc. in which the Birth Date is mentioned.)

4. Please Tick () appropriate:

Married Unmarried Divorce Widow / Widower

5. Full Address for correspondence (In Block Letters):

Name:
Address with pin code:

Mobile Number:
Alternate Mobile Number:
E-mail address:

2
6. Educational Qualifications: Examinations passed (Attested copies of all testimonials/
Certificates including Marks, Grade, Certificate should be attached) :

* Proof of Conversion from CGPA to percentage is a must.

Marks obtained
Year & Month of

No. of attempts
Total Marks &
Notification date
Specialization

Percentage /
Subsidiary
Name of the

Principal

Grade(*)
Subject /

Page No
Name of

Subject

Passing/

Class
Sr. Examining
Examination /
No. Body /
Degree
University

1 S.S.C.

10

11

12

13

14

15

Note : Mention all-academic credentials starting from SSC to highest Degree including GSET/NET etc. in
ascending order.
Sr. Gold Medal / Prize / Rank Certificate Degree Year / Month Page No.
No (In case of first rank) Bachelor / Master
.
1

7. Area of Specialization: ________________________________________

3
8. Current Position :
Full Name & Address of the Current Employer
Designation
Government/ Grant in Aid/ Self Finance/ Private

4
Institute/ Organization etc.
Full Time/ Part Time/ Temporary Ad-hoc/ Contractual
Basic Pay with Pay Scale / Fixed pay
Date of Joining
Page No

9. Details of Teaching Experience :

Sr. No

Full Name & Address of the

Employer
Designation

Date of Joining
Date of Leaving
Experience in Years, Month
and Days
Government/ Grant in Aid/ Self Finance/ Private

5
Institute/ Organization etc.
Full Time/ Part Time/ Temporary Ad-hoc/ Contractual
Basic Pay with Pay Scale / Fixed pay
Gross Salary
Page No
1

6
 4

Total Experience (Years, Month and Days)

Note: For each entry including current position in above table attach appointment letter, experience letter, proof
of Basic Pay with Pay Scale, Gross Salary as applicable should be attached.

10. A: Teaching Experience:

Level From To Year/s Month/s Day/s Page No
(dd/mm/yyyy) (dd/mm/yyyy)
U.G.
P.G.
Total (U.G. + P.G.)

B: Professional / IndustrialExperience
Sr. Name of Designation From To Year/s Month/s Day/s Page
Institute/
No (dd/mm/yyyy) (dd/mm/yyyy) No
Industry /
Organization
etc.
1
2

Total Experience (Years, Month and Days)

C: Research Experience : (Except M.Phil / Ph.D. work)

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 Sr. Name of Designation From To Year/s Month/s Day/s Page
Institute/
No (dd/mm/yyyy) (dd/mm/yyyy) No
Industry /
Organization
etc.
1
2

Total Experience (Years, Month and Days)

11. Information regarding recognition as a Post-Graduate Teacher. (Please attach Certificate)

Sr. No. Date of recognition as a Post-Graduate Name of the University Page No

teacher Granting Recognition

12.Information regarding recognition as a Ph.D. Guide/Supervisor.(Please attachCertificate)

Sr. No. Date of recognition as a Ph.D. Name of the University Page No

Guide/Supervisor granting recognition

13. Research Guidance:

Sr. Degree No. of Students pursuing No. of Students awarded Page No

No.
1 Ph.D.

2 M. Phil.

3 Others

14. Details for Calculating Academic/Research Score:

(14.1) Research Papers in Peer-Reviewed/UGC Listed/ UGC Care

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 Sr. Title ofthe Research Paper Authors Type of Author: Name ofthe Type of Impact ISSN Page
No. First/ Principal/ JournalVol. Journals: factoras No.
Corresponding No.&pp / Peer- per
Year Reviewed/ Thomson
UGC Reuters
Listed with on the
Sr. No./ date of
UGC Care publicati
on
1

(14.2)Publication (other than Research papers)

Sr. Title of the Book Authors
Type of Name of the ISBN Page
No. Author: Publisher, Month, No.
First/Principal/ Year
Corresponding
(a) BOOKS AUTHORED WHICH ARE PUBLISHED BY:
International publishers
1

National publishers
1

Chapter in Edited Book

1

Editor of Book by International Publisher

1

Editor of Book by National Publisher

1

(b) Translation works in Indian and Foreign Languages by qualified faculties

Chapter or Research Paper

Book

Note: Attach front, index and back pages justifying the claim showing the ISBN/ISSN No.

(14.3) CREATION OF ICT MEDIATED TEACHING LEARNING PEDAGOGY AND

CONTENT AND DEVELOPMENT OF NEW AND INNOVATIVE COURSES AND
CURRICULA.

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 Sr. Page
No. Activity* No.
(a) DEVELOPMENT OF INNOVATIVE PEDAGOGY
1

(b) DESIGN OF NEW CURRICULA AND COURSES

1

(c) MOOCs
Development of complete MOOCs in 4 quadrants (4 credit course) (In case of MOOCs of lesser credits 05
marks/credit)
1

MOOCs (developed in 4 quadrant) per module/lecture

Content writer/subject matter expert for each module of MOOCs (at least one quadrant)
1

Course Coordinator for MOOCs (4 credit course)(In case of MOOCs of lesser credits 02 marks/credit)
1

(d) E-CONTENT

Development of e-Content in 4 quadrants for a complete course/e-book

1

e-Content (developed in 4 quadrants) per module

Contribution to development of e-content module in complete course/paper/e-book (at least one quadrant)
1

Editor of e-content for complete course/ paper /e-book

* Each activity should be claimed by the applicant with supporting documents.

(14.4) (a) RESEARCH GUIDANCE - Ph.D. awarded / Thesis submitted*
Sr. Name of the Nature of Title of the Awarded / University Month and Page
No. Scholar Guidance Thesis Thesis submitted Year No.
(Guide or Co-
guide)

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 1

* Submit Ph.D. Certificate of Submission /PhD award letter/Ph.D. Notification.

M.Phil. awarded /P.G. Dissertation*

Sr. Name of the Title of the M.Phil. / University Month and Page
No. Scholar Dissertation/Thesis P.G. Year No.

* Submit M.Phil./P.G. Dissertation Certificate of submission

(14.4) (b) RESEARCH PROJECTS COMPLETED (Enclose copy of project sanction order,
Utilization and completion certificate issued by the University/Competent Authority)

Sr. Title of the Project Funding Grant Sanctioned Duration Page

No. (More than Rs. 10 lakhs) Names of Agency No.
PI and co-
PI From To
1

Sr. Title of the Project Funding Grant Sanctioned Duration Page

Names of No.
No. (Less than Rs.10 lakhs) Agency
PI and co-
PI From To

(14.4) (c) RESEARCH PROJECTS ONGOING: (Enclose copy of project sanction order)

Sr. Title of the Project Funding Grant Sanctioned Duration Page

No. (More than Rs.10 lakhs) Names of Agency No.
PI and co-
PI From To
1

Sr. Title of the Project Funding Grant Sanctioned Duration Page

Names of No.
No. (Less than Rs.10 lakhs) Agency
PI and co-
PI From To

(14.4) (d) CONSULTANCY

Sr. Description of Name of Consultancy Duration Page
No. consultancy Agency/Institution etc. Amount No.

From To

Note: Supportive documents as applicable such as nature of consultancy, role and responsibility of the applicant
pertaining to said consultancy, revenue sharing document, copy of MOU and any other relevant
document.
(14.5) (a) PATENTS

Sr. No. Details of Patent including the International/ National Year of Page
names of Patentee Award No.

11
 1

Note: Applicant should enclose patent award certificate.

(14.5) (b) *Policy Document (Submitted to an International body/organization like

UNO/UNESCO/World Bank/International Monetary Fund etc. or Central Government
or State Government)

Sr. Details of Policy Document Body/Organization International/ Year Page

No. National / State No.

(14.5) (c) Awards/Fellowship

Sr. Name of the Award / Awarding Institute/ International/ Date of Page

No. Fellowship Organization National / Award No.

(14.6) *INVITED LECTURES / RESOURCE PERSON/ PAPER PRESENTATION IN

SEMINARS/ CONFERENCES/FULL PAPER IN CONFERENCE PROCEEDINGS
(Paper presented in Seminars/Conferences and also published as full paper in
Conference Proceedings will be counted only once)
Sr. Title Name of the Invited Organizer/ International Page
No. Event with Lectures/Resource Institute (Abroad)/International(within No.
date person/Paper country) / National / State /
presentation University level
(Oral/Poster)
1

Any other information :

Sr. Activity/Information Page No.

No.
1.
2.

Clarifications forTable-2
Clarifications for Item No. 14.1 to 14.6 and best Research Publications to be strictly followed
by candidate while filling up the application form.
Sr. Academic/Research Activity Clarifications
No
12
.
1. Research Papers in Peer-reviewed or  Research Papers published in Journals
UGC Listed Journals listed in UGC-CARE will only be
considered for Academic/ Research activity
if the publication date of the said Research
papers is on or after 14th June 2019.
 Research Papers published in Peer-
Reviewed /UGC Listed Journals will also
be considered only if the publication date
of the said Research papers is before 14th
June 2019.
 Research Papers published on or after 14th
June 2019, if the journal in which the
research paper is published is subsequently
removed from the UGC-CARE list and if
the candidate provides proof that the
journal was in the UGC-CARE list on the
date of publication, then the Research paper
will be considered.
 Only published Research Papers will be
considered for Academic/ Research
activity. Merely acceptance of the Research
Papers will not be considered for
Academic/ Research activity.
2. Publications (other than research  For Chapters published in Edited books, the
papers) book should have ISBN.
(a) Books authored which are published by:
(i) International Publishers
(ii) National Publishers
(iii) Chapter in Edited Book
(iv) Editor of Book by International
Publisher
(v) Editor of Book by National
Publisher
(a) Translation works in Indian and  If translation workis done for the entire
Foreign Languages by Qualified book, the candidate should claim points
Faculties only for the book and not for individual
(i) Chapter orResearch Paper Chapters. Provided the book should have
(ii) Book ISBN and the candidate’s name should be
mentioned as the translator in the book.
3. Creation of ICT-mediated Teaching
Learningpedagogy and content and
development of new and
innovative courses and curricula
(a) Development of Innovative  The Development of Innovative pedagogy
pedagogy should be as per the UGC Guidelines
forInnovative Pedagogical Approaches &
Evaluation Reforms published on
22/12/2022
(b) Design of new curricula and courses  Appointment of the applicant for such
assignment should be made by a competent
body/authority(i.e. Board of
Studies/Academic Council etc.) exclusively
for designing and content development of
new curricula and courses. Merely revision
of a course/syllabi will not be considered for
Research Score.
(c) MOOCs  For MOOC and e-Content development, the
(i) Development of complete MHRD Guidelines for developing online
MOOCs in 4 quadrants (4 credit Courses for SWAYAM’, 1st June 2017 has

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 course)(In case of MOOCs of to be followed.
lesser credits 05 marks/credit)
(ii) MOOCs (developed in 4 quadrants)
per module/lecture
(iii) Content writer/subject
matter expert for each module of
MOOCs (at least one quadrant)
(iv)Course Coordinator for MOOCs (4
credit course)(In case of MOOCs of
lesser credits 02 marks/credit)
(d) E-Content
(i) Development of e-Content in 4
quadrants for a complete course/e-
book
(ii) e-Content (developed in 4
quadrants) per module
(iii) Contribution to the
development of e-content module in
complete course/paper/e-book (at
least one quadrant)
(iv)Editor of e-content for complete
course/ paper /e-book
4. (a) Research Guidance  For P.G. Dissertation, the Research Score
(i) Ph.D. will be considered only if it is full-time and
(ii) M.Phil./P.G. Dissertation one semester without any other
course(paper) completed or studied in
parallel during the tenure of the P.G.
Dissertation.
(b) Research Projects Completed  In case of Research Projects (Completed or
More than 10 lakhs Ongoing) given to an individual or
Less than 10 lakhs University/Institution, Director and Co-
Director, Convenor and Co-Convenor,
(c) Research Project Ongoing Coordinator, and Co-Coordinator, etc. will
More than 10 lakhs be considered equivalent to Principal
Less than 10 lakhs Investigator and Co-Investigator
respectively. In the case of a Project team
member, he/she will be considered
equivalent to Co-Investigator.
(d) Consultancy ---
5. (a) Patents  Patent Awarded/Granted Certificate should
International be considered for Research Score. Merely
National Patent application/registration Certificate
will not be considered for Research Score.
(b) *Policy Document (Submitted to an ---
International body/organization like
UNO/UNESCO/World
Bank/International Monetary Fund etc.
or Central Government or State
Government)
International
National
State
(c) Awards/Fellowship  Best papers awarded during
International conferences/seminars/workshops etc. will
National not be considered.
6. *Invited lectures / Resource Person/  Invited Lectures/Resource Persons in
paper presentation in Seminars/ Seminars / Conferences / Workshops /

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Conferences/full paper in Conference Training Programmes / Short Term
Proceedings (Paper presented in Programmes / FDP /QIP/ Symposium /
Seminars/Conferences and also RefresherCourses / Orientation Programme
will be considered for Research Score.
published as a full paper in Conference
 Lectures delivered as a part of Syllabi from
Proceedings will be counted only once) course content will not be considered for
International (Abroad) Research Score.
International (Within the country)  Membership in various committees of event
National organization viz. Conference organizing
State/University committee, Advisory Committee, Technical
Committee, Publication Committee, etc. will
not be considered for Research Score.
 In the case of Paper presentation
(Poster/Oral), Proof of Paper presentation by
the candidate will be considered for the
Research Score. A mere attendance
certificate for the same will not be
considered for Research Score.

15
(15) Score Card (Applicant should fill up Table No. 3A)

Table No: 3A
Criteria for Short-listing of Candidates for Interview for the post of Assistant Professors in
University.

S Academic Record Maxi Score Score Encl.

r. mum claim verifi Page
N Score ed by ed by Nos.
o candi Unive From__
date rsity To___
1 Graduation 15
80%&Above=15
60%tolessthan80%=13
55%toless than60%=10
45%tolessthan55%=05
2 Post-Graduation 25
80%&Above=25
60%tolessthan80%=23
55%(50%incaseofSC/ST/OBC(non-creamy
layer)/PWD)tolessthan60%=20
3 M.Phil. 07
60%&above=07
55%tolessthan60%=05
4 Ph.D. 30
5 NETwithJRF 07
NET 05
SLET/SET 03
6 ResearchPublications(2marksforeachresearchpublicationspublishe 10
dinPeer-ReviewedorUGC-listedJournals)

7 Teaching/PostDoctoralExperience(2marks foroneyeareach)# 10

8 Awards
International/NationalLevel 03
(AwardsgivenbyInternationalOrganisations/GovernmentofIndia/
GovernmentofIndiarecognisedNationalLevelBodies)

State-Level 02
(AwardsgivenbyStateGovernment)
Total

#However,iftheperiodofteaching/Post-
doctoralexperienceislessthanoneyearthenthemarksshallbereducedproportionately.
Note:
(A) (i)M.Phil+Ph.D Maximum-30Marks
(ii) JRF/NET/SET Maximum-07Marks
(iii) Inawardscategory Maximum-03Marks
(B) Numberofcandidatestobecalledforinterviewshallbedecidedbytheconcerneduniversities

(C)
AcademicScore - 80
ResearchPublications - 10
TeachingExperience - 10
Total - 100

(D)ScoreshallbevalidforappointmentinrespectiveStateSLET/SETUniversities/Colleges/Institutionsonly

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Note :
(1) Any additional qualifications, experience, honors and other achievements gained by the candidate during
the period between the last date of receiving application and the date of conducting the interview will not
be taken into consideration.
(2) Have you ever been arrested/prosecuted/kept in detention/convicted by a court of Law or whether any case
is pending against you in a Court of Law? (Yes/No) ____
If the answer to the above question is “Yes” give details____________________________.
(3) Have you ever been debarred from any examination/rusticated by any University or any other educational
institution or whether any case is pending against you in any University or any other educational
institution? (Yes/No) ____
If the answer to the above question is “Yes” give details ____________________________.
(4) Has any disciplinary action been taken against you by any University/ Institute where you have served ?
(Yes/No) ____
If the answer to the above question is “Yes” give details ____________________________.

17
 Declaration
I, ______________________________________________ Son / Daughter of
__________________________________________, Age :_________, resident of
_______________ __________________________, District : ________________, hereby
declare that the information furnished above is true and correct to the best of my knowledge
and belief and also that I have not concealed any fact or withheld any information regarding
my past service and record. If any information is found to be false or incorrect or anything is
found to have been concealed, I will be disqualified for selection or if appointed, will be
liable to termination without any notice or compensation.
I am aware of the fact that, if the information given by me is proved false / not true, I
will have to face the punishment as per the law. Also, all the benefits availed by me shall be
summarily withdrawn/ kept in abeyance.
I have carefully read all the instructions and concerned notifications before
filling up this application form. I have understood all the instructions and will abide by
them.

Place : __________________ _________________

Date : ___/___ /_____ Signature of the Applicant

----------------------------------------------------------------------------------------------------------------

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Note: ‘NO OBJECTION’ certificate from the employer.

No Objection Certificate from the Employer

This is to certify that Dr./Mr./Miss./Mrs./ is

presently holding the post of on a regular basis in our organization/ institute/
department.
The organization/institute/department has NO OBJECTION to him/her applying for the post
of in the Veer Narmad South Gujarat University.
In case of his/her selection, he/she will be relieved as per rules and regulation.

Place :_______________ Signature of Employer ___________________

Date : ___/___ /___ Designation ___________________

Office Stamp _________________

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 Filled By Candidate for Correspondence

Full Address for correspondence (In Block Letters):

Name:
Address with pin code:

Contact Number:
E-mail address:

Full Address for correspondence (In Block Letters):

Name:
Address with pin code:

Contact Number:
E-mail address:

Full Address for correspondence (In Block Letters):

Name:
Address with pin code:

Contact Number:
E-mail address:

Full Address for correspondence (In Block Letters):

Name:
Address with pin code:

Contact Number:
E-mail address:

Applicants are requested to mentioned following information on the envelop

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Application for the Post of Assistant
Professor in the Subject of
________________________

To,
The Registrar
Veer Narmad South Gujarat University
Udhna-Magdalla Road
Surat – 395 007
Gujarat – INDIA

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