University of Delhi. Application Form for Teaching Positions. App No.: Draft No: Amount:

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1 Date: App No.: Application Fee: Rs. 600/- per application for UR/OBC Rs. 300/- per application for SC/ST/PWD Please do not write anything above this line Category: Draft No: Amount: Application form for the Post of Assistant Professor In Department of Reasons to fill Printed (offline) form I am not able to apply online because I am a person with disability. : Signature of applicant AP13 University of Delhi Page 1 of 8

2 General Details Post Applied For: Assistant Professor Please paste recent passport size photograph Name of Department / Centre: Personal Details First Name: Middle Name: Last Name: Parent s/spouse Name Date of Birth Age (As on Today) Y M D Category (i) (Gen/SC/ST) (ii)pwd (Blind/LV/OH/HH)*: Nationality Gender Telephone No. Mob No. Postal Address Permanent Address *Note: PWD- Persons with Disability,LV-Low Vision,OH- Orthopaedically Handicapped, HH-Hearing Handicapped AP13 University of Delhi Page 2 of 8

3 (Please add additional sheets if required, for teaching/research/publication section in the format as in this form) Academic Qualifications* Examination Year Main Subject Marks (%) Bachelor`s Degree College Attended University Master`s Degree M.Phil. Degree Year of Award Thesis Title Date Of Registration Date of submission Ph.D. Other Distinctions Whether Qualified UGC/ CSIR NET / NET-JRF Whether exempted from NET: Yes/ No Certificate No. I certify that I am exempted from NET in accordance with the provisions of UGC Regulations, * Attach self-attested copies of above mentioned degrees/certificates/testimonials. AP13 University of Delhi Page 3 of 8

4 Full-time Teaching Experience* University of Delhi Name of University /College/Institution Designation With Pay Status (Permanent/ Temporary/ Ad-hoc) Classes Taught Course/ Subject From To Experience (in Y-M) * Attach self-attested copies of certificates from the competent authority of above mentioned experience. Research Experience* Name of University /College/Institution Post held/designation With pay From To Experience * Attach self-attested copies of above mentioned research experience Present Employment Details Please indicate, whether you are currently employed: Yes/ No (if yes give details and attach self-attested copy of the appointment letter) Organization Name Position Held Date of Appointment Status (Permanent/ Temporary/ Ad-hoc) AP13 University of Delhi Page 4 of 8

5 Publications in Relevant Area Only* University of Delhi to be calculated in accordance with screening/shortlisting guidelines available on the Research Papers / Review Articles / Conference Proceedings Title with page nos. Publication Type Journal ISSN/ISBN No. Refereed or Not Sole/Co-Author * Attach the self-attested copies of the first page /cover page of above mentioned publications Research Publications - Books, Chapters, Edited work, Articles etc.* Title of the Book (s) Publication Type Sole/Co- Author Publisher (city / country ) & Year of Publication Journal ISSN/ISBN No. Refereed or Not * Attach the self-attested copies of the first page /cover page of above mentioned publications I certify that the points claimed on the basis of being the first, sole or corresponding author is based on the convention adopted by the journal/other publications. Research Projects Title Major/Minor Period (Months) Total Grant/Funding received (Rs.) Name of Sponsoring/ Funding Agency Outcome of the Project * Attach the self-attested copies of sanctions letter of above mentioned projects AP13 University of Delhi Page 5 of 8

6 Summary of (Out of 100) S.No. Criteria Maximum Obtained 1 Academic Qualifications 47 2 Experience 20 3 Research Publications 33 Total points 100 Miscellaneous Information Computer Skills (e.g. word processing, spreadsheet, databases or any other specific software with familiarity level of Basic/Intermediate/Advance) ICT Usage Skills Specialized Packages/ Software s Familiarity Honours and Awards (Please provide details in the box below) Significant contributions not mentioned above (Please provide details in the box below) AP13 University of Delhi Page 6 of 8

7 Membership / Fellowship of Learned Bodies / Societies (Please provide details in the box below) Literary, Cultural or other activities (Please provide details in the box below) Disclosure Have you been debarred or punished for adopting unfair means in any Examination by the Institution / Board or University? Yes / No If yes, specify Have you at any time convicted by court for any criminal offence? Yes / No If yes, specify Were you ever discharged or dismissed from any previous employment? Yes / No If yes, specify AP13 University of Delhi Page 7 of 8

8 Three Referees Familiar with your Academic Work Full Name Institutional Affiliation Designation Institutional Address Mobile/Phone No. No Objection Certificate Please indicate if NOC is not available: Yes/ No Forwarded with the remarks that the facts stated in the above application have been verified and found correct and this Institution/ Organization has no objection to the candidature of the applicant being considered for the post applied for. Name of Head of Institution Designation Signature & Seal of Head of Institution Address Place Date Declaration I declare that the statements made and documents enclosed with the application form are true to the best of my knowledge and belief. If any information is found to be incorrect, my candidature is liable to be cancelled and that I may be subject to legal / disciplinary proceedings. Date: Applicant s Signature AP13 University of Delhi Page 8 of 8