Mangalagangothri , D.K. District, Karnataka

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MANGALORE UNIVERSITY Mangalagangothri 574 199, D.K. District, Karnataka APPLICATION FOR TEACHING/PRINCIPAL/ACADEMIC POSTS (To be submitted in sets along with all enclosures) DD/Challan & Date Bank & Branch Amount (INR) AFFIX RECENT PASSPORT SIZE PHOTOGRAPH HERE 1. a) Name of the Post :--------------- --------------------------------------------------------------------------- (in Block letters) b) Subject : ----------------------------------------------------------------------------------------------------- c) Area of Specialization : ----------------------------------------------------------------------------------- 2. Personal Details : Name : (in Block letters) Nationality Date of Birth DD MM YY Age as on last date of application Mother tongue : Sex Name of Mother Name of Father Marital Status Name of Spouse 1

3. Category : Category Claimed Caste GM SC ST CAT-I II-A II-B III-A III-B Sub-caste Horizontal Reservation Woman Rural Person with Disabilities Ex. Servicemen Note : Enclose Certificate issued by the Competent Authority. Application without required certificate will be considered under GM Category. 4. Address (in Block letters) : a. For Communication b. Permanent Mr./Ms./Dr...... PINCODE:.. Telephone with STD Code :.. Mobile No: e-mail:.... Mr./Ms./Dr...... PINCODE:.. Telephone with STD Code :. Mobile No: e-mail:.... 2

5. Academic Qualifications (Starting from the highest qualification) : Degree Name of the University / Board Year of Passing % of marks / CGPA Division/ Class/ Grade Subject(s) 6. Whether UGC NET / SLET / SET qualified : YES / NO (if YES enclose certificate) a) Examining Body / University : b) Year of Passing : 7. Consolidated API Score from Category I/II/III of Table I/IV/VII in Appendix III of UGC Regulations 20 (Details shall be furnished as per Annexure - 1) 8. Teaching Experience: # P.G.: Years ; U.G.: Years. Designation Name of the Institution From To Pay Scale/ Pay Band with AGP # Only Regular fulltime teaching experience should be furnished. Enclose certificate of evidence issued by the competent authority in support of your claim. 3

Research Experience * : Designation Institution of affiliation Area of Research Period * The period spent for acquiring M.Phil. and /or Ph.D. Degree will not be considered as research experience. 9. Publications : Publications Research Papers : a. Refereed journals b. Non-refereed journals having ISSN numbers c. Conference proceedings as full papers Book (s) Published Accepted/In Press National International National International Chapters in Book (s) Patents Granted : Filed :. Seminars/Conferences/Workshops/Symposia/Training Programmes etc. : In India Abroad Organised Participated to a) Present Paper/ Poster b) Deliver lecture / Chair sessions 11. Research Guidance/Supervision # : Degree Awarded Thesis submitted M. Phil. Ph. D. # Details should be given on a separate sheet. 4

12. Research Projects # : Research Project PI / Other(s) Date of Commencement Date of Completion Funding Agency Amount Sanctioned (Rs. In lakhs) 13. Awards / Fellowship / Membership in Academic Bodies/Societies and Editorship of Reputed Journals : Name of the Body/Society Name of Award / Fellowship / Nature of Membership / Editorship 14. Appointments held prior to this Application : Designation Name of Employer Date of Joining Leaving Pay with grade Reason for leaving 5

15. Other Relevant Information : Please give details of any other credential, significant contributions, awards received etc., not mentioned earlier Details (Mention Year, value etc., where relevant) D E C L A R A T I O N I hereby declare that all information given in this application are true, complete and correct to the best of my knowledge and belief. I understand that in the event of any information being found false, incomplete or incorrect, my candidature is liable to be cancelled/ my appointment is liable to be terminated. I hereby agree to and abide by the rules and regulations of the University. Place: Date: Signature of the Candidate 6

LIST OF ENCLOSURES : (Please attach, copies of certificates, sanction orders, papers etc., wherever necessary) 1. 2. 3. 4. 5. 6. 7. 8. 9.. Signature of the Candidate 7

Annexure 1 CONSOLIDATED API SCORE FROM CATEGORY I/II/III OF TABLE I/IV/VII IN APPENDIX III OF UGC REGULATIONS 20 CATEGORY I : TEACHING, LEARNING AND EVALUATION RELATED ACTIVITIES (i) Lectures, Seminars, Tutorials, Practicals, Contact Hours (give semester-wise details, where necessary) : Course/Paper Level Mode of teaching* Hours per week allotted % of Classes taken as per documented record * Lecture(L), Seminar(S), Tutorial(T), Practical(P), Contact Hours(C) (a) (b) Classes Taken (max 50 for 0% performance & proportionate score up to 80% performance, below which no score may be given) Teaching Load in excess of UGC norm (max score:) API Score (ii) Reading / Instructional material consulted and additional knowledge resources provided to students : 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 8

(iii) Use of Participatory and Innovative Teaching-Learning Methodologies, Updating of Subject Content, Course Improvement etc. : Short Description API Score Total Score (Max Score: 20) (iv) Examination Duties Assigned and Performed : 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 the following : Type of Activity Average Hrs/week API Score (i) Extension, Co-curricular & field based Activities Total (Max: 20) (ii) Contribution to Corporate Life and Management of the Institution Yearly / Semester wise responsibilities API Score Total (Max: 15) (iii) Professional Development Activities Total (Max: 15) Total Score (i+ii+iii) (Max: 25) 9

CATEGORY III : Research, Publications and Academic Contributions A) Published Papers in Journals : Title, Journal with Volume, Year and Page nos. ISSN / ISBN No Whether refereed? Impact Factor, if any Whether you are the sole / first author or corresponding author? of co-authors API Score B) (i) Articles/Chapters published in Books Title with page nos. Book Title, editor, publisher & year ISSN / ISBN Whether peer reviewed? Whether you are the sole / first author or corresponding author? of co-authors API Score (ii) Full Papers in Conference Proceedings Title with page nos. Details of Conference Publication ISSN / ISBN Whether you are the sole / first author or corresponding author? of co-authors API Score (iii) Books Published as Single Author or as Editor : Title with page nos. Subject / Reference / Edited Books Publisher & ISSN / ISBN Whether peer reviewed? Whether you are sole / first author / editor? of coauthors/ co-editors API Score

C) Ongoing and Completed Sponsored Research Projects and Consultancies : (i) Ongoing Projects/Consultancies : Title Agency Period Grant/Amount Mobilized (Rs. in lakhs) API Score (ii) Completed Projects / Consultancies : Title Agency Period Grant/ Amount Mobilized (Rs. In lakhs) Whether policy document/ patent as outcome? API Score D) Research Guidance : Number Enrolled Thesis Submitted Degree awarded API Score M. Phil. or equivalent Ph. D. or equivalent E) (i) Training Courses, Teaching-Learning-Evaluation Technology Programmes, Faculty Development Programmes (not less than one week duration) Programme Duration Organised by API Score 11

E) (ii) Papers presented in Conferences, Seminars, Workshops, Symposia Title of the Paper presented Title of Conference / Seminar Organiser International / National / State / Regional / College / University level API Score E) (iii) Invited Lectures and Chairmanships at national or international conference / seminar etc. No Title of Lecture/Academic Session Title of Conference / Seminar etc. Organiser International / National API Score GRAND OF API SCORES : CAPPING IN RELATION TO THE API SCORES (CATEGORY III) : Category Details % for capping III (A) Research Papers (Journals, etc.) 30% Score after Capping III (B) Research publications (Books, etc) 25% III (C) Research Projects 20% III (D) Research Guidance % III (E) Training Courses and Conf./Seminar, etc. SCORE : 15% Signature of the Candidate 12

GUIDELINES FOR FILLING UP OF APPLICATION : Enclose the letter of evidences in support of your claim. 3: Prevailing State Government Reservation rules will be applicable. 5: Provide % of marks up to second decimal. Give formula for equivalence of CGPA with % of marks, wherever relevant. 8: Give only completed years of experience. 13: Provide copies of sanction letters. 15: Furnish only if it is relevant to the post applied for. Annexure 1 Proforma is based on Appendix III, Table I/IV/VII of the UGC Regulations 20. 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. NB. : The self-assessment scores are subject to verification by the University, and by the Screening cum verification committee or Selection Committee as the case may be. I. Teaching and Evaluation Related Performance (i) a Lectures/Practicals/Tutorials/Contact classes taken should be based on 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 0% achievement. (for 80% performance 20 scores and above 80%, 1.5 scores for every 1% of performance) Max. Score : 50 b. If teacher has taken classes exceeding UGC norm, then two point to be assigned for each extra hour of classes. Max. Score : (ii) Imparting of knowledge/instruction vis a vis with the prescribed material (Text book/ Manual etc) and methodology of the curriculum (0% compliance = 20 points) (05 API scores for providing each additional resources) Max. Score : 20 13

(iii) Use of Participatory and Innovative Teaching-Learning Methodologies, Updating of Subject Content, Course Improvement etc. Indicators / Activities Max. Score Updating of courses, designing of curriculum, (5 per course) Preparation of resource material, fresh reading materials, Laboratory manuals etc. (5 per material) Use of Innovative teaching-learning methodologies ; use of ICT ; Updated subject content and course improvement. a. ICT Based Teaching material : points/each b. Interactive Courses : 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 courses/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 : points each (b) Popularization program : 5 points each Maximum Aggregate Limit 20 iii) Examination Related Work Indicators College/University end semester / Annual Examination work as per duties allotted. (Invigilation points ; Evaluation of answer scripts 5 points ; question paper setting 5 points) Max. Score 20 (0% compliance = 20 points, 01 point less for every 2% less compliance) College / University examination / Evaluation responsibilities for internal / continuous assessment work as allotted (0% compliance = points, 01 point less for every 1% less compliance) Examination work such as coordination, or flying squad duties etc. (maximum of 5 or depending upon intensity of duty) (0% compliance = points, 01 point less for every 1% less compliance) Maximum Aggregate Limit B (iv) 25 14

II : Co-curricular, Extension and Profession Related Activities and Participation in the Corporate Life of this 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), NCC or any other similar activity (Each activity 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) Maximum aggregate Limit 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 ( points each) Participation in Committees concerned with any aspect of departmental or institutional management such as admission committee, campus development, library committee (5 points each) Responsibility for, or participation in committees for Students Welfare, Counseling and Discipline ( 5 each) Organization of Conference / Training : International ( points) ; National/regional (5 points) Maximum Aggregate Limit 15 15

(iii)professional Development Related Activities Indicators / Activities Membership in profession related committees at state and national level a. At national level : 3 points each b. At state level : 2 points each Participation in subject associations, conferences, seminars without paper presentation (Each activity : 2 point) Maximum Score Participation in short term training courses less than one week duration in educational 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 talks etc. (1 point each) Maximum Aggregate Limit 15 CATEGORY III : Research and Publications and Academic Contributions This is to be filled as per Appendix III Table I/IV/VII, Category III of the UGC Regulations 20. The API for joint publications will have to be calculated in the following manner : Of the total score for the relevant category of publication by the concerned teacher, the first/principal author and the corresponding author/supervisor/mentor of the teacher would share equally 60% of the total points and the remaining 40% would be shared equally by all other authors. As stated in the UGC Regulations 20, the API scoring will be progressively rolled out for categories I and II, beginning with assessment of one year for selection committees in 20-2011, annual averages of two years in 2011-2012 and so on. But for Category III, scores will be computed for the entire assessment period as already indicated in the Regulations. Required number of additional rows can be added in the tables while filling up the proforma. For all clarifications in assessment of API scores on any parameter and for any interpretational operation purpose, the UGC Regulations 20 and its amendments issued from time to time shall be followed / referred. 16