MAHATMA JYOTIBA PHULE ROHILKHAND UNIVERSITY, BAREILLY (U.P.) Application Form for Faculty Positions Post applied for: Department: (For office use only) Website:www.mjpru.ac.in Registration Number No. of Enclosures Claimed Advertisement No. Attached (Signature) Paste your recent passport size photograph here and sign across the photo so that part of signature should be on form Details of fee payment DD Number Date Amount Name of Bank DD issuing branch's name 1. Name (In Capital Letters) First Name Middle Name Surname 2. Date of birth Day Month Year Age as on last date Years Months of advertisement 3. Place of birth City/Village State Country 4. Father's Name 5. Mother's Name 6. Nationality 7. Gender Male/ Female 8. Community/ Category SC/ST/OBC/Other categories give details S. No. of proof 9. Marital status a. Married / Unmarried/ Divorced / Name of spouse 10. If physically disabled, indicate the relevant particulars Yes/ No Percentage of disability S. No. of proof 11. Address for correspondence (a) Mailing address (b) Permanent address (c) E-mail (d) Mobile / Tel 12. Educational qualifications (Attach additional pages, if required) Name Year of of passing course Name of the Board/ University Division CGPA (if grading is applicable) Page 1 of 11 % of Marks (pl. indicate to CGPA also) Subjects studied S. No. of proof (a) (b) (c) (d) (e) (f) (g) (h)
10th Class / 10+2/Higher Secondary Bachelor's degree Master's degree M. Phil. Ph. D./ NET/ SLET/SET for lectureship, if any Subject Roll No. Year Any other exams passed 13. Chronological list of experience (starting from current position/ employment) Designation Scale of Name & Period of Experience Nature pay & present Basic & AGP address of employers From date To date No. of years/ months (As on date of advertisement) of work/ duties (a) (b) (c) (d) (e) (f) (g) (h) S. No. of proof * (Add separate sheet if required, to be annexed at relevant S. No.) 14.Academic distinctions Name of the Academic Course/ Body Academic distinction obtained S. No. of proof * (Add separate sheet if required, to be annexed at relevant S. No.) 15. Publications, if any (Mention No. only) Also attach the details and reprints of best papers Papers with Impact factor Papers published in refereed journals (indexed/ ISSN numbered) Papers Published in non-refereed journals (indexed/ ISSN numbered) Books Chapter in Books (a) (b) (c) (d) (e) (f) Published as full paper in conference proceedings S. No. of proof Page 2 of 11
16. Seminars/ Conference/ Workshops/ Training programmes, attended. National (No.) (No.) Total (No.) S. No. of proof 17. Research Guidance & Research projects completed/ongoing (Mention No. only) Research Guidance Research Projects (by external agencies) S. No. of proof Completed Ongoing M.Phil. Ph.D As PI As CO-PI As PI As CO-PI 18. Names and complete postal addresses of 3 referees (The referee should be the last employers of the candidate or any other person having information about candidate's experience/ knowledge and should not be related to the applicant) Names & complete postal address Referee-1 Referee-2 Referee-3 Email: Phone (Landline) with STD code Mobile Ph: Fax: 19. List of self attested testimonials attached (original to be produced at the time of interview). Please tick the enclosures attached S. Cheek List No. i. Matriculation mark sheet/ certificate ii. Intermediate mark sheet / certificate iii. B.A./ B.Sc./ B.Com (Final) mark sheet/ degree iv. M.A./ M.Sc./ M.Com (Final) mark sheet/ degree v. M. Phil. degree vi. Ph.D./ D. Phil. degree vii. D.Litt., D.Sc., degree viii. NET, UGC-JRF, CSIR-JRF Award Certificate ix. Caste Certificate issued by the Competent Authority (OBC/SC/ST/etc) Page 3 of 11 S. No. of enclosure No. of sheets
x. Experience certificates xi. Recommendation letter(s) xii. Award (s) xiii. Fellowship(s) xiv. Publication (s) xv. Total number of sheets (please give sequential number to each sheet and signature with date). N.B. Applications without the above self attested testimonials (applicable to all the candidates) may not be entertained 20. Any other information/ qualification relevant to the post applied for: 21. Declaration I, son/ daughter of hereby declare that all the statements and entries made in this application are true, complete and correct to the best of my knowledge and belief. In the event of any information found false or incorrect or ineligibility being detected before or after the Selection / Appointment / Joining, my candidature/ appointment may be cancelled by the University. Signature of the Applicant *Name as signed (in BLOCK LETTER) Date : *Application not signed by the candidate is liable to be rejected 22. Endorsement by the EMPLOYER a) In case of in-service candidates in Government/ Semi-Government organizations/ Public Sector Undertakings / Autonomous Organizations, the endorsement form must be signed by the employer. b) In case of in-service candidates from Private Sector, acceptance of resignation and relieving letter from the employer must be submitted at the time of joining. Forwarded to the Registrar, Mahatma Jyotiba Phule Rohilkhand University, Bareilly: The applicant Dr./Mr./Mrs/Ms. who has submitted this application for the post of in the Mahatma Jyotiba Phule University, Bareilly has been in employment in a temporary/ contract/ permanent capacity with effect from in the Scale of Pay of Rs.. He/She is drawing a basic pay of Rs.. His/ Her next increment is due on There is no objection for his/her application being considered by the M.J.P.Rohilkhand University, and in the event of selection he/she will be relieved to join Mahatma Jyotiba Phule Rohilkhand University, Bareilly as per rules. Page 4 of 11 Signature of the forwarding officer) Name : Designation: Place: Date:
MAHATMA JYOTIBA PHULE ROHILKHAND UNIVERSITY, BAREILLY (U.P.) Summary Sheet for Faculty Position 1. Post applied for : Department 2. Name (in Capital Letters) Male/ Female Married/ Unmarried 3. Date of birth Place of birth Category: Gen/SC/ST/OBC/PWD/others 4. Educational Qualification Name of the course Division % of Marks CGPA Name of the Board/ University Month & Year Passed/ Award 10th Class. / 10+2/Higher Secondary Bachelor's Degree Master's degree M.Phil./ Ph.D./D. Phil. NET/SLET/SET for lectureship 5. Chronological list of experience Period of Experience Nature of Designation & Scale of pay Name & address of employer From date To date No. of years/ months work/ duties 6. Teaching Experience No. of years No. of months i) Undergraduate level ii) Postgraduate level 7. Seminars/ Conferences/ Workshops/ Training programmes, attended/ organization etc. Publications Books Research Publications Research guidance (No.) In India (No.) Abroad (No.) Total (No.) Completed Under Supervision 8. Present Designation Name of the University/ Institution Basic Pay (Rs.) Published [with ISBN/ ISSN] (Nos.) M. Phil./ Equivalent (No.) Pay Scale (Rs.) Gross / Total Salary per month (Rs.) Ph.D./D. Phil. (No.) Increment date (Date/ month) Page 5 of 11 (Signature of the Applicant)
API Proforma for Professor, Associate Professor & Assistant Professor ACADEMIC PERFORMANCE INDICATORS BASED ON PERFORMANCE BASED APPRAISAL SYSTEM TO BE SUBMITTED BY EACH APPLICATION Advertisement No. Name of the Applicant Date of Birth Post applied for and Subject Name of the Department CATEGORY I: TEACHING, LEARNING AND EVALUATION RELATED ACTIVITIES Brief Explanation: Based on the teacher s self-assessment, API scores are proposed for (a) teaching related activities; (b) domain knowledge; (c) participation in examination and evaluation; (d) contribution to innovative teaching, new courses etc. The minimum API score required by teachers from this category is 75. The self assessment score should be based on objectively verifiable criteria wherever possible and will be finalized by the screening/selection committee. S. No. Nature of Activity Maximum 1. Lectures, seminars, tutorials, practicals, 50 contact hours undertaken taken as percentage of lectures allocated 2. Lectures or other teaching duties in excess of 10 the UGC norms 3. Preparation and Imparting of knowledge 20 /instruction as per curriculum; syllabus enrichment by providing additional resources to students 4. Use of participatory and innovative teaching- 20 learning methodologies; updating of subject content, course improvement etc 5. Examination duties (Invigilation; question 25 paper setting, evaluation/assessment of answer scripts) as per allotment. Total 125 Self Assessment (to be filled by applicant) Verified API (for official use) Minimum API Required 75 # Supporting documents, wherever required be attached. Page 6 of 11 (Signature of the Applicant)
Advertisement No. Name of the Applicant Date of Birth Post applied for and Subject Name of the Department CATEGORY II: CO-CURRICULAR, EXTENSION AND PROFESSIONAL DEVELOPMENT RELATED ACTIVITIES. Brief Explanation: Based on the teacher s self-assessment, category II API scores are proposed for co- curricular and extension activities; and Professional development related contributions. The minimum API required by teachers for eligibility for promotion is 15. A list of items and proposed scores is given below. It will be noticed that all teachers can earn scores from a number of items, whereas some activities will be carried out only by one or a few teachers. The list of activities is broad enough for the minimum API score required (15) in this category to accrue to all teachers. As before, the self-assessment score should be based on objectively verifiable criteria and will be finalized by the screening/selection committee. S. No. Nature of Activity Maximum 1. Student related co-curricular, extension and 20 field based activities (such as extension work through NSS/NCC and other channels, cultural activities, subject related events, advisement and counseling) 2. Contribution to Corporate life and 15 management of the department and institution through participation in academic and administrative committees and responsibilities. 3. Professional Development activities (such as 15 participation in seminars, conferences, short term, training courses, talks, lectures, membership of associations, dissemination and general articles, not covered in Category III below) Total 50 Self Assessment (to be filled by applicant) Verified API (for official use) Minimum API Required 15 # Supporting documents, wherever required be attached. (Signature of the Applicant) Page 7 of 11
Advertisement No. Name of the Applicant Date of Birth Post applied for and Subject Name of the Department CATEGORY-III: RESEARCH AND ACADEMIC CONTRIBUTIONS Brief Explanation: Based on the teacher s self-assessment, API scores are proposed for research and academic contributions. The minimum API score required by teachers from this category is different for different levels of promotion and between university and colleges. The self assessment score will be based on verifiable criteria and will be finalized by the screening/selection committee. S.No. APIs Engineering/Agriculture/ Veterinary Science/Sciences/Medical Sciences III A Research Papers published in Faculties of Languages Arts/Humanities/Social Sciences/Library/ Physical education/management Max. points for University and college teacher position Refereed Journals * Refereed Journals * 15 / publication Non-refereed but recognized and reputable journals and periodicals, having ISBN/ISSN numbers. Non-refereed But recognized and reputable journals and periodicals, having ISBN/ISSN numbers. 10 / Publication Conference proceedings as full papers, etc. (Abstracts included) Conference proceedings as full papers, etc. (Abstracts not to be included) 10 / Publication Self Assessment (to be filled by applicant) Capped claimed by the applicant (categor y wise) Verified API (for official use) Verified Cap (for official use) III B Research Publications (books, chapters in books, other than refereed journal articles) Text or Reference Books Published by Publishers with an established per review system Subjects Books by National level publishers/ State and Central Govt. Publications with ISBN/ISSN numbers. Subject Books by Other local publishers with ISBN/ISSN numbers. Text or Reference Books Published by Publishers with an established peer review system Subject Books by / national level publishers/state and Central Govt. Publications with ISBN/ISSN numbers. Subject Book by other local publishers with ISBN/ISSN numbers. Page 8 of 11 50/ sole author; 10/ chapter in an edited book 25/ sole author and 5/ chapter in edited books 15/ sole author and 3/ chapter in edited books Chapters contributed Chapters contributed 10/ Chapter
III C III A III C (ii) III C (iii) III C (iv) III D III D (i) III D (ii) III E to edited knowledge based volumes published by Publishers Chapters in knowledge based volumes by Indian/National level publishers with ISBN/ISSN numbers and with numbers of national and directories RESEARCH PROJECTS Sponsored (a)major Projects Projects amount mobilized with carried grants above 30.0 lakhs out/ongoing (b)major Projects amount mobilized with grants above 5.0 lakhs up to 30.00 lakhs Consultancy Projects carried out / ongoing Completed projects : Quality Evaluation Projects Outcome / Outputs (c) Minor Projects (Amount mobilized with grants above Rs. 50,000 up to Rs. 5 lakh) Amount mobilized with minimum of Rs.10.00 lakh Completed project Report(Acceptance from funding agency) Patent/Technology transfer/ Product/Process to edited knowledge based volumes published by Publishers Chapters in knowledge based volumes in Indian/National level publishers with ISBN/ISSN numbers and with numbers of national and directories Major Projects amount mobilized with grants above 5.0 lakhs Major Projects Amount mobilized with minimum of Rs. 3.00 lakhs up to Rs. 5.00 lakhs Minor Projects (Amount mobilized with grants above Rs. 25,000 up to Rs. 3 lakh) Amount mobilized with minimum of Rs. 2.0 lakhs Rs.10.0 lakhs and Completed project report (Accepted by funding agency) Major Policy document of Govt. Bodies at Central and State Level 5/ Chapter 20/ each Project 15/ each Project 10/each Project 10 per every Rs.2.0 lakhs, respectively 20 /each major project and 10 / each minor project 30 / each national level output or patent /50 /each for level, RESEARCH GUIDENCE M.Phil. Degree awarded only Degree awarded only 3/ each candidate Ph.D. Degree awarded Degree awarded 10/ each candidate Thesis submitted Thesis submitted 7/ each candidate TRAINING COURSES AND CONFERENCE/SEMINAR/WORKSHOP PAPERS Page 9 of 11
III E (i) III E (ii) III E (iv) Refresher courses, Methodology workshops, Training, Teaching- Learning- Evaluation Technology Programmes, Soft Skills development Programmes, Faculty Development Programmes (Max: 30 points) Papers in Conferences/ Seminars/ workshops etc.** Invited lectures or presentations for conferences/ symposia (a) Not less than two weeks duration (b) One week duration Participation and Presentation of research papers (oral/poster) in a) conference (a) Not less than two weeks duration (b) One week duration Participation and Presentation of research papers(oral/poster ) in 20/each 10/each a) 10 each conference b) National b) National 7.5 each c) Regional/State level d) Local University/Coll ege (a) c) Regional/State level d) Local University/College (a) 5 /each 3 / each 10 /each (b) National (b) National 5 /each *Wherever relevant to any specific discipline, the API score for paper in refereed journal would be augmented as follows: (i) indexed journals by 5 points; (ii) papers with impact factor between 1 and 2 by 10 points; (iii) papers with impact factor between 2 and 5 by 15 points; (iv) papers with impact factor between 5 and 10 by 25 points. ** 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)). Note: 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. Total API SCORES under Category III (with application of capping) Sub-Category Cap as % of API cumulative score in application Research papers (Journals, etc) 30 Research publications(books, etc) 25 Research Projects 20 Research Guidance 10 Training Courses and Conf / Seminar, etc 15 Total claimed in subcategory after capping (Certified that the scores mentioned under all categories above are true and are supported by documentary evidences). Page 10 of 11 (Signature of the Applicant)
Note: 1. Candidates are required to provide complete list of publications (in refereed journals, recognized and reputable journals and periodicals mentioning names of all authors, ISSN/ISBN numbers of journals and year of publications), list of seminar/ symposia/ conference/ workshop/ refresher course/ faculty/ skill development programmes etc organized and attended, list of completed/on-going research and consultancy projects with amount and funding agency, list of Patent/Technology transfer/ Product/Process/Major Policy document of Govt. Bodies at Central/State level, list of M. Phil and PhD supervised, list of honours/awards/recognitions. Information given in the form need not be repeated. 2. Candidates are required to enclose documentary evidence in favour of items mentioned at Note 1 above. 3. Parameters listed in table of Category III shall have the capping as amended by UGC vide letter No. F./-2/2009 (EC/PS) V(I) Vol. II Dated 13 June 2013. 4. The minimum API scores for the posts of Associate Professor and Professor are 300 points and 400 points with capping, respectively, from Category III of API. 5. The self assessment score will be based on verifiable criteria and will be finalized by the screening/selection committee. Date: (Signature of the Applicant) Place: Page 11 of 11