TEERTHANKER MAHAVEER UNIVERSITY MORADABAD

Faculty Performance Appraisal Performa

(Applicable to Medical/ Dental/Nursing College Faculty)

Academic Session: 2012-13

(Part I- VI is to be filled-in by the faculty concerned. Please use additional sheet(s), if required)

Name Designation College

: : :

Dr.

Date of Joining Date of Appointment to present post Qualifications added during the year under review

: : :

Part I SELF ASSESSMENT ELEMENTS (a) Teaching Engagements

Course No & Title MBBS U.G P.G No. of students L T Weekly P Total Work Load Allocation Assigned Actual Reason for for the during the deficiency, session session if any Average Attendance of Class Reasons for low attendance, if any -

L Lecture, (b) Results

Month& Yr of Exam U.G P.G

T Tutorial,

P - Practical

Last Academic Session Results Course No & Title No of students % of Students appeared Passed

Average % Marks (External Marks)

(c) New Course developed or taught during the review period (d) Familiarity with up to date teaching material (Please provide the important Sources of Teaching Material used) (e) Project and Dissertation Supervision:
Sl. No. 1 2 Level Title of project/ Dissertation Name of Students Particulars of Co-Supervisor/ Joint Supervisor (if any)

Project/Thesis at U.G. Level Project/Thesis at P.G. Level

(f) Clinical/ Laboratory duties discharged including emergency work (Please describe)-

(g) Management & Institutional Development Elements (In-charge of laboratory/facility/group, chairmanship and memberships of committees, involvement in student services, College/University community and administrative assignments, clubs, societies, editorial boards etc). Sl. No. 1 2 3 4 Department Level Dept/Center Level College Level University Level Other higher educational institutions Part II - R&D Related Activities
(a) Ph.D./Research Supervision Sl. Name of student Year of No. Registration Thesis Title Other supervisor (s) (if any), name & department Completed/ Ongoing

Committee

Role & Responsibility

(b) Refereed Journal Paper (Published during the period under report) Authors Name (sequence as in paper), Title of Paper, Name of Journal/Conference, Vol. No. (Year), Page Nos. (Please attach a copy of the paper(s) published for records) i) Refereed Journals Indexed ii) Refereed Journals iii) Non-refereed Journals but having ISBN/ISSN Numbers iv) Full paper in Conference Proceedings (Abstracts not to be included) Sl. Title of Paper Name of Journal Conference Vol. No. Year Page No. No. Name Place 1 2 3 4 (c) Books, Monographs, Labs or Design Manuals Authored/Edited (Excluding editing of Conference/Seminar/Workshop Proceedings) Sl. Authors Name (Same order Title Publisher Vol. No. Year Page No. as in Publication) No. (d) Technical Report (External & Internal) S. No Title of Report Particulars (Sponsored Authors (same order as Remarks(External/ R&D/Consultancy/Status in publication) Internal report) Reports etc)

(e) Sponsored Research Projects S. Title of Project Funding No. Agency (f) Consultancy Projects: S. Title of Project No. None Funding Agency

Financial outlay

Year start & total period

Name of P.I. and other investigators Name of P.I. and other investigators

Current Status of the Work Done

Financial outlay

Year start & total period

Current Status of the Work Done

*P.I. Principal Investigator (g) Products/Processes Development and Technology Transfer/Patents: (Give particulars with names of group members involved, if any) (h) Continuing Education/QIP Short Term Lecturers/Special Lecturers delivered: Sl. Title of Lecturer/ Date, place and Programme where Other relevant information No. Lecture series lecturers delivered

Part III - OTHER ACADEMIC ACTIVITIES: (a) Awards/Distinctions/Honors/Membership of National/International Committees __________________________________________________________________________________ (b) Membership of Professional/Academic Societies/Bodies etc. (c) CME/ Special Course/Conference/Workshop etc. organized- None Sl. No. Name of the Conference/Seminar/Course Sponsored by

Dates

(d) Participation in Seminar/Symposium/Workshop etc. Sl. Name of the Conference/Seminar/Symposium/Workshop No. 1 2

Place & Sponsored by

Dates

(e) Participation in Short Term Courses None Sl. No. Name of the Courses

Place & Sponsored by

Date

Part IV. ANY OTHER WORK PERFORMED (Not included in the form above)

Part V COMMENTS/SUGGESTIONS FOR FUTURE WORK What factors do you feel can enhance your participation in College/University activities leading towards your professional growth and for achievement of excellence?

Part VI - COMMUNITY SERVICES Please mention your contribution made towards the betterment/enlightenment/upliftment of the Society.

Signature of faculty member with date)

Part VII - ASSESSMENT OF THE REPORTING OFFICER (HOD) Length of service under the reporting officer: ______________________ Please indicate your evaluation on each parameter by assigning in the appropriate score in the column opposite the parameter out of the maximum score as indicate in weightage column. (A) Keeping in view the information furnished by the Faculty member in Part I to VI, Please provide your assessment on the following parameters: Sl. No. Description Weightage Score 1 Teaching load and regularity in class and performance 5 2 Research guidance, consultancy and extension work 3 3 Innovations/ experiments introduced in the course & contribution 3 towards curriculum development 4 Intellectual capital (Books/Articles/Patents/Talks) 2 5 Publication in Refereed international Journals 3 6 Publication in Refereed national Journals 3 7 Presenting research papers in national/ international conferences : full 2 st paper as 1 author 8 Presenting research papers in conferences : Poster 1 9 Organizing Seminars/workshops/FDP/CME etc. 3 10 Participation in Special Lecturers, Conference, FDPs, CME, Summer 2 Schools/Refresher courses etc. 11 Contribution to community service / student mentorship 2 12 Membership or Fellowship of Professional / Academic bodies. 2 13 Contribution towards corporate life of the College/University 3 14 Qualification added during the year 1 TOTAL SCORE (A) 35 (B) Faculty Assessment on Inter-personal Skills and their behaviour in General
(To be ranked on a scale of 1 to 5, where 5 Excellent; 4 Very Good; 3 Good, 2 Average; 1 Below Average)

Sl. No.
1 2 3 4 5 6 7 8 9 10

Description
Knowledge in work sphere including subject knowledge updating Quality of Output Innovative and adaptability(resourcefulness in handling normal and unforeseen problems and willingness to take responsibilities in the new area of work) Punctuality: arrives on time / generally available to students during working hours. Commitment to work including Integrity and trustworthiness Oral communication: speaks effectively with superiors, colleagues and students Effective in a teams, including relationships with fellow faculty and staff members Leadership: gives clear directions and listens to co-workers, ability to inspire and motivate Maturity and Temperament Relationship with students Total Score out of a maximum of 50 (X) B - SCORE OUT OF 20 (B = X/2.5)

Ranking

(C) Loyalty bonus based on the length of service

(Please award one point for every completed year of service with a maximum of 5 points.)

_________ _____________ _____________ _____________ _____________ _____________

1 2
3

Score in A out of 35 Score in B out of 20

: : Score in C out of 5 : Score from Student Feedback out of 40 : Grand Total (1+2+3) out of 100 :

(Score of 90 and above Excellent; 70-89 Very Good; 60-69 Good; 50-59 Average; below 50 unsatisfactory) Brief comments by the Reporting : Officer (HOD)

Signature of the Reporting Officer Remarks of the Reviewing Officer (Director/Principal)

: :

Overall appraisal Signature of the Reviewing Officer

: :

Excellent/Very Good/Good/Average/unsatisfactory

(In case the rating is unsatisfactory, please give reasons thereof)

Remarks of the Vice Chancellor

For the use of HR department of the University