Gen.

SC

ST

OBC

PWD

Application No.............

GURUKULA KANGRI VISHWAVIDYALAYA

HARIDWAR - 249404 (U.K.)
APPLICATION FORM FOR THE TEACHING OR EQUIVALENT POSTS
(For direct recruitment to the post of Assistant Professor/Associate Professor/Professor and equivalent)

Post Applied for Subject/Department Specialization (if any)

: : :

.......................................................................

...................................................................
....

Affix passport size recent colour photograph with signature

Reference of Post Published in: Advertisement No : 1. a. b. c. d.

............................. dated ..............................

........................................................................

GENERAL INFORMATION Name of the Applicant (In block letters) Father's/Husband's Name Date of Birth Present Postal/ Correspondence Address : : : : ........................................................................................ ........................................................................................ ........................................................................................ ................................................................ ........................................................................................ ........................................................................................

e.

Permanent Home Address

........................................................................................ ........................................................................................ ........................................................................................

f. g.

Applicant's Contact Details (i) (ii) (iii)

Telephone No. ............................................................... Mobile No. .................................................................... E-Mail .......................................................................... Present Post/Designation with Pay : ............................................................................ Band +AGP (If applicable) Present Basic Pay :

..
............................................................................ ............................................................................ ............................................................................ ............................................................................ 1

Name of Employing Authority: : :

h.

Sex and Marital Status (i) Male/Female (ii) (iii) Married/Unmarried

If married, give the full name of Wife/Husband :

i. 2. a.

Do you belong to SC/ST/OBC/PWD: (if yes, please state clearly & attach certificate in support) ACADEMIC QUALIFICATIONS Academic Background (From Matriculation Onwards)
Subject (s) Board/University/ Institute As a Regular/ Private/ Correspondence Year of Passing Division/ Grade with %age of Marks

Examination Passed High (10th) School

Intermediate (12th) Graduation Post Graduation M.Phil. Ph.D. D.Lit. Others

Note : Please attached all mark sheets/certificates (self attested) along with character certificate issued by last academic institution you have studied/employed. b. c. d. e. f. g. h. i. j. M.Phil. Topic Ph.D. Topic D.Lit. Topic Technical Qualification, if any Area of Specialization/Field of Research Have you qualified in NET/SLET/SET? (If yes, please give details) : : : : : : ................................................................ ................................................................ ................................................................ ................................................................ ................................................................ ................................................................ ................................................................ ................................................................ ................................................................

Academic distinction (e.g. any prize, medal, : honour, award etc.) Foreign visits for academic purpose (If any, please give details) :

Have you been punished during your studies: at College/University (if so give details).

3. a.

TEACHING EXPERIENCE

Give the details of employment in chronological order on permanent/regular basis in UGC Scale Exact Dates/ Period Designation/ Name of Scale of Pay + Nature of Post Held Institution AGP duties From To

b.

Particulars of service (in chronological order) only on adhoc/temporary/part time/contract basis in UGC Scale or fixed emoluments, if any Exact Dates/ Period Scale of Pay + University/ Designation/ Nature of AGP or Fixed Institution Post Held duties From To Emoluments

c.

Total Teaching Experience (i) (ii) Under Graduate Post Graduate

: : :

........................................................................................ ...........................Years ..................................... Months ...........................Years ..................................... Months Period .................................................... Reasons ................................................ ................................................................

d.

(i) (ii) (iii)

Break in Service, if any : (Indicate the period giving reasons) Have you been punished during your services? If so, give details. :

Do you have any court cases pending as one of the parties? (If yes, give details) : : : : :

................................................................

e.

Research Experience (i) (ii) (iii) As Ph.D. Scholar As Research Scientist/Associate As Teacher

............ Years ............. Months ............ Years ............. Months ............ Years ............. Months

f.

Administrative Experience, (if any) : Name of Nature of the Designation Assignment Institution

Dates/Periods From To

Length of Experience Years Months

g.

Details of Refresher Course/Orientation Course/Summer Institute Attended (If any): Name/Nature of the Institute and Place Dates/Period Total duration of the Course course (in weeks/ days)

h. i. 4.

Membership of Professional Bodies/Societies etc. Period of Extra Ordinary Leave without pay (If availed)
PROFESSOR / PROFESSOR POST)

: :

.. ..

RESEARCH AND ACADEMIC CONTRIBUTIONS (COMPULSORY FOR ASSOCIATE (Give detailed API score and weightages point as per UGC regulations for eligibility)

*Weightage point/score shall be given by the applicant for research and academic contributions as per standard norms of the UGC regulations.

(A) (i) (ii) (iii)

Research Papers Published in Journals : Research/Academic Activities Refereed Journals Non-refereed Journals but having ISBN/ISSN number Full length papers in conference proceedings etc. (abstracts not to be included)

Points/ Score*

For Office Use Only

(B)

(i)

Research Publications (Books, Chapters in books, other than Refereed Journals articles): Points/ For Office Use Research/Academic Activities Score* Only Text or Reference Books Published by International Publishers with an established peer review system. Subjects Books published by National level publishers/State and Central Govt. Publications with ISBN/ISSN numbers. 4

(ii)

(iii)

Subjects Books published by other local publishers with ISBN/ISSN numbers Chapters contributed to edited volumes/books published by International Publishers Chapters in knowledged based edited volumes/books published by Indian/National level reputed publishers with ISBN/ ISSN numbers. Research Projects: Research/Academic Activities Points/ Score* For Office Use Only

(iv) (v)

(C)

(i)

Sponsored Project carried out/ongoing through the Institution (a) Major Projects with Title : Amount : Sponsoring Agency : (a) Minor Projects with Title : Amount : Sponsoring Agency :

(ii) (iii)

Consultancy Projects carried out/ongoing : Completed projects : Quality Evaluation with year of award and completion Projects Outcome/Outputs Research Guidance : (Supervisor/Co-Supervisor) Research/Academic Activities Points/ Score* For Office Use Only

(iv) (D)

(i)

M.Phil. Degree awarded only Name of Students : Title : Year : Ph.D. Degree awarded/Thesis submitted Name of Students : Title : Year : 5

(ii)

(E)

Training Courses and Conference/Seminar/Workshop Attended:

Research/Academic Activities Points/ Score* For Office Use Only

(i)

Attended Orientation/Refreshers Course and Research methodology course (not less than two weeks duration) and workshops not less than one week duration. Attended Conferences/Seminars/Workshops etc. (Participation and Presentation of research papers - oral/ poster). (a) International Conference (b) National Level Conference (c) Regional/State Level Conference (d) University/College Level Conference

(ii)

(iii) Invited lectures/Key note address/chair sessions conferences/ seminars/workshops and symposia etc. (a) International Level (b) National Level (c) Regional/State Level (d) University/College Level Endowment Lectures (iv) Conferences/Seminars/Workshops/Sympsia Organized (a) International Level (b) National Level (c) Regional/State Level (d) University/College Level

for

Total points/scores evaluated by the applicant: Total points/scores evaluated by the recruitment and assessment committee (Office use only) :

................................................................ ....

Additional Information: Any other academic information/contribution which you wish to highlight, please give in details for career purpose (Attach additional sheets, if the space is insufficient) : ........... List of enclosed documents: (i) (ii) (iii) (iv) (v) (Signature of the Applicant) 6

Forwarded by Parenting Institute/Organisation Forwarded with the remarks that the facts stated in the above application have been verified and found correct and this institution/organisation has no objection to the candidature of the applicant being considered for the post applied for.

Date:

Signature ......................................................... Registrar/Head of Institution with seal Telephone No. ................................................

DECLARATION I hereby declare that I fulfill all the minimum qualifications and eligibility requirements for the direct recruitments on the post of Assistant Professor, Associate Professor and Professor (Tick which is applicable) as per prescribed UGC norms. Information given by me in the application form is true and no fact has been suppressed. If at any stage it is found that I do not fulfill the eligibility requirements, my claim for appointment shall automatically stand cancelled. In case any information or documents furnished by me is found to be wrong/false/suppressed, or if anything against me is detected at any stage, my appointment be cancelled outright at any stage and further that any disciplinary action be also taken against me as per service rules and regulations of the Vishwavidaylaya. No disciplinary proceedings are pending or contemplated against me.

Date:

Signature of Applicant: ............................................... Name of the Applicant: ...............................................

VERIFICATION (FOR OFFICE USE ONLY) This is to certify that application on the post of ........................................................ in the subject/department ............................................................. Pay Band Rs. ................... + AGP ........................................ has been accepted/rejected for the interview as per UGC regulations.

A.R./S.O. Establishment (Convener)

Chairman Recruitment and Assessment Committee

General Instructions : 1. Knowledge of Hindi is essential. 2. Only tea-totallar candidates should apply. Candidates having faith in Arya Samaj principles and Gurukul system of education will be preferred. 3. Candidates in employment should send their prescribed application form through proper channel. However, advance copy of Bio-Data may be sent within time. 4. The University reserves the right not to fill up any of the vacancies advertised if the circumstances so warrant. 5. Qualifications and Pay Band with AGP as per UGC rules and regulations. The same is also available at the University website : www.gkvharidwar.org 6. Applications complete in all respects along with enclosures must reach the Registrar of the Vishwavidyalaya by registered post/speed post in stipulated time. The Vishwavidyalaya will not be responsible for any postal delay. 7. Candidates will be called for interview on the recommendations of the recruitment and assessment cell of the University and as such all applicants may not be called for interview. No TA and DA shall be admissible for attending the interview. However, SC/ST candidates would be given TA as per Central Government Rules. 8. The prescribed essential qualifications are the minimum and the mere possession of the same does not entitle candidates to be called for interview. Where the number of applications received in response to an advertisement is large and it will not be convenient or possible to interview all the candidates, the university, at its discretion, may restrict the number of candidates to a reasonable limit on the basis of qualifications/experience higher than the minimum prescribed in the advertisement after a screening/assessment process through a duly constituted committee. As such all applicants may not be called for interview. 9. Reservation for reserve category will be as per the UGC/Central Government Rules. 10. Candidates should read all the instructions given in the Application form carefully before filling it. 11. If a candidate desires to apply for more than one post, he/she should make a separate application for each post with requisite fee. 12. The Vishwavidyalaya reserves the right to alter/modify any condition at any stage. 13. Incomplete applications shall not be entertained. 14. All information provided in the application must be supported with documentary proofs (self-attested). 15. Separate sheet may be attached wherever necessary. 16. Purely Temporary/Adhoc services in regular UGC Scale (without any break) shall be counted (if approved by syndicate) as per UGC rules. Phone : 01334-311881, 249013 Fax : 01334-246811 Registrar

Application No.

GURUKULA KANGRI VISHWAVIDYALAYA

HARIDWAR - 249404 (U.K.)
SUMMARY OF ACADEMIC PROFILE (To be submitted in eight copies and photocopy may be used) Post Applied for: ............................................ Subject/Department:............................... Specialization (if any): ................................. Name: ................................................................................... Date of Birth: ......................................... Father's/Husband's Name: ....................................................
Exam. Passed with Year

Category: General/SC/ST/OBC/PWD
Subjects

Academic Qualification Board/ University/ Institution Div. with % of marks

Name of the Organization/ Institution

Post held or Designation

Details of Experience Exact Dates From To

Length of Service Years Months

Pay Scale

Number of Publications (Published only) Research Papers Articles Books No. of Conferences/ Seminars attended

Research Guidance Number of students guided for and Degrees awarded M.Phil. Ph.D. Number of Research Projects

*Total points/scores evaluated by the applicant: .......................................................................... *Total points/scores evaluated by the recruitment and assessment committee (Office use only): ................
(*Compulsory for Associate Professor / Professor Post )

Signature of Applicant