Pro for Ma for Faculty Recruit Pas Pap 2012

8/2/2019 Pro for Ma for Faculty Recruit Pas Pap 2012

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VISVESVARAYA NATIONAL INSTITUTE OF TECHNOLOGY, NAGPUR 440010

( Advt No. VNIT/ P-ASP-AP/01/2012)Application Proforma for the post of Professor/Associate Professor/Assistant Professor

(Candidates are advised to read general instructions and information, before filling up the Application form)

APPLICATION FOR THE POST OF

Assistant Professor / Associate Professor / Professor in _________________(Department)

Academic Grade pay ___________________

Area of Specialization(If any)_________________________________________________

Current Area of Research____________________________________________________

1.Name in Full: _____________________________________________ Gender: M / F

(In Block Letters)

2. a) Fathers Name: _________________________________

b) Mothers Name: ________________________________

3. i) Address for correspondence: _____________________________________________

_____________________________________________

_________________Phone No.____________________

Mobile No.___________________

E-mail address: ________________________________

ii) Permanent Address : _________________________________________________

_________________________________________________

_________________________________________________

4. Nationality: _____________________

Date of Birth : dd/mm/yy Age: Years Months

In case of OBC, whether belong to Non creamy layer Yes / No

(Applicable for the post of Assistant Professor only)

VNIT Nagpur, Faculty Advertisement February 2012

5. Category: SC ST OBC UR PWD


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6. Particulars of Educational Qualifications

Sl.

No.

Degree Obtained &

Branch / Specialization

(specify)

Name of the

University/Institute

Year of

Passing

% of

Marks/

CGPA

Class/

Division

1 Bachelors Degree2 Masters Degree

3 Ph.D. Degree

4 Others (if any)

7. JOB/RESEARCH EXPERIENCE

NATURE OF JOB DETAILS

(ORGANISATION, DESIGNATION)

YEAR

(DURATION)

PAY SCALE

&

LAST PAY DRAWN

TEACHING

RESEARCH

INDUSTRY

ADMINISTRATIVE

8. RESEARCH AND PUBLICATIONS: (Please provide details on separate sheet)

a) Number of Projects Supervised : (B. TECH/BE/BArch) (M.TECH/M Arch.) (M.E./MArch by Research / M.S.)

b) Number of Ph.D. Scholarssupervised

:

(Completed) (Ongoing)

c) Number of Publications

a) International :

(Refereed Journals) (Conferences/Seminars/Workshops)

b) National :

(Refereed Journals) (Conferences/Seminars/Workshops)

d) Number of Books Authored :

e) Number of Patents :

9 . (a) Minimum Pay expected: Basic and AGP: ...

(Should not be treated as accepted even if called for interview and selected)

(b) Time required joining the Institute, if selected: _________________________

10. REFERENCES:

Name and addresses of two professional referees (who are not related to the applicant) who are in aposition to testify from their personal knowledge as to the suitability of the applicant for the post



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applied for. Candidates have to arrange to send recommendations from these referees directly to

Dean(FW), VNIT Nagpur.

i) Name : __________________________________________________

Status : __________________________________________________

Address : __________________________________________________

__________________________________________________

e-mail and Phone : ______________________________Mobile______________

ii) Name : __________________________________________________

Status : __________________________________________________

Address : __________________________________________________

__________________________________________________

e-mail and Phone : _____________________________Mobile_______________

11. Any other information relevant to the Post applied for, such as:

i) Position of responsibility in Professional Societies:

a)

b)

ii) Attainments in sports and extra-curricular activities (including N.C.C.)

a)

b)

iii) Language fluency:

Language Read Write Speak

iv) Awards and Recognition including scholarship

v) Other Academic and Corporate Activities

vi) Any Other Relevant Information, You may like to furnish

12. DETAILS OF TESTIMONIALS / CERTIFICATES / DOCUMENTS ENCLOSED:

(N.B.:

Every application must be accompanied by photo copies of documents in support of claims made by thecandidate in respect of date of birth, academic qualifications, practical training, experience, caste,



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projects, publications, consultancy etc.

(Do attach attested copies of all documents/ certificates in support of the information furnished by you in

Annexure-XV.)

1. _________________________________ 2. _______________________________

3. _________________________________ 4. ________________________________

5. _________________________________ 6. ________________________________

7. _________________________________ 8. ________________________________

13. IF OFFERED, would you be willing to accept one step lower faculty position than the post you had

applied for? : YES/NO

14. If you are selected for this post at VNIT Nagpur, what would be your plan of action at VNIT Nagpurfor near future? Explain in brief in less than 100 words in your own handwriting.

List out three of your the best of Publications (Include one set of Xerox copy in Annexure-XII) :

1.

2.

3.

Name & Signature of the Candidate:

Date:



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DECLARATION BY THE APPLICANT

I, the undersigned, whose photograph appears on the page, hereby

declare that I have carefully read and understood the instructions and

particulars provided by the Institute and affirm that every informationthat I have furnished is true to the best of my knowledge and belief.

I understand that I alone will be responsible for any consequencesarising out of incorrect and / or incomplete information furnished in this

application.

Place : _______________________ Signature of applicant : _______________________

Date : _______________________ Name : ___________________________________

____________________________________________________________________________________

ENDORSEMENT BY FORWARDING AUTHORITY

(Only for applicants who are in service of Govt./ semi Govt. /PSUs/Universities/ Academic Institutions)(To be filled in by the present employer)

Forwarded / Not Forwarded the application of Shri / Dr________________________

_____________________________.

Place: Signature of the Forwarding Authority:

Date: Designation:

Office Seal:

___________________________________________________________________________________

FOR OFFICE USE ONLY

1. Application received on: __________________________________________________________

2. Remarks __________________________________________________________________


Attesting officer to sign across the ph

Affix recent

coloured photo

here


6/15VNIT Nagpur, Faculty Advertisement February 2012


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VISVESVARAYA NATIONAL INSTITUTE OF TECHNOLOGY, NAGPUR 440010

( Advt No. VNIT/ P-ASP-AP/01/2012)Self Appraisal SUMMARY SHEET (To be written legibly or typed neatly)

Name : Mr./Ms. Date of Birth:

Category:(SC/ST/OBC/UR): PWD:Yes/No. If OBC, belong to non creamy layer:Yes/No.

(Applicable for the post of Assistant Professor only)

Post applied for: Department:

Qualifications: Degree Division Year University

UG

PG

PhD

Others

Total Experience: Years Post Ph.D. Experience: Years

Teaching:

Position Basic Pay AGP From To

Professor

Assoc. Prof.

Asst. Prof.

Industry/Research:

Position Basic Pay AGP From To

Publications National International

Journal Papers

Proceedings/PapersBooks / Chapters

Patents

Ph.D. thesis Guided

M Tech Thesis guided

ProjectsTotal value (Rs. in Lakhs)

2 Lakhs 2 to 5 Lakhs 5 to 30 Lakhs > 30 Lakhs

Research

Consultancy

Awards / Distinctions, if any:

Short term courses organized Conference / workshop organised

Present Employment (if applicable) and Basic Pay:

Date: Signature of the Applicant:Office use only

Remarks of Scrutiny committee: Eligible/ Not-Eligible

Signatures of Scrutiny Committee members HoD/Chairman



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Annexure-I Details of Experience

i) Teaching Experience : years Post Ph.D. Experience years

Sl.

No.

Name of the

organization where

employed

Designation Date of

Joining

Date of

leaving

Last Pay Band

and Grade Pay*

1.

2.

3.

4.

ii) Research Experience: years

Sl.

No.

Name of the

organization where

employed

Designation Date of

Joining

Date of

leaving

Last Pay Band

and Grade Pay*

1.

2.

3.

4.

iii) Industrial Experience: years

Sl.

No.

Name of Industry Designation Date of

Joining

Date of

leaving

Salary Drawn

1.

2.3.

* Prior to 6th CPC indicate the Basic Pay.

Annexure-II TEACHING EXPERIENCE

SerialNo.

Title of course taught Postgraduate or Undergraduate

Sole instructor or withothers

Year

Annexure-III POST GRADUATE / Ph.D THESIS SUPERVISION



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SerialNo.

Name of the Student /research scholar

Title of thesis Doctorate or Masters level

Year ofcompletion (orin progress)

Co-guide(s)(if any)

Annexure- IV Developing / Developed new courses

SN Details of new courses

NB: Include the new courses you would like to develop if selected in VNIT.

Annexure-V Developing / Developed laboratories.

SN Details of Laboratory / Experiments

NB: Include the new laboratories / experiments you would like to develop if selected in VNIT.

Annexure-VI SPONSORED/ RESEARCH PROJECTS UNDERTAKEN

Sponsoring Agency Title of project Amount of grant Period Co-investigators (if any)

NB: Include the new sponsored / Research project you would like to undertake if selected in VNIT.

Annexure-VII CONSULTANCY WORK DONE

Organization Title of project Amount of grant Period Co-investigators (if any)

NB: Include the type of consultancy work you are planning if selected in VNIT.

Annexure-VIII INDUSTRIAL EXPERIENCE/INTERACTION

Organization Nature of work Period



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Annexure-IX CONTINUING EDUCATION PROGRAMMES CONDUCTED

Organization Title of the program Period

NB: Include the continuing educational programmes you would like to conduct / organize if selected inVNIT.

Annexure-X SHORT TERM COURSES/WORKSHOPS/SEMINARS ORGANIZED


NB: Include Short term courses/ workshops/ seminars you would like to conduct / organize if selected inVNIT.

Annexure-XI LIST OF PUBLICATIONS

SN Papers in refereed journals

SN Papers in conference proceedings

SN Papers in Seminar / Workshops

NB: Enclose reprints of the best papers (about three) in your judgement. List those PUBLISHED andACCEPTED separately

Annexure-XII SHORT TERM COURSES/WORKSHOPS/SEMINARS CONFERENCES ATTENDED


Annexure-XIII MEMBERSHIP OF PROFESSIONAL BODIES



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Professional Body Member no./ID Remarks

NB: Include names of professional bodies whose membership you would like to opt if selected in VNIT.

Annexure-XIV PROFESSIONAL TRAINING RECEIVEDProfessional Body Brief on training Period



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Annexure-XV Attested Xerox Copy of Certificates



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Pro for Ma for Faculty Recruit Pas Pap 2012

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