appraisal_form_1-faculty

8/7/2019 Appraisal_Form_1-Faculty

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CONFIDENTIAL

INSTITUTE OF MANAGEMENT STUDIES,DEHRADUN

ANNUAL CONFIDENTIAL REPORT OF FACULTY MEMBERS

(Professors/ Asstt. Professors/ Sr. Lecturer/ LecturerCovering period (01/01/2010 to 31/12/2010)PART-I Personal Data and Responsibilities.(To be filled by the Registrar Office)1. Name :2. Date of

Birth:

3. Designation[Present]

:

4. Department[Mgmt. / IT / MassComm.]

:

5. Date of Joining

:

6. Status &period of probation [if any]

: (Confirmed / Probation/ Adhoc)

7. Salary at thetime of joining

:8. Salary Scale

& Grade

[Present]

:

9. Date of lastpromotion topresent grade

:

10.

Increments

Date

Basic DP DA HRA CCA Allowances

Total

1

1

Present

Salary

: Basic DP DA HRA CCA Allowan

ces

Total

12

Leaves takenduring the year

: Jan.

Feb.

Mar.

Apr.

May

Jun.

Jul.

Aug.

Sep.

Oct.

Nov.

Dec.

Total

EarnedLeaveCasual LeaveAcademicLeaveMedicalleave

VacationLeaveMarriageLeaveLWPTotal

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13

Appreciationlettersreceivedduring theyear fromHead of theInstitution/Management

:

14.

Disciplinaryaction /warningletters issuedagainst thestaff.

:

15.

Summary of feedbackfromstudents.

:

Date: ____/____/____ (Signature)

Name

PART II Personal Details and Self Appraisal(To be filled by the reporting Faculty Member)

A. Personal DetailsPermanent Address[Home Town]

Houseno.

Locality /Street:

City DistrictState Pin CodeContact numbers [Home

Town]Home Phone: Std Code: No.:Mobile:

Present Address [inDehradun]

House no.Locality / Street:

Contact numbers [inDehradun]

Home Phone:Mobile:

Email ID: IMS Email ID:Personal Email ID:

Passport Details: Passport No.:Date of Issue:Date of expiry:Place of issue:

EPF A/c No.PF Nominee: Relationship:PAN No.

FAMILY DATA:

Relation Name Age Educatio n Occupation

FatherMotherHusband/

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WifeChild 1Child 2Child 3

ACADEMIC QUALIFICATION (CLASS X TH ONWARDS)

S.NO

Name of Course/

Diploma/Degree

Name of

Institute/College

Name of

University

Yearof

Passing

Full Time/Part Time /Correspond

ence

Specialization/

SubjectsDiv. %

Class X

ClassXII

Grad.

Post.Grad.M.

Phil /Ph.

D.

Signature of the Faculty member __________________

PROFESSIONAL TRAINING (CERTIFICATE/ DIPLOMA/ DEGREEPROGRAMS)

S.NO

NATURE OFTRAINING DURATION PERIOD

TRAININGORGANIZATI

ON

SUBJECT/AREA OF

TRAINING

1

2

3

4

UGC-CSIR NET CLEARED: YES / NO JUNE / DECEMBER YEAR __________GATE SCORE: PERCENTILE(IF APPLICABLE)

CURRENT STATUS OF YOUR Ph. D. DEGREE [if not already Ph. D.]Whether enrolled for Ph. D. or not Yes No

If

Yes,

Name of the University

Name of the SupervisorDate of RegistrationDate of approval of

Synopsis

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Likely date of submission

of Thesis

ACADEMIC/ INDUSTRIAL EXPERIENCE (in reverse order, includingexperience of IMS, Dehradun)

Name of theOrganization & itsLocation[City]

Designation

PeriodNo.of

years

Specialization /

FunctionalArea

Last Salary Drawn

From To

Basic

DP DA HRA

CCA

OtherAllowan

cesTotal

IMS,Dehradun

Signature of the Faculty member __________________ B. Self-Appraisal (Please give specific details only)

1.

Key items of the Duties &Responsibilities of thepost in order of importance.

: 1.Core teaching (focus on practicalapproach) and special attention to weakerstudent2.Assisting student in IT basedprojects(MCA 5 & BSc-IT)3.Delieveing aptitude skills interview4.Internal project guide andexaminer(practical) and external paperevaluator5.Sports coordinator6.Class coordinator7.Commete members of sports and cultural

event2.

Academic & ProfessionalAchievements during theyear, including Degreeobtained Research work,

: 1.

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Books/ Papers / Articlespublished etc.

3.

The Training programmes/ Seminars/ Conferences/

Workshops attendedduring the reporting year.

: Attended Microsoft virtual class for sqlServer 2008 and .net 2008 New Delhi(a

New technology)

4.

The Training programmes/ Seminars/ Conferences/Workshops conducted inthe Institution during thereporting year.

: Attended 1.Seminar on global Recessionand Indian economy(seminor hall IMS)2. Guest lecture by Colpharsi(Communication & leadership)3.Co-ordinaling H>P Seminar .netpresentation for BCA/BSc-IT student/MCA

5.

Brief resume of Innovative approach orany special achievementsetc during the reportedperiod.

: Inculcate practical knowledge of the subjectby giving real world example from theindustry to be always in touch with themarket(IT) and developing,role plays,PPT,creative exercise and tricks to faceinterviews.

6.

Your contribution toenhance the quality of teaching and build up

image of the organizationand reflect sense of belonging.

: 1.Started practical based knowledge to PG& UG students using innovative and newmethods to enhance the quality of teaching

and easy understanding of concept with thehelp of audio/video Aids and case studies.

7.

Responsibilities taken inthe institution besidesteaching.

: 1.Internal project guide for MCA-5 andpractical examiner in webtech and .net2.Maintaining discipline in the campus\3.Motivate students to realize their potentialto increase managerial and technologicalskill and ensure their all rounddevelopment.

8.

Involvement in studentactivities (Cultural,Sports, Tours &Excursions etc.).

: 1.Event Co-oridinator sports fest 2009 IMS(volley Ball)2.Group leader kavi samelan 20093.Personal assistance to sports coordinatorand cultural coordinator.


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9. Subjects taught at IMS, Dehradun [January 2010 to December2010].

Even Semester [January to June2010]

Odd Semester [July toDecember 2010]

Class Subject

Subject

Code

L T P Subject

Subject

Code

L T P

10. Results [Academic Session 2009 2010]a) Sessional result

S.No.

Date of Sessional Test

Subject Code

Appeared

Pass

Pass%

Passwith

distinction

Highest

mark s

Lowest

mark s

Remarks

Odd Semester [July 2009 to December 2009]123456

Even Semester [January to June 2010]123456


b) University examination result [without adding internal marks]

S.No.

Dateof

Univ.Exam.

Subject Code

Appeared

Pass

Pass%

Passwith

distinction

Highest

mark s

Lowest

mark s

Remarks

Odd Semester [July 2009 to December 2009]12

3456

Even Semester [January to June 2010]

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123456

Any other suggestions/ remarks/ requests / future career plans may begiven in 50 words.

Date: ____/____/______ (Signature)Faculty Name:

__________________

PART III Assessment by HODs in Case of Sr. Lecturer /Lecturer 1.(a)

Does the HOD agree with all thatis reported under part II by thefaculty member? If not,enumerate precisely the extent of

disagreement with reasonsthereof.

:

(b) General comments on the resultsachieved and the Quality of Performance and Application of Knowledge, Delegated Authorityand Conceptual and professionalskills on the job.

:

(c) Comment on the followingattributes of the faculty memberin relation to his / herperformance.

(i) Academic competence

:

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(ii) Classroom Organization &Control

(iii)Feedback of the students(iv) Punctuality &

absenteeism

2. Intelligence & Understanding :

3. Zeal, Diligence & Sense of responsibility

:

4. Punctuality in Attendance :

5. Honesty & Integrity :

6. Other observations (This spacemay be utilized for mentioningspecific points such as specialaccomplishments during theperiod and any other aspect notcovered in the proforma givenabove which the Reporting Officerconsiders worth mentioning)

:

7. How do you grade him/ her forhis/ her overall performanceduring the period under reportassigning one of the followingappropriate grading?

a. Outstandingb. Very goodc. Goodd. Averagee. Below Average

Date: ____/____/______ (Signature)

Name (in block letters): _______________

Designation: ______________

PART IV Review by the Dean

1. Length of Service under theDean

:

2. Does the Dean agree with theremarks of the reportingFaculty in Part II and remarks

:

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of HOD in Part III? If notindicate reasons fordisagreement.

3. Aptitude & potentials of thefaculty member reported upon.

:

4. General Remarks(Strong & weak-points of thefaculty member reported uponcovering his/ her personality,initiative, resourcefulness anddevotion to-duty etc).

:

5. Overall grading assigning any of the following grades based on

overall performance andpersonally reflection during theperiod under report.

a. Outstandingb. Excellentc. Very goodd. Goode. Averagef. Below Average

:

6. Any other observations for the faculty member reported upon

Date: ____/____/______ (Signature of theDean)

Name: ___________________

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PART V Remarks by the Head of the Institution(Director)1. Length of Service under the

reviewing Officer:

2. Does the Reviewing Officerfully agree with the remarks of

the HOD in Part III andremarks of Dean in Part IV of the proforma? If not indicatereasons for disagreement.

:

3. Aptitude & potentials of thefaculty member reported upon.

:

4. General Remarks(Strong & weak-points of thefaculty member reported uponcovering his/ her personality,initiative, resourcefulness anddevotion to-duty etc asassessed by Reviewing Officer).

:

5. Overall grading assigning any of the following grades based on overallperformance and personally reflection during the period under report.

a. Outstandingb. Excellentc. Very goodd. Goode. Averagef. Below Average

6. Recommendation for(i) Undergraduate / Post Graduate course

(ii) Department : Management / IT / Mass Communication

(iii) Course _________________________________

(iv) Specialization _______________________________

Date: ____/____/______ (Signature of theDirector)

Name: ___________________

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On the basis of the observations of the Reviewing Officer, the Faculty is placedin following Grade / Designation

Designation:Status: Confirmed / Probation /

Ad hocBasic salary:DP:DA:HRA:CCA:Other Allowances: 1

)2)

EPF Employers

contribution:Gross Salary

(SECRETARY)IMS SOCIETY

Date: _________

appraisal_form_1-faculty

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