non-teaching application forms
TRANSCRIPT
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Application Form for Direct Recruitment of TeachersBank Draft Details (Date & amount & Name of Bank):_________________________
1. Full Name (In block letters)___________________________________________
2. Post applied for Department______________________
3. (a) Father s/Husband s Name: ________________________________________
(b) Mother s name:_________________________________________________
4. Address with phone/email (ifavailable):
Address for Correspondence Permanent Address
Address: Address:
Phone: Phone:
Email:
5. (a) Date of Birth: (b) Place of Birth: (c) Nationality:
(d) Male or Female: (e) Marital status: (e) Category:
(f) Religion:
6. Educational Qualifications (Strike off which is not applicable):
Exam Passed University/Board
Year ofPassing
Percentage ofMarks/Grade
Division MainSubjects
Award/Medal/Merit, if any
MatricHr.Sec./Pre.Univ./ 10+2/
Inter/Equivalent
BTech/BBA/BSc/B.Com/
Any Other
MTech/MBA/MCom/MA/
MSc/MCA/Any other
NET/GATEM.Phil
Ph.D Subject ...............................................Topic of Thesis ..
...
Year of Award of
Degree .
Name of the University/Institute that has awarded the Ph.D.
Any other Exam.
Areaof Specialization
Paste AttestedPassport Size
Photograph
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7. Teaching/Professional/Research positions held(Give in chronological order starting with the present
post).
Employer Post held Pay Scale Basic Pay Period of employment Nature of duties/ work
8. (a) Has there been any break in your service career? ________________________________________
If so, give details thereof with reasons_________________________________________________
(b)Have you ever been punished during your service:________________________________________
or convicted by a Court of Law? If so, give details._______________________________________
(c) Have you ever been declared medically unfit? or asked to submit your resignation or discharged or
Dismissedfrom service? If yes, give details ona separate sheet._____________________________
9. (a) Total teaching experience(full-time) in Institute/College/University:_________________________
(b) Total Research experience: ______________________________________________________
(c) Any other experience: ______________________________________________________
10. Guidance/Supervision of Ph.D. Thesis:
(a) Number of Candidates registered for Research Supervision at present: ____________________
(b) Number of Candidates who have successfully Completed/Submitted Ph.DThesis.
11. Have you studied Hindi up to Matric standard? Yes/No
12. Present Designation and Grade Pay(Rs) In the Pay Scale of (Rs).
Total Emoluments ..
13. List of Publications:
Publications PublishedWith details of publication
Accepted for PublicationWith details
Booksa) Independentlyb) Jointly
Research Papersa) Independently
b) JointlyPatentsa) Independentlyb) Jointly
Any Other Publication
a) Independently
b) Jointly
*Paper accepted for publication will carry weight equivalent to published paper
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14. RESEARCH AND ACADEMIC CONTRIBUTIONS (Applicable to Professors & Associate
Professoronly)
S.N. APIs Engineering / Sciences Humanities / Library /Physical Education /
Management
Max. Points for university &College teacher position.
API Scoreallotted
SelfApp.Score+
VerifiedAPI
Score#
III A Research
/Review
Papers* publishedin:
Refereed & Indexed Journalsjournals with impact factor
Refereed & IndexedJournals journals withimpact factor above 5
40/publication
Refereed & Indexed Journalswith impact
factor 2-5
Refereed & IndexedJournals with impactfactor 2-5
30/publication
Refereed & Indexed Journalswith impact factor 1-2
Refereed & IndexedJournals with impactfactor 1-2
25/publication
Refereed & Indexed journals Refereed & Indexedjournals
20/publication
Refereed Journals Refereed Journals 15/publication
Non-refereed but recognizedand reputable journals &periodicals, havingISBN/ISSN no.
Non-refereed butrecognized & reputablejournals & periodicals,having ISBN/ISSN no.
10/publication
Conference proceedings asfull papers, etc. (Abstractsnot to be included)
Conference proceedings asfull papers, etc. (Abstractsnot to be included)
10/publication
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IIIB Research
Publications
(Books, chapters in
books, other
than refereed
journal articles)
Text or Reference BooksPublished by InternationalPublishers
Text or Reference booksPublished by InternationalPublishers
50 / sole author(book) & 10 eachchapter in anedited book
Subjects Books by NationalLevel Publishers / State andCentral Govt. Publicationswith ISBN/ISSN no.
Subjects Books byNational Level Publishers /State & Central Govt.Publications with ISBN /ISSN no.
25/sole author(book) and 5each chapter inan edited
book.
Subject Books by Otherlocal publishers with
ISBN/ISSN numbers
Subject Books by Otherlocal publishers with
ISBN/ISSN numbers
15/sole author
(book) & 3 eachchapter
in an edited
book.
Chapters contributed toedited Knowledge basedvolumespublished byInternational Publishers
Chapters contributed toedited Knowledge basedvolumes publishedbyInternational Publishers
10/chapter
Monographs /books
Published without ISBN / ISSN
no/ edited conference
proceedings / refresher course
proceedings / case studies, etc.
Monographs / books published
without ISBN / ISSN numbers /
edited conference proceedings/
refresher course proceedings /
business games/case studies,etc.
10 points
each
Chapters in Knowledgebased volumes byIndian/National Levelpublishers with ISBN / ISSNnumbers and with numbers ofnational and internationaldirectories.
Chapters in Knowledge basedvolumes by Indian /NationalLevel publishers with ISBN/ ISSN numbers & withnumbers of national&international directories.
5/chapter
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IIIC RESEARCH PROJECTS
IIIC(i)
Sponsored
Projects
carried out/
ongoing
Major Projects amountmobilized with grants Rs.50.0 Lakhs & above /MajorProjects amount mobilizedwith grants above Rs. 30.0Lakhs
Major Projects amountmobilized with grants Rs.10.0 Lakhs and above / MajorProjects amount mobilizedwith grants above Rs. 5.0Lakhs
30/20 perproject per
year ofoperation.
Major Projects amountmobilized with grants aboveRs. 5.0 Lakhs up toRs.30.00 Lakhs
Major Projects amountmobilized with grants aboveRs. 3.0 Lakhs up to Rs. 5.00Lakhs
15/Project peryear of
Operation.
Major / Minor Projects
(Amt. mobilized with grants
Rs.50,000-5 lakh)
Major/Minor Projects
(Amount mobilized with
grants Rs. 25,000-. 3 lakh)
10/Project peryear of
Operation.
IIIC(ii)
ConsultancyProjects carriedout /ongoing
Amount mobilized aboveRs. 10.00 lakh
Amount mobilized aboveRs. 2.00 lakh
10 per projectper year
Amount mobilized between Rs.10,000/- and Rs. 10.00 lakh
Amount mobilized betweenRs. 10000/- and Rs. 2.00 lakh
5 per projectper year
IIIC(iii)
Completed
projects
Completed project Report Completed project Report 20/each majorproject & 10/each minorproject.
IIIC(iv)
Projects
Outcome/Outputs
Patent/Technologytransfer/Product/ Process
Major Policy document ofGovt. Bodies at Centraland State
Government/Semi GovtLevel.
30/each nationallevel incl. patentgranted; 50/each forinternationallevel includingpatent granted;& 15/each forpatent applied
IIID RESEARCH GUIDANCE
IIID(i)
Master Degree
(with disserat
ation or Project
Work)
Degree awarded
Dissertation submitted
Degree awarded
Dissertation submitted
3/eachcandidate.
2/eachcandidate.
Bachelor DegreeProject work
Degree awarded Degree awarded 1/eachcandidate.
IIID(ii)
Ph.D Degree awarded Degree awarded 10/eachcandidate
i) Thesis submittedii) Thesis evaluated of other
Universities.iii) Viva-voce conducted ofother Universities.
i) Thesis submitted
ii) Thesis evaluated of
other Universities.iii) Viva-voce conducted
7/eachcandidate5/eachcandidate3/eachcandidate
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III E TRAININGCOURSES AND CONFERENCE/SEMINAR/SYMPOSIUM/WORKSHOP PAPERS
III E
(i)
Refresher, STP, QIP,
Orientation courses,
workshops+,
Training, Teaching -
Learning- Evaluation
Tech. Programme,
Soft Skills Level.
(a) Not less than 2 weeksduration.
(b) One week duration.
(a) Not less than 2 weeksduration.
(b) One week duration
20/each
10/each
III E(ii)
Papers in
Conferences/ Seminars/Symposia/
workshops etc.
Participation andPresentation of researchpapers (oral/ poster) in
Participation andPresentation of researchpapers (oral/poster) in
a)International a) International 10/each
b) National b) National 7.5/each
c) Regional/ State level c) Regional/State level 5/each
d) Local-University/College level.
d) Local- University/College level.
3/each
III E(iii)
Invited lectures/presentations orsessions chaired atconferences/ seminar/workshops/symposia.
a)International/ Foreign a) International/Foreign 10/each
b) National b) National 7.5/each
c) Regional/ State Level c) Regional/State level 5/each
d) Local-University/College level
d)Local-University/College level
3/each
IIIE(iv)
Academic Contribution
through organization of
RefresherCourses/
Orientation
Programmes/
Conferences/ Seminars/
Workshops, etc.
As a member of theorganizing committee or theAdvisory Committee
As a member of theorganizing committee orthe Advisory Committee
a)International a) International 10/each
b) National b) National 7.5/each
c) Regional/ State level c) Regional/State level 5/each
IIIE(v)
Academic
Contribution through
participation in
quality enhancement/
sustenance efforts.
Member of University Court/Executive/Academic council /FC / Sports Council/ IQAC/Purchase Committee, House
allotment committee, NAACcommittee, UG / PG Boardsof Studies, Governing Bodiesof Colleges/Institutions,Inspection Committee,member of editorial board etc.
Member of UniversityCourt/ Executive Council/Academic council / FC /Sports Council/ IQAC,
Purchase Committee,House allotmentcommittee, NAACcommittee, UG / PGBoards of Studies,Governing Bodies ofColleges/ Institutions,Inspection Committee,member of editorial boardetc.
7pointseach/year.
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III F(i)
Academic Contributionthrough leadership atdifferent level
A) Chairperson, Directorof Sports, ProgrammeDirector (weekend / DistanceEducation), Head (T&P),PRO, coordinator CIL/ Testhouse/excellence centre andany other similar non teachingduties to teachers.
A) Chairperson, Directorof Sports, ProgrammeDirector (weekend/ /Distance Education),Head (T&P), PRO,coordinator CIL/ Testhouse/ excellence centreand any other similar nonteaching duties to teachers.
25 pointsfor each,subject tomax. of 25points peryear
B) Incharges, Warden,Programme Chairperson, NSSCoordinator, CoordinatorAlumni Association, NodalOfficer, Coordinator / Incharge
International Affair Cell, Co-coordinator (TEQIP, SAP/FIST), Training & PlacementAdvisor, Course Coordinator/Lab Incharge, Coordinator /Incharge of various cells etc.
B) Incharges, Warden,Programme Chairperson,NSS Coordinator,Coordinator AlumniAssociation, Nodal Officer,
Coordinator / InchargeInternational Affair Cell,Co-coordinator (TEQIP,SAP /FIST), Training &Placement Advisor, CourseCoordinator/ Lab Incharge,Coordinator / Incharge ofvarious cells etc.
20 pointsfor each,subject tomaximumof 20
points peryear
III F
(ii)
Academic Contributionthrough leadership
At senior level
A) VC, PVC, and Registrar A) VC, PVC, and Registrar 40 pointsfor each,subject tomaximumof 40 points
B) Dean Academic Affairs,Dean (Colleges), Dean
Students Welfare, Deansof Faculties, Proctor, Facultyworked as COE/COF, ChiefWarden, ResearchCoordinator, Librarian,Coordinator (TEQIP, SAP /FIST) etc.
B) Dean Academic Affairs,Dean of Colleges, Dean
Students Welfare, Deans ofFaculties, Proctor, Facultyworked as COE/COF, Chiefwarden, Research co-ordinator, Librarian,Coordinator (TEQIP, SAP /FIST) etc.
30 pointsfor each,
subject tomaximumof 30 pointsper year
III G Fellow of Academies a) International
b) National
a) International
b) National
10 each
5 each
Research/Academic
Fellowship
a) International
b) National
a) International
b) National
10 each
5 each
Citation of Research
Work
Above 10-20 citation perpaper
Above 10-20 citation perpaper
1each/citation
Total ScoreMinimum API Score Required underCategory-III
For the Post of professor consolidatedminimumAPI Score requirement is 400 Points andFor the post of Associate professor consolidatedminimumAPI score requirement is 300 points
+To be filled by the candidate.# To be Verified by screening committee.
Note:
In case of joint publications:
a) If research supervisor/mentor/principal investigator/co-principal investigator and project fellow/researchscholar(s) (Ph.D, M.Tech and M.Phil. etc) make publication, each will get full points, provided the contents
of research paper should be a part of Thesis/ dissertation/ Project report.
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b) In case of joint publication other than (a) above, marks (as specified against each category in the table above)shall be equally divided among all the authors.
c) API Score for III E (ii) will be claimed solely by the author who participated and presented the paper
(oral/poster). However, 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)).
d) Documentary proofs are required for claiming API score claimed in point 14.
It is certifiedthat the foregoing information given by me is correct and trueto the best of my knowledge
and belief and no material information has been concealed. Further, I am aware of the fact that if the
information given above is found incorrect or false at any stage, I am liable to be punished.
Date . Signature of the Candidate
No Objection Certificate (For Employed candidates)
This is to certify that the institute/ college/ university has no objection if Mr./Mrs./Dr
S/o, D/o Mr. / Dr. .. is appointed by the
Deenbandhu Chhotu Ram University of Science & Technology, Murthal. His/ her work and conduct at this
place is . as per the records. He/ she bears a .Character.
Head of Institute/ College /UniversitywithSeal
..
For office use only
Recommendation of Screening Committee
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For office use
Application Form No Asstt. Registrar (Estt.)
Signature
(To be filled up by the Candidate)
Demand Draft No .
Dated Amount: .........
Application Form for Direct Recruitment of Non-Teaching Post
DEENBANDHU CHHOTU RAM UNIVERSITY OF SCIENCE & TECHNOLOGY,
M U R T H A L (SONEPAT) , HARYANA
1. Name of Post applied for :_________________________________2. Discipline/ Department :_________________________________
3. Advertisement No. :________ _____________________________
4. Name of the candidate in block letters (asper Sr. Sec. School Certificate
:_____________________________________
5. Father s./Husband s Name (block lett ers) :_____________________________________
6. a) Date of Birth :_____________________________________
b) Place of birth with state :_____________________________________
7. Nationality :_____________________________________8. Marital Status :_____________________________________
9. Present Postal Address :_____________________________________
______________________________________
______________________________________
10. Contact Telephone No. :______________________________________
11. E-Mail I.D. :______________________________________12. Permanent address :_____________________________________
______________________________________
______________________________________
13. Academic/Professional Qualification (Attach attested copies of mark sheets & certificates)
Sr.
No.
Examination passed Board/University
Year of
passing
% age of
marks
obtained
Division/
Class
Subject/
Specialization
i. Matric/Hr. Sec.
ii. 10+2/Inter/Pre. Engg.
iii. B.A./B.Sc.
iv. B. E./B. Tech./
B.Sc.(Engg.)/B. Arch.
v. M.A. /(M.Sc./ M.Com/MBA
vi. M.E./M.Tech./M.Arch.
vii. M. Phil
viii. Ph. D.
ix. Any other
Passport size
recent
Photograph
to be pasted
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14. a) Topic of M. E. / M. Tech. / MBA / M.
Phil/Thesis/Dissertation
:_____________________________________
b) Topic of Ph.D. Th esis :_____________________________________c) Field of Specialization :_____________________________________
15. Details of Research Publication (Attach
reprints of research papers)
a) International Journals :_____________________________________
b) National Journals : _____________________________________
c) International Conference
d) National Conference
e) Seminar
f) Workshop.
:_____________________________________
:_____________________________________
:_____________________________________
: _____________________________________
Total :_____________________________________16. Do you belong to any reserved category
(Scheduled Caste/Scheduled
Tribes/Backward Class/ Ex-Serviceman/
Physical Handicapped). If yes, state the
category and attach the attested copy of
certificate issued by the competent
authority.
: Yes/No
17. Experience(Attach attested copies of relevant certificates):-
Sr.
No.
Organization/
Dept.
Post
Held
Basic Pay &
Pay scaledrawn/being
drawn
From To Total
Experience
Reason
forleaving
1
2
3
4
18. Details of present employment (Attach Employer s Certificate)
a) Name of the organization :_____________________________________
b) Designation : ____________________________________c) Pay Scale :____________________________________
d) Basic Pay :____________________________________
e) Date of Next increment :____________________________________
19. Basic pay acceptable :____________________________________
20. Minimum joining period required :____________________________________21. Reference from the two responsible personsof the field and not related to you
(i)______________________________ ____________________________________
(ii)______________________________ ____________________________________
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22. Any other relevant information :___________________________________
Certified that the above information furnished by me in this application form is correct and true andnothing has been concealed in it . I also undertake to accept the liabilit y for any action under the rules for any
wrong-statement or concealment of facts on my part.
Place:
Date: Signature of applicant
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DEENBAND HU CHHOTU RAM UN IVERSITY OF SC. & TECHNOLOGY MU RTHAL (SONEPAT)
IMPORTANT INSTRUCTIONS FOR ADVERTISEMENT
Candidates must go through the following instructions before filling up the application form:
1. Name of the post applied for must be super-scribed at the top of the envelope as under:-
Application for the post of ___________________________ .
2. Those who are already in employment should submit their Application Form through proper channel.
3. Reservation of posts of SC/BC/PH/ESM/ Sports will be for Haryana residents only and as per other
conditions of reservation policy of S tate Govt./University.
4. Candidates applying for the posts under ESM category should submit a certificate duly issued by the Zila
Sainik Board to the effect that his/her father has not availed the benefit of re-employment in any
Government service, Public Sector Undertakings including Para-Military Forces, in view of State
Government instructions.
5. The complete application forms should reach the office of Registrar, Deenbandhu Chhotu Ram University
of Science & Technology, Murthal (Sonepat) - 131039 by 14 th June, 2013.
6. The application forms received after due date shall be rejected. The incomplete application forms shall
also be rejected.
7. The applicants must specifically mention the Category of the post in which he/she is applying for and
must enclose the attested copies of the documents.