Application for the Post of Vice-Chancellor, Annamalai University

APPLICATION FOR THE POST OF VICE-CHANCELLOR, ANNAMALAI UNIVERSITY

(Applicant is requested to type the information in this format only and can add more lines in the format, if required)

1. General information of the Applicant

Name
(in Capital Letters) / Affix
Recent Passport
Size Colour
Photograph
Date of Birth
(dd/mm/yyyy)
Age
(as on 1.4.2018)
Place of Birth
Nationality
Community
Mother Tongue
Correspondence Address
Permanent Address
Phone. No / Mobile No. / Landline No.
Email: / Alternate Email, if any

1. Present Position:

a. / Designation
b. / Organization
c. / Pay scale
d. / Date of appointment to the present post
e. / Total experience (In Years and Months)

1. Educational Qualification (in chronological order from highest)

S.No / Degree Awarded / University /Institute / Year / Major Subject/Area / Marks/Grades Scored
(if any) / Class/
Distinctions,
etc,.

1. Details of Academic /Teaching Experience possessed as per Eligibility Criteria

(Refer to the Public Notification in the webpage) for the current position (starting from the current position)

S.No / Post held / Pay scale / Organization/University / Nature of duty / Experience
(in years & months)

1. (a) Administrative Experience – Post(s) & Responsibilities Held:

S.No / Position / Name of Post & Affiliation / Duration / Experience
(in years & months)
From / To
1 / Head of the Institute
2 / Dean of Faculty
3 / Head of Department
4 / Head of Centres
5 / Others (Specify)

(b) Member of Councils and Professional Bodies

S.No / Post / Organization/University / Duration / Experience
(in years & months)
From / To
1 / Member, Board of Studies
2 / Member of Academic Council
3 / Member of Executive Council
4 / Member of Professional/ Academic Bodies
5 / Others (Specify)

1. (a) Fulltime Academic/Teaching Experience (in chronological order from latest to oldest)

S.No / Post / Organization/University / Duration / Experience
(in years & months)
From / To
1
2
3
4

(b) Other contribution in relevant areas in higher education

S.No / Post / Organization/University / Nature of Duty / Period
1 / Visiting Professor
(Full Time)
2 / Resource Person
3 / Others (Specify)

(c) Involvement with formulation of academic programmes:

S.No / Nomenclatures of Innovative Academic Programs (UG/PG Level) formulated / University /Institute Implemented / Date of approval by Academic Council/ Implantation

(d) New courses Introduced

S.No / Name of the Course / Course Level (UG/PG) and Program / University/Institute Implemented / Date first offered

(e) Important MoUs formulated for academic collaborations:

S.No / Name of Agencies/
Department Involved / MoUs formulated
(Research /Teaching/Others) / Year of MoU

(f) Position of Chairs:

S.No / Name of the Chair / Name of agencies/ departments involved / Period of holding the chair

1. (a) Details of research papers presented in Internationalacademic/research events

S.No / Category / Number of Presentations
International Conference / Other Event held Abroad
International Conference / Other Event held in India
Total

(b)Details of research or academic event conducted at International level (Mention the role such as organizing chairman, secretary, treasurer, organizing committee member, advisory committee member etc,.)

S.No / Title of Event / Organization / University / Date / Role

1. (a) International academic exposure (Fulltime), if any:

S.No / Post / Assignment / Organization / University / Nature of Duty / Duration
From / To / in years & month

(b) Countries visited for academic interaction, conference, part of delegation, etc,.

S.No / Name of the Country & City / Organization / University Visited / Nature of Duty / Period

1. Scholarly Achievements:

(a) Kindly provide list of Research Publications/ Papers (Made in University Grants Commission listed journals after acquiring Ph.D)

(UGC approved list of journals include covered in (i) Web of Science (ii) Scopus (iii) Indian Citation Index (ICI); (iv) Journals recommended by standing Committee and Universities :

Refer to htttp///

Total Number of Publications: ……………

(Provide the details of the above as Annexure in the form of tabular Column as given below)

S.No / Author’s name / Title of Paper / Journal Name with Vol, year / Refereed journal or not / Number of Citations (where possible)

(b) Contributions to Journals and Book

S.No / Numbers already published / presented
1 / Book authored
2 / Editor in chief
3 / Editorship
4 / Peer review for
5 / Member of the Internationsl Advisory Board
Others (Specify)

Provide the details of the above as Annexure

10 (a) Research Publications:

S.No / Category / Numbers already published / presented
1 / International Journals (UGC approved list only)
2 / International Conference
3 / National Journals (UGC approved list only)
4 / National Conference
5 / Other articles

Provide the list of publication (with all authors name, title, name of journal/event, vol, no., year, pages)as Annexure

(b) Publication & Citation Record

S.No / Web of Science / Scopus / Goolge Scholar
1 / Publication (number as appeared)
2 / Citations (Overall)
3 / Citations (excluding review/overview papers)
4 / h-index

(c) Patents and Technology Transfer agreements signed

Title / Submitted Pending Award / Awarded
Patents
Technology Transfer Agreements Signed

(d) Participation and contribution in National / International level in the area of your academic and professional expertise:

Numbers(s)
Plenary Lectures / invited talks delivered / International
National
Ph.D Level Examinership, etc,. / International
National
Others (Specify) / International
National

(e) Sponsored Research project:

S.No / Title of Project / Sponsor Name / Duration of the Project / Amount of Grant (Rupees) / PI of CoPI

(f) Established of Centres /FIST Projects etc.

S.No / Title of Project / Sponsor Name / Duration of the Project / Amount of Grant (Rupees) / Role

(g) Consulting Experience:

List key consulting assignments undertaken;

S.No / Client `Organization’s name / Nature of Assignment / Duration / Value (in Rs)

(h) Honors/Awards & Fellowships for Outstanding work

S.No / Name of Award or Fellowship / Elected / Honorary Fellow / Awarded by / Year of Award

(i) No.of Research Scholars (Ph.D) successfully guided:

S.No / Name of Scholar / Affiliated University/Institute / Awarded/ under guidance by / Main Guide or Co-Guide

1. Your Strength (in 100 words): (Include as Annexure)

1. Your vision for the Annamalai University (up to 500 words) (Include as Annexure)

1. Details of two Referees

S.No / Name of the Referee / Post held by the Referee / E-mail / Phone No. / Mobile No.

Bonafide Affidavit:

I, hereby declare that all the statements/particulars made/furnished in the application are true, complete and correct to the best of my knowledge and belief. I also declare and fully understand that in the event of any information furnished in this application being foundto be false, misleading or incorrect at any stage, my application/candidature is liable to be summarily rejected and if I am already appointed, my services are liable to be terminated without any notice from the post of Vice-Chancellor as per the Act/ Statutes etc., andother applicable rules.

(Signature of the Applicant)

Declaration:

I hereby declare that I have never been convicted for any offence and there are no criminal/ departmental proceedings pending /contemplated against me.

Signature

Place:

Date:

(Note: Additional sheets may be used wherever necessary to provide complete information)

SUMMARY SHEET
Name of Applicant / : /
Date of Birth / : /
/ Age / Years / Months
(as on 1 April 2018)
Nationality (tick) / : / Indian
/ Others
Place of Birth / : /
Current Position / : /
Current Affiliation / : /
Details of Doctoral Degree Received / : /
City
/ Country
Year of Award
/ Area (tick)
Engg. / Science / Others
Work Experience / : / Total Work Experience
Years / Months
/ Teaching Experience as Professor
Years / Months
Total Experience after Ph.D
Years / Months
/ Administrative Experience
Years / Months
Research Contributions / : / Number of Journal Publications
(in UGC approved list)
/ Number of Presentations in International Conference
Number of Journal Publications
(in UGC approved list after Ph.D)
/ Number of Books/Proceedings Published
Citations (Scopus)
/ Number of Patents Awarded
Sponsored research
(Total value in Rs. Lakhs)
/ Consultancy
(Total value in Rs. Lakhs)
I, hereby declare that all the statements/ particulars made/furnished in this application are true, complete and correct to the best of my knowledge and belief.
Signature with Date