किरोड़ीमलकॉलेज

KIRORI MAL COLLEGE

Application Form for the Post of Principal

Date: / Application No.:

Application Fee:

General/OBC Category: / Rs.500/-

SC/ST/PwD: Rs.100/-

Please do not write anything above this line

Draft No:

Amount:

For detailed information please visit College website:

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किरोड़ीमलकॉलेज

KIRORI MAL COLLEGE

Application Form for the Post of Principal

Please paste recent

passport size

photograph

General Details

Post Applied For:PRINCIPAL

Personal Details

First Name: ______Middle Name: ______LastName:______

Parent’s/Spouse Name ______Date of Birth ______

Age (As on Today) _____Y_____M_____D_____ Category (Gen/SC/ST/PWD (OH/VH)): ______

Nationality ______Gender ______Telephone No. ______

Mobile No. ______Email ______

Postal AddressPermanent Address

______

______

______

______

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(Please add additional sheets if required, for teaching/research section in the format as in this form)

Educational Qualifications

Examination / Year / Main Subject/s / Marks (%) / College / University
Attended
Bachelor
Degree
Masters
Degree
M.Phil.

 Please mention your specific degree in case of Integrated course/programme.

Degree / Year of Award / Thesis Title / Date Of / University / Date of
Registration / submission
Ph.D.
Other
Distinctions
Post-Doctoral Research Experience
Name of University / Post / From / To / Experience
/College/Institution / held/Designation / [in years & month(s)]

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Full-time Teaching Experience

Name of University / Designation / Status / Classes / Course/ / From / To / Experience
/College/Institution / (Permanent/ / Taught / Subject / [in years &
Temporary/ / month(s)]
Ad-hoc)

Administrative Experience

Name of University / Designation / Status / From / To / Experience
/College/Institution / (Permanent/ / [in years & month(s)]
Temporary/
Ad-hoc)

Present Employment Details

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Please indicate, whether you are currently employed: Yes/ No (if yes give details and attach self-attested copy of the appointment letter)

Organization Name ______Position Held______Date of ______

Appointment

Status (Permanent/ Temporary/ Ad-hoc) ______

Academic Profile

Publications in Relevant Area Only

API Score is to be calculated in accordance with screening/shortlisting guidelines(Category III) for direct recruitment for the post of Associate Professor and Professor available on the Universitywebsite.

⃝ I certify that the points claimed on the basis of being the first, sole or corresponding author is based on the convention adopted by the journal/other publication.

Research Papers / Review Articles / Conference Proceedings

Title with page / Publication / Journal / Refereed / Publisher (city / / Sole/Co- / API
nos. / Type / ISSN/ISBN / or Not / country ) & Year of / Author / Score
No. / Publication

Research Publications - Books, Chapters, Edited work, Articles etc.

Title of the / Publication / Book/Journal / Refereed / Publisher (city / / Sole/Co- / API
Book (s) / Type / ISSN/ISBN / or Not / country ) & Year of / Author / Score
No. / Publication

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Research Projects

Title / Major/ / Period / Total / Name of / Outcome of / API
Minor / [in years & / Grant/Fun / Sponsoring/ / the Project / Score
month(s)] / ding / Funding Agency
received
(Rs.)

Ongoing Consultancy Projects

Title / Stream / Name of Awarding/ / Amount mobilized in / API Score
Sciences/Arts/ / Funding Agency / received (Rs.)
Humanities etc.

Completed Projects

Title / Major/ / Funding Agency Acceptance / API Score
Minor / (Yes/No)

Projects Output (Patent/Technology Transfer/Product/Policy Document)

Title / Project Output / National/ International Level / API Score
Patent/Tech
Transfer/Product
/Policy Doc.

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Research Guidance:

Level of Guidance / No. of candidate(s) registered / Thesis Submitted / Degree Awarded / API Score
(numbers) / (numbers)
M.Phil.
Ph.D.
Project Guidance at undergraduate level:
Level of Guidance / No. of candidate(s) / No. of Years / API Score
registered / (supervision)
Undergraduate
Training Courses(Refresher / courses, Methodology, Workshop, / Training, Teaching-Learning

Evaluation Technology Programmes, Soft Skills development programmes, Faculty Development Programmes):

Name of Course/ Programme / Sponsoring Institution / Duration / API Score
attended

Papers presented in Conferences/Workshop/ Symposium:

Title /Subject / Title/Subject of / Organising / Conference/ Symposia/ / Proceedings / API
of paper / conference/seminar/ / Institution / Workshop / published / Score
workshop / (with City & / (National/International) / (Yes/No)
Country)
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Invited/ Special Lectures or Presentations at Conferences/ Symposia:

Title/ Academics / Organising / Conference/ Symposia/ / Date of Lecture / Duration / API
Session/ / Institution (with City / Workshop / (in Mins.) / Score
Subject / & Country) / (National/International)

Summary of Points out of Total API points earned as per category III Total API points earned:

Summary of Academic Performance Indicator:

S.No. / Criteria / API Score / API Score Distribution as per / API Score
Claimed / UGC guidelines (in % of total / applicable as per
API score) / UGC guidelines
1 / Research Papers/ Publications / 55%
etc.
2 / Research Projects / 20%
3 / Research Guidance / 10%
4 / Training Courses and / 15%
Conference/ symposia
presentations
Total API Score

Miscellaneous Information

Computer Skills (e.g. word processing, spreadsheet, databases or any other specific softwarewith familiarity level of Basic/Intermediate/Advance)

ICT Usage / Skills / Specialized Packages/ / Familiarity
Softwares

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Mention your most significant contribution as a teacher (in about 100 words)

Mention your most significant research contribution in order of preference(in about 100 words)

Honours and Awards Received (Please provide details in the box below) in chronological order

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Notable contributions, if any, beyond what has been mentioned above (Pleaseprovide details in the box below)

Membership / Fellowship of Learned Bodies / Societies (Please provide details in the box below)

Participation in Literary, Cultural or other activities (Please provide details in the box below)

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Mention your Vision for the College for next five years taking into consideration both academic and administrative aspect (in about 100 words)

Briefly describe your administrative experience including your knowledge of relevant rules (Service Rules, Leave Rules, Disciplinary Rules, General Financial Rules etc.) (in about 100 words)

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Disclosure

Have you been debarred or punished for adopting unfair means in any Examination by the Institution / Board or University? Yes / No

If yes, specify ______

Have you at any time been convicted by court for any criminal offence? Yes / No

If yes, specify ______

Were you ever discharged or dismissed from any previous employment? Yes / No

If yes, specify ______

Three Referees Familiar with your Academic Work and Administrative work

Full Name / Institutional / Designation / Institutional / Mobile/Phone / Email
Affiliation / Address / No.

Declaration

I declare that the statements made and documents enclosed with the application form are true to the best of my knowledge and belief. If any information is found to be incorrect, my candidature is liable to be cancelled and that I may be subject to legal / disciplinary proceedings.

Date:Applicant’s Signature

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No Objection Certificate from present employer

Please indicate if NOC is not available: Yes/ No

Forwarded with the remarks that the facts stated in the above application have been verified and found correct and this Institution/ Organization has no objection to the candidature of the applicant being considered for the post applied for.

Name of Head of Institution ______

Designation______Signature & Seal of Head of Institution ______

Address ______Place______Date______

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