PART- A (Modified)
BIRLA INSTITUTE OF TECHNOLOGY, MESRA, RANCHI
PBAS PROFORMA FOR APPLYING FOR PROMOTION UNDER CAREER ADVANCEMENT SCHEME (Revised in 2016).
AGP / Rs.AGP / Rs.
From To
1. / Name in BLOCK Letters:2. / Designation:
3. / Department:
4. / Campus:
Submitted to Department / Off-Campus on / dd / mm / yyyy
Certified that the Application was received in the Department /Off- Campus on the above mentioned date.
Signatures by DCAS/ OCCAS Committee Members
Note: Print Page No: 2 for “Office use only” overleaf.
FOR OFFICE USE ONLY, DO NOT FILL ANY COLUMNS
From AGP / To AGP1. Previous valid experience if any / Years / Months
2. Additional increments given if any during joining B.I.T
3. Date of joining B.I.T(from 1st appointment on wards)
Designation / Scale /AGP / Contract / Regular / dd / mm / yyyy
4. Details of Ph.D / dd / mm / yyyy
Date of Admission
Date of Registration
Date of Final Viva Voce
Date of Award of Provisional Certificate
Date of Award of Degree
5. Total years to be Counted
6. Details of EOL if any, with duration
7. Date of eligibility (experience- wise) / dd / mm / yyyy
8. API / < = > / (Required API)
Eligible / Not eligible
9. Date of eligibility / dd / mm / yyyy / Reason
10. Signatures
1. / Name in BLOCK Letters
2. / Employee Code
3. / Father’s / Husband’s Name
4. / Department
5. / Campus
6. / Current Designation Current Grade Pay / Page No.
7. / Designation applied for Grade Pay applied for / ×
8. / Date of Joining B.I.T / dd / mm / yyyy
9. / Scale Basic Pay AGP No of adnl. incr.
10. / Date of Last Promotion / dd / mm / yyyy
11. / Scale Basic Pay AGP No of adnl. incr.
12. / Assessment Period / dd / mm / yyyy / To / dd / mm / yyyy / Total / Years / Months / ×
13. / Date of eligibility for promotion (as claimed) / dd / mm / yyyy / ×
14. / Date of Birth / dd / mm / yyyy / Place of
birth
15. / Sex (Tick) / Male / Female / Marital Status / ×
16. / Nationality / ×
17. / Category- General /SC/ST/OBC/PH
18. / Address for Communication (with PIN code) / ×
19. / Permanent address (with PIN code): / ×
20. / Contact number (Mobile No.) / ×
21. / E- mail id / ×
22. Academic Qualifications
Sl. No. / Examination / Board/University / Discipline wherever applicable / Year of Joining / Year of Passingout / % of marks obtained / Division & Distinction / Page No.
1. / Matric
2. / Intermediate(10+2)
3. / UG (BE/B.Tech/ B.Sc/B.Pharm/BBA/BCA)
4. / PG (ME/ M.Tech/ M.Pharm/ MBA/M.Sc/ MCA)
1)
2)
3)
4)
5. / M.Phil
6. / Ph.D/D.Phil
7. / D.Sc/D.Litt.
8. / Other Exams (if any)
dd / mm / yyyy / Page No.
Date of Admission
Date of Registration
Date of Final Viva Voce
Date of Award of Provisional Certificate
Date of Award of Degree
23. Details of Ph.D
24. Records of Service before Joining B.I.T.(in chronological order).
Institution/Organization / Designation / Nature of appointment (Regular/
Contract/ Temporary/
Adhoc / Nature of Duties / Scale/ Basic Pay / AGP / Date of Joining / Date for Leaving / Reasons for Leaving / Page No.
Scale
Basic Pay
AGP
Scale
Basic Pay
AGP
Scale
Basic Pay
AGP
Scale
Basic Pay
AGP
Please Indicate, whether in previous service
a) The essential qualifications of the post held were not lower than the qualifications prescribed by the UGC.
b) The post is /was in an equivalent grade or of the pre-revised scale of pay.
c) Whether applied through proper channel.
d) Whether possesses the same minimum qualifications as prescribed by the UGC for appointment to the post.
e) The post was filled in accordance with the prescribed selection procedure laid sown in the regulations of University/ State Government /Central Government / Concerned Institution, for such appointments.
f) The previous appointment was not as a guest lecturer for any duration or an ad-hoc or in a leave vacancy of less than one year duration.
25. Record of service in Birla Institute of Technology, Mesra (in chronological order).
Designation / Essential qualifications for the post at the time of appointment / Nature of appointment (Regular/Contract/ Temporary/ Achoc / Scale/ Basic Pay / AGP / Date of Actual Joining / Total period
Years Month Days / Page No.
Scale
Basic Pay
AGP
Scale
Basic Pay
AGP
Scale
Basic Pay
AGP
Scale
Basic Pay
AGP
26. Any other details to be reported (EOL, PDF, study leave etc.)
27. Eligibility Criteria (during the Assessment period only)
a) No. of years of experience claimed(excluding duration of Ph.D) Years Months
b) Details of Refresher/Orientation Courses attended during assessment period
Sl. No / Nature of theCourse/Summer School / Place / From / To / Duration / Sponsoring Agency / Page No.
1.
2.
3.
4.
c) Details of Publications during the specified period.
Sl. No / Title of Publication / Name of Publisher / Date and year of Publication / Page No.1.
2.
3.
4.
5.
Note: Specified period is the entire period as Assistant Professor (12 years) for those applying for promotion from Stage III to Stage IV.
and
The period since the faculty is placed in Stage III for those applying for promotion from Stage IV to Stage V.
d) API claimed during Assessment period
a) Category I (Average)
API Minimum API as verified by API as verified by Institute
Claimed DCAS Committee CAS Committee
b) Category II (Average)
API Minimum API as verified by API as verified by Institute
Claimed DCAS Committee CAS Committee
c) Category I +II (Average)
API Minimum API as verified by API as verified by Institute
Claimed DCAS Committee CAS Committee
d) Category III (Cumulative)
API API as verified by API as verified by Institute
Claimed (after capping) DCAS Committee CAS Committee
I certify that all the details given above are true to the best of my knowledge.
Signature
Attach the following documents in the following order.
1. Office order of last promotion
2. Letter of appointment in B.I.T
3. Records of previous experience claimed.
i) Post held and Pay Scale
ii) Call letter for the interview
iii) Appointment Order Repeat if experience is claimed in more
iv) Relieving Order than one organization.
v) Experience Certificate
4. Certificates of courses attended.
(only of those which are claimed for eligibility – maximum 4).
5. First pages of the publications.
(only of those which are claimed for eligibility - maximum 5).
6. Details of all educational qualifications (in chronological order)
Note: All the documents shall be page numbered and the page number shall be mentioned in
the Application formats Modified Parts A-E, wherever the respective API point is claimed.
ACKNOWLEDGEMENT OF APPLICATION FORM
Office Copy, Dean (Faculty Affairs)
Name of Faculty:Department:
Campus:
Post applied for:
AGP applied for:
Whether PART E is submitted: / Yes / or / No
Signature of Applicant:
------
Office Copy, (Registrar)
Name of Faculty:Department:
Campus:
Post applied for:
AGP applied for:
Whether PART E is submitted: / Yes / or / No
Signature of Applicant:
Signature, Office of Dean (Faculty Affairs):
------Applicants Copy
Name of Faculty:Department:
Campus:
Post applied for:
AGP applied for:
Whether PART E is submitted: / Yes / or / No
Signature of Applicant:
Signature, Office of the (Registrar):
PART- B (Modified)
Academic Performance Indicators under Category I
Teaching, Learning, and Evaluation Related Activities
1. Lectures, Seminars, Tutorials, Practicals, Contact hours undertaken as Percentage of Lectures allocated
1. A. (i). Classroom teaching including Lectures, Tutorials and Sessionals
Lectures, Tutorials and Sessionals during the last two completed semesters
Sl.No. / Session / Course / UG/ PG / Periods allotted including tutorials / Periods engaged including tutorials / % of Classes engaged / Page No.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Note: i) Please start with the recently completed semester and then proceed to the previous
semester.
ii) Please start with the theory courses first and then proceed to sessionals.
iii) Please fill up the table below.
Sl.No. / Session / Total Periods allotted including UG/PG, the Tutorial and Sessionals / Total Periods engaged / Percentage of classes engaged1.
2.
Total
Note: If the percentage of Classes engaged to the allotted is less than 80%, then no points shall
be claimed. Otherwise the percentage shall be calculated out of 60 points and be claimed.
API claimed under Category I. A. (i). (maximum 60 points)
API API as verified by API as verified by Institute
Claimed DCAS Committee CAS Committee
1. A. (ii). Class room teaching (including lectures, seminars) in excess of UGC guidelines
Details of classes taken in excess
Sl.No. / Session / Regular/ Summer / UG/PG / Semester / Course / Sessionals / No of extra classes / API claimed / Page No.1.
2.
3.
4.
Note: The claim can be 1 point/class.
API claimed under Category 1. A. (ii). (maximum 20 points)
API API as verified by API as verified by Institute
claimed DCAS Committee CAS Committee
1. B. (i). Outside class room interaction with students / Presentation attended.
Level (UG/PG/Ph.D) / Seminars/Presentation/
Doctoral Committee / Date / Hours allotted / Hours attended / Percentage / Page No.
Sl.No. / Session / Total Hours allotted / Total Hours attended / Percentage
1.
2.
Total
If the percentage of sessions attended is less than 80%, then no points shall be claimed. Otherwise the percentage shall be calculated out of 15 points and be claimed.
API claimed under Category I. B. (i). (maximum 15 points)
1. B. (ii). Records of interaction with students in chamber
API claimed under 1.B. (ii). (maximum 5 points)
API claimed under Category 1.B. (maximum 20 points)
API API as verified by API as verified by Institute
Claimed DCAS Committee CAS Committee
Total API claimed under Category I. 1. (maximum 100 points and minimum 70 points)
API API as verified by API as verified by Institute
Claimed DCAS Committee CAS Committee
2. Research Supervision
Details of guidance of Projects less than duration of 1 year (Generally UG Projects) during the last two completed semesters.
Sl.No. / Session / Level UG/PG / Title of Project / Name of students / Duration / Name of Co-guide if any / Page No.
1.
2.
3.
4.
5.
6.
Note: API claim for 1 project shall be 10 points.
API claimed under Category I.2. (maximum 20 points)
API API as verified by API as verified by Institute
Claimed DCAS Committee CAS Committee
3. Examination related activities (last two completed semesters)
3. A. Question paper setting, moderation and related work.
Sl.No. / Session / Level
UG/PG
/Ph.D / Semester / Mid Sem./ End Sem. /
Summer / NC / Name of Course / Page No.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
I hereby certify that I have completed all the allotted work in the category 3.A.
Signature
API claimed under Category 3. A. (maximum 10 points)
API API as verified by API as verified by Institute
Claimed DCAS Committee CAS Committee
3.B. Invigilation/ Supervision related examination duties
Sl.No. / Session / Mid Sem./ End Sem. /
Summer / NC / Date / Room No / Page No.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
Sl.No. / Session / Total No. duties allotted / Total No. of duties attended / Percentage
1.
2.
Total
Note: If he/she has not invigilated 80% of the allotted duties, then no points shall be claimed. If otherwise, the percentage shall be calculated out of 10 points and be claimed.
API claimed under Category 3. B. (maximum 10 points)
API API as verified by API as verified by Institute
Claimed DCAS Committee CAS Committee
3. C. Evaluation/assessment of answer scripts and assignments related to internal assessment, external and re-evaluation
Sl.No. / Session / Name of the course / Mid Sem./ End Sem. /
Summer / NC / UG/PG / Semester / No. of Students / No of Questions evaluated per paper / Total No. of Questions evaluated / Page No.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
Sl.
No. / Session / Mid Sem./ End Sem. /
Summer / NC / UG/PG / Semester / No. of Students / Name of the sessional / Page No.
1.
2.
3.
4.
5.
6.
7.
I hereby certify that I have completed all the allotted work in the category 3.C.
Signature
API claimed under Category 3.C. (maximum 10 points)
API API as verified by API as verified by Institute
Claimed DCAS Committee CAS Committee
Total API claimed under Category I. 3. (maximum 30 points and minimum 25 points)
API API as verified by API as verified by Institute
Claimed DCAS Committee CAS Committee