MAHATMA GANDHI INSTITUTE OF TECHNOLOGY

Chaitanya Bharathi P.O., Gandipet, Hyderabad-500 075. TELANGANA

(Permanent Affiliation to Jawaharlal Nehru Technological University Hyderabad)

Twice Accredited in 2009 & 2014 by NBA, New Delhi

Ph.No.040-24193057, 24193069 Fax: 040-24193067

Website: email:

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APPLICATION FORM FOR RECRUITMENT

BY SELECTION TO THE POST OF PROFESSOR/ASSOCIATE PROFESSOR/

ASSISTANT PROFESSOR

Submitted to:

The Principal,

Mahatma Gandhi Institute of Technology,

Kokapet(V ), Chaitanya Bharathi (P.O.), Gandipet,

Hyderabad – 500 075

Note: Please read enclosed instructions before filling up this form.

DD No. & Date / Amount (Rs) / Bank & Branch
1000.00
Posttowhich applied / Professor/Associate Professor/Assistant Professor(Strike off, whichever not applicable).
Department/ Subject
Advt.Number / MGIT/1/2016, dated 13.02.2016
Nameofthe
Candidate / Surname
Father’sName / Gender
Father’s
Occupation / Present
Designation
Reservation / Physically
Handicapped
DateofBirth / PlaceofBirth
Nationality
Address for Communication:
Mobile
Number / Officenumberif any?
E-mail / Aadhaar No: / PAN No:
Present Designation / Pay band & AGP
Date of Last Promotion / Membership in professional bodies
UG-Course / UG-Specialization
PG-Course / PG-Specialization
Ph.D.(Whether awarded ornot) / Yes/No / Year Awarded

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EDUCATIONAL QUALIFICATIONS DETAILS (Beginning with 10th / SSC):

S.No. / Degree / School/College / Board/University / Yearof
Passing / Classor
percentage / Subjects
1 / SSC (10th)
2 / INTER (10+2)
3 / UG
4 / PG
5 / Ph.D.
6 / Any Other

EMPLOYMENTDETAILS(Beginning with the latest employment):

S.No / NameAddressof Institute / PostHeld / Scaleof
Pay(Please Specifythe Range) / FromDate / ToDate / Total
Period / BasicPay / GrossPay / JobType (Regular, Ratified, Adhoc/Parttime)

DETAILS OF RESEARCH (enclose a separate sheet if required):

a)Title of Thesis:

b)Total number of Research Publications (Conference and Journals):

Journals / Conferences
National / ----
International / ----

c)Text Book Publications:

TOTAL TEACHING EXPERIENCE (enclose a separate sheet if required):

a)U.G. Teaching in College/University:

b)Teaching to Post-Graduates:

c)Guiding Research:

d)Any other :

Any other academic achievement in support of your application(enclose a separate sheet if required):

Mention any two references:

1)Name :

Occupation :

Address:

2)Name :

Occupation :

Address:

Joining time required, if selected:

DECLARATION BY THE APPLICANT

I, hereby, declare that the above particulars furnished are true to the best of my knowledge and belief.

Place: Hyderabad

Date:

Signature of the Applicant

Note:

Please attach Xerox copies of the certificates of qualifications, employment, publications and all other achievements.

PART-B

FORTHEPOSTOFPROFESSOR/ASSOCIATEPROFESSORONLY

(THEPROFORMATOBEFILLEDBYTHECANDIDATEANDHASTOBEENCLOSEDWITHTHEAPPLICATIONFORM)

ACADEMICPERFORMANCEINDICATORS

(PleaseseedetailedinstructionsofthisPBASproformabeforefillingoutthissection)

CATEGORY:I.TEACHING, LEARNINGANDEVALUATION RELATEDACTIVITIES

(i)Lectures, Seminars, Tutorials, Practicals, Contact Hours (give semester-wisedetails, where necessary)

S.No. / Course/Paper / Level / Mode ofteaching* / Hours perweekallotted / % of classes takenas per documentedrecord
API Score
(a) / Classes Taken (max 50 for 100% performance proportionateScore up to80% performance,belowwhichnoscore maybe given)
(b) / TeachingLoad in excess of AICTE/UGC norms (max score:10)

(ii)Reading/Instructionalmaterialconsultedandadditionalknowledgeresourcesprovided tostudents

S.No. / Course/Paper / Consulted / Prescribed / AdditionalResourceprovided
APIscorebasedonPreparationandimpartingofknowledge/instructionaspercurriculumsyllabusenrichmentbyprovidingadditionalresourcesto students (max. score :20) / API Score

(iii)Use of Participatory and Innovative Teaching-Learning Methodologies, Updatingof Subject Content, Course Improvement etc.

S.No. / Short Description / API Score
Total Score(MaxScore: 20)

(iv)Examination Duties Assigned andPerformed

S.No. / Type of ExaminationDuties / Duties Assigned / Extent towhichcarried out (%) / API Score
Total Score(MaxScore: 25)

CATEGORY:II.CO-CURRICULAR, EXTENSION,PROFESSIONAL DEVELOPMENTRELATEDACTIVITIES

Please mention your contribution to any of the following:

S.No. / Type of Activity / Average Hrs/week / API
Score
(i)Extension, Co-curricular field basedActivities
Total (Max: 20)
(ii)ContributiontoCorporateLifeandManagement of the Institution / Yearly/Semester wiseresponsibilities
Total (Max:15)
(iii)Professional Development activities / Yearly/Semester wiseresponsibilities
Total (Max:15)
Total Score (i+ii+iii) (Max:25)

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CATEGORY:III.RESEARCH,PUBLICATIONSAND ACADEMIC CONTRIBUTIONS

A)PublishedPapersinJournals

S. / Title / Journal / ISSN/ISBN / Whether / No of / Whether / API
No. / with / No. / peer / Co- / you are the / Score
page / reviewed / authors / main
nos. / Impact / author
Factor,
if any

B(i))Articles / Chapters published in Books

S. / Title / Book / ISSN/ISBN / Whether / No. of / Whether / API
No. / with / Title, / No. / peer / Co- / you are the / Score
page / editor / reviewed / authors / main
nos. / publisher / author

ii)Full Papers in Conference Proceedings

S.
No. / Title withpagenos. / Details ofConferencePublication / ISSN/ISBN
No. / No.ofCo-authors / Whetheryouare the mainauthor / API
Score

iii)Books Published as single author or as editor

S. / Title / Typeof / Publisher / Whether peer / No. of / Whether / API
No. / with / Book / ISSN/ ISBN / Reviewed / Co- / you are the / Score
page / Authorship / No. / ImpactFactor, / authors / main
nos. / Ifany / author

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iii C).Ongoing and Completed Research Projects and Consultancies(c)(i ii)Ongoing Projects / Consultancies

S. No. / Title / Agency / Period / Grant/AmountMobilized (Rs lakh) / API
Score

(c)(iii iv)Completed Projects /Consultancies

S. No. / Title / Agency / Period / Grant/AmountMobilized (Rslakh) / Whether policydocument/patentas outcome / API
Score

(D)ResearchGuidance

S. No. / NumberEnrolled / ThesisSubmitted / Degree awarded / API Score
M.Phil orequivalent
Ph.D orequivalent

(E)(i)Training Courses, Teaching-Learning-Evaluation TechnologyProgrammes

Sl. No. / Programme / Duration / Organisedby / API Score

(ii)Papers presented in Conferences,Seminars,Workshops,Symposia

S.
No. / Title of the Paperpresented / Title ofConference
/ Seminar / Organisedby / WhetherInternational/National/State/Regional/Collegeor University Level / API Score

(iii)InvitedLecturesandChairmanshipatNationalorInternationalConference/seminar etc

S.
No. / Title of the Paperpresented / Title ofConference
/ Seminar / Organisedby / WhetherInternational/National / API Score

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IV.SUMMARYOF API SCORES

Criteria / Last AcademicYear / Total – APIScore forAssessmentPeriod / Annual averageAPI scoreforAssessmentPeriod
I / Teaching,Learning andEvaluation related activities
II / Co-curricular, Extension,Professional developmentetc.
Total I+II
III / Research and AcademicContribution

OTHER RELEVENT INFORMATION

Please give details of any other credential, significant contributions, awards received etc. notmentioned earlier.

S. No. / Details (Mention Year,value etc. where relevant)

LISTOFENCLOSURES:(Pleaseattachallcopiesofcertificates,sanctionorders,ResearchPublications/Articles/ConferenceProceedings/Books)

1 / 6
2 / 7
3 / 8
4 / 9
5 / 10

Icertifythattheinformationprovidediscorrectasperrecordsavailableanddocumentsenclosedalong withtheduly filled PBAS proforma.

SignatureoftheapplicantwithDesignation,PlaceDate

Signatureof the Head of theDepartment/Principal

N:B: The individual PBAS proforma dulyfilled along with all enclosures

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