Punjab Engineering College(Deemed University), Chandigarh

PEC University Of Technology, Chandigarh.

Application for Promotion under Career Advancement Scheme Pg No.1/3

(As per AICTE norms)

Date of joining PEC on regular basis______Post______Department______

Post presently held:Department:

Date of joining this post on regular basis:

Post to which promotion is sought:

Date of eligibility for promotion:

(Verified/not verified)

Signature/Name

1.Name in Full:

(Underline Surname)

2.Address

For correspondencePermanent

______

PhoneFax No.E-mail

3. Date of Birth:4. Nationality:5. Sex:

6.Category: General/SC/ST/OBC :

(Attach relevant certificate from the authority prescribed under government rules)

7. Areas of Specialization8. Current Areas of Research

9.Academic Record (starting with Higher Secondary or equivalent)

(Please attach brief synopsis of the Master’s /Doctoral thesis)

Degree
(State Branch/area of specialization) / Institution / Year / Marks & Division / Rank (if any) / Remarks

I hereby declare that all entries in this form as well as in the attached sheets are true to best of my knowledge and belief.

There are…………enclosures with total of……………………pages attached alongwith this application form.

DateSignature

Place

For items 10 through 21 use separate sheets for each sub-heading in the format indicated. All annexures should be consecutively arranged and must bear your name and authenticated with your signature. A separate list of enclosures item-wise with page numbers should precede the enclosures.
10. Previous Experience (in reverse chronological order)

2/3

Designation / Organization / Period / Duration / Nature of experience / responsibility / Pay scale
from / to

10 A. Courses Taught

Course No. & Title / Level (UG/PG) / Number of Times / Course developed by

10 B. Thesis (MTech/PhD) Supervision (at all the organizations that you have worked in)

S.No. / Name of scholar / Year of completion / Title of thesis / Principal Guide and Co-guides (if any)

10 C. Sponsored Projects

S.No. / Period / Sponsoring Organization / Title of Project / Amount of Grant / Name of Principal Investigator and Co-investigators (if any)

10 D. Consultancy Projects

S.No. / Period / Organization / Nature of work / Names of Principal Consultant and Co-consultant

11. Publications (Enclose four reprints each of the best three papers in your judgement)

A. Papers in refereed journals (International) (List those published and accepted separately)

S.No. / Author(s) (in correct order) / Title / Year / Complete Reference of journal (Name/Vol/Page nos / Publisher/ Place)

B Papers in refereed journals (National) (List those published and accepted separately)

S.No. / Author (s) (in correct order) / Title / Year / Complete Reference of journal (Name/Vol/Page nos / Publisher/ Place)

C Papers in Conference Proceedings (International)

S.No. / Author (s) (in correct order) / Title of paper / Year / Complete reference: title of conf./ place/ date/page/publisher etc.

D Papers in Conference Proceedings (National)

S No / Author (s) (in correct order) / Title of paper / Year / Complete reference: title of conf./ place/ date/page/publisher etc.

E Papers in Seminar/Symposium/Workshop Proceedings

S No / Author (s) (in correct order) / Title of paper / Year / Complete reference: title of programme / place/ date/page/publisher etc.

F Books published as Author/Co-Author (list those published and in press separately)

S No / Author (s) / Title / Year / Publishers/Place

G Bookchapters published as author/co-author

S No / Editor (s) / Title of Book/ chapter/ chapter no./Authors / Year / Publishers/place

H Books Edited3/3

S No / Editor (s) / Title / Year / Publisher/complete reference

I Proceedings of conferences/symposia/seminars/workshop edited

S No / Editor (s) / Title / Year / Publisher/complete reference

12. Seminars/Symposia/Conferences/Workshops etc. attended (give details below)

S.No. / Seminar/Symposium/Conference/Workshop with name of organizer and place / Period / Duration
From / To

13. Summer Schools/Winter Schools/Short Term Courses attended (of duration 1 week or more only to be listed separately from those of shorter duration) (give details below)

S.No. / Summer School/Winter school/Short term course with name of organizer and place / Period / Duration
From / To

14. Extra mural duties performed/contribution to corporate life in PEC.

A College level

S.No. / Duty / Period

B Department level

S.No. / Duty / Period

15. Field outreach activities/Extension activities

S.No. / Description / Period

16. Development of Course Material/Curricula (please attach 4 sets of photocopies)

S.No. / Description / Period

17. Participation in Continuing Education Programmes (as per AICTE specifications).

18. Contribution to education innovation.

19. Awards and Recognitions won.

20. Any other information (about the mark made in relevant areas)

21. Self Appraisal Report (in about 200 words)