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SARGUJA UNIVERSITY, AMBIKAPUR (CHHATTISGARH)

ADVERTISEMENT: TEACHING & NON-TEACHING POSTS IN ENGINEERING & TECHNOLOGY No. SUA/Estt./1742/2013-14 Dated: 04th October, 2013

Applications are invited from the Indian Nationals in prescribed format for the post of Principal, Professor, Associate Professor, Assistant Professor, Librarian, P.T.I, Finance Officer in Faculty/College of Engineering (Principal - UR-1, Civil Engineering Prof. UR-1, Associate Prof. UR-1/ST-1, Asst. Prof. UR-4*/ST-1, SC-1, OBC-1), (Computer Science Engineering - Prof. SC-1, Associate Prof. UR-1/ST-1, Asst. Prof. UR-3*/SC-2/ST-1/OBC-1, Electrical Engineering- Prof. UR-1, Associate Prof. UR-1/OBC-1, Asst. Prof. UR-4*/SC-1/ST-1/OBC-1, Electronics Engineering- Asst. Prof. UR-1/OBC-1, Mechanical Engineering Prof. ST-1, Associate Prof. UR-1/SC-1, Asst. Prof. UR-3*/SC-1/ST-2/OBC-1, Chemistry Prof. OBC-1, Asst. Prof. UR-1/OBC-1, English Asst. Prof. UR-1/SC-1, Geology Asst. Prof. UR-1/ST-1, Mathematics Professor UR-1, Associate Prof. UR-1/ST-1, Asst. Prof. ST-1, Management: Asst. Prof. UR-1, Physics: Professor UR-1, Associate Prof. UR-1/SC-1, Asst. Prof. UR-1/ST-1, College Librarian: UR-1, P.T.I.(Assistant Director Scale): UR-1, Finance Officer(Accounts Officer): UR-1 and College Registrar: UR-1) Note: * stands for One post reserved for female. The candidate(s) will download the format of Application Form from University website www.sua.nic.in. The details of Qualifications, terms and conditions, distribution of posts in different categories (General (UR), SEBC/ OBC, SC & ST etc.) and other relevant information are available on the University website. Duly filled in application form, complete in all respect, together with all supporting documents must be submitted to the Registrar, Sarguja University, Ambikapur-497001 (C.G.) personally or through Registered/ Speed Post Mail along with a demand draft of Rs. 700/- for General and SEBC/OBC; and Rs. 500/- for SC/ ST categories in favour of the Registrar, Sarguja University, Ambikapur-497001 (C.G.) payable at Ambikapur on or before 15th,December 2013 up to 05:00 P.M. The non-resident of Chhattisgarh, irrespective of reservation, has to submit demand draft of Rs. 700/-. Applications received after this date will not be entertained in any circumstances. Note: 1. .Applicants, who have submitted their applications against Advertisement No. 1 /2012 dated 11/06/2012 of this university, are requested to submit their fresh applications. 2. for detail and application Performa: Refer University website www.sua.nic.in.

(Dr. R. D. Sharma) REGISTRAR

SARGUJA UNIVERSITY, AMBIKAPUR (CHHATTISGARH)


(Advertisement No. SUA/Estt./ 1742/2013-14 Dated : 04th October, 2013)

Terms and Conditions 1. The University reserves the right not to fill up any or all posts advertised and also to alter in the number of posts to be filled-up. 2. The University will be free to make adjustment/changes in the distribution of advertised posts in various category, if circumstances so warrant, suo-moto, due to direction of the Government or otherwise. 3. All candidates appointed under this advertisement will be governed by the Rules & Regulations time being in force or enacted time to time. 4. The appointee will be paid appropriate (UGC or State Government) Pay Band and initially he/she will be put on probation for a period of two years and will be paid as per rules. 5. University will not be responsible for any delay including postal delay. 6. The University will be free to take any appropriate step to streamline the process of selection. 7. Incomplete application form will not be considered. 8. If the space provided in the format of application is not found sufficient, the candidate may use extra sheet. 9. No TA/DA will be paid to the candidates for attending interview. 10. Persons, who are already in employment, may send their applications through proper channel alongwith No Objection Certificate. 11. The application form, complete in all respect, together with all supporting documents must be submitted to the office of the REGISTRAR, SARGUJA UNIVERSITY; Hospital Road, Darripara, AMBIKAPUR 497001 (C.G.) personally or through Registered/ Speed Post alongwith a demand draft of Rs. 700/for General (UR) and SEBC/OBC categories. Rs. 500/- for SC/ST/PH categories in favour of the Registrar, Sarguja University, Ambikapur, payable at Ambikapur, on or before 15.12.2013 up to 05:00 P.M. The non-resident of Chhattisgarh, irrespective of reservation, has to submit demand draft of Rs. 700/-. Applications received after this date will not be entertained in any circumstances.

CATEGORIES WISE DISTRIBUTION OF POSTS


SCALE OF PAY: Professor Principal Associate Professor Assistant Professor Librarian P.T.I (Sports Officer) Finance (Accounts) Officer Registrar (College) : Rs. 37400-67000 (PB-4) AGP Rs. 10,000/: Rs. 37400-67000 (PB-4) AGP Rs. 10,000/: Rs. 37400-67000 (PB-4) AGP Rs. 9,000/: Rs. 15600-39100 (PB-3) AGP Rs. 6,000/: Rs. 15600-39100 (PB-3) AGP Rs. 6,000/: Rs. 15600-39100 (PB-3) AGP Rs. 6,000/: Rs. 15600-39100 (PB-3) AGP Rs. 6,000/: Rs. 15600-39100 (PB-3) AGP Rs. 5,400/-

Department/ College: Engineering Principal

Post Principal Professor Associate Professor Assistant Professor Professor Associate Professor Assistant Professor Professor Associate Professor Assistant Professor Assistant Professor Professor Associate Professor Assistant Professor Professor Assistant Professor Assistant Professor

UR 01 01 01 04* 01 03* 01 01 04* 01 01 03* 01

SC 01 01 02 01 01 01 -

ST 01 01 01 01 01 01 02 -

SEBC/ OBC 01 01 01 01 01 01 01 01

TOTAL 01 01 02 07 01 02 07 01 02 07 02 01 02 07 01 02

Civil Engineering

Computer Science (Engineering)

Electrical Engineering

Electronics Engineering

Mechanical Engineering

Chemistry

English

01

01

02

Note: * stands for One post reserved for female.

Department/ College: Engineering Geology

Post Assistant Professor Professor Associate Professor Assistant Professor Assistant Professor Professor Associate Professor Assistant Professor Librarian P.T.I. Finance officer Registrar

UR SC ST SEBC/OBC TOTAL

01 01 01 01 01 01 01 01 01 01 01

01 -

01 01 01 01 -

02 01 02 01 01 01 02 02 01 01 01 01

Mathematics

Management

Physics

Librarian Physical Training Instructor(P.T.I.) Finance Officer Registrar

Note: * stands for One post reserved for female.

SARGUJA UNIVERSITY, AMBIKAPUR (C.G.)


QUALIFICATIONS FOR PRINCIPAL & OTHER TEACHING POSITIONS FOR CANDIDATES FROM FACULTY OF ENGINEERING (REFERENCE: Advertisement No. SUA/ Establishment/1742/2013-14, Ambikapur, Dated: 04/10/2013)

PRINCIPAL: 1. 2. 3. B.E./B.Tech. and M.E./M.Tech. in relevant branch with First Class (60%) or equivalent either in BE/BTech or ME/MTech and PhD or equivalent, in appropriate discipline. Post Ph.D. publications and guiding Ph.D. student is highly desirable. Minimum of 10 years teaching / research / industrial experience of which at least 5 years should be at the level of Associate Professor. OR Minimum of 13 years experience in teaching and / or Research and / or Industry. In case of research experience, good academic record and books / research paper publications / IPR / patents record shall be required as deemed fit by the expert members of the Selection committee. If the experience in industry is considered, the same shall be at managerial level equivalent to Associate Professor with active participation record in devising / designing, planning, executing, analyzing, quality control, innovating, training, technical books / research paper publications / IPR / patents, etc. as deemed fit by the expert members of the Selection committee. Experience of managerial leadership is essential for flair management.

Note: 1. If a Grade Point System is adopted the CGPA will be converted into equivalent marks as given below in Ten Point Scale Table. PROFESSOR: (ENGINEERING AND TECHNOLOGY) 1. 2. 3. B.E./B.Tech. and M.E./M.Tech. in relevant branch with First Class (60%) or equivalent either in BE/BTech or ME/MTech and PhD or equivalent, in appropriate discipline. Post Ph.D. publications and guiding Ph.D. student is highly desirable. Minimum of 10 years teaching / research / industrial experience of which at least 5 years should be at the level of Associate Professor. OR Minimum of 13 years experience in teaching and / or Research and / or Industry. In case of research experience, good academic record and books / research paper publications / IPR / patents record shall be required as deemed fit by the expert members of the Selection committee. If the experience in industry is considered, the same shall be at managerial level equivalent to Associate Professor with active participation record in devising / designing, planning, executing, analyzing, quality control, innovating, training, technical books / research paper publications / IPR / patents, etc. as deemed fit by the expert members of the Selection committee.

Note: 1. If a Grade Point System is adopted the CGPA will be converted into equivalent marks as given below in Ten Point Scale Table.

ASSOCIATE PROFESSOR: (ENGINEERING AND TECHNOLOGY) 1. B.E./B.Tech. and M.E./M.Tech. in relevant branch with First Class or equivalent either in B.E./B.Tech. or M.E./M.Tech. and Ph.D. or equivalent, in appropriate discipline. Post Ph.D. publications and guiding Ph.D. student is highly desirable. Minimum of 5 years experience in teaching / research / industry of which 2 years post Ph.D. experience is desirable.

2. 3.

Note: 1. If a Grade Point System is adopted the CGPA will be converted into equivalent marks as given below in Ten Point Scale Table. ASSISTANT PROFESSOR: (ENGINEERING/ TECHNOLOGY) B.E./B.Tech and M.E./M.Tech. in relevant branch with First Class or equivalent either in B.E./B.Tech. or M.E./M.Tech.

Note: 1. If a Grade Point System is adopted the CGPA will be converted into equivalent marks as given below in Ten Point Scale Table. (Applicable for all the four categories of candidates (Applicants);i.e. Principal/Professor/ Associate Professor/ Assistant Professor.

GRADE POINT 6.25 6.75 7.25 7.75 8.25

PERCENTAGE OF MARKS 55 60 65 70 75

SARGUJA UNIVERSITY, AMBIKAPUR (C.G.)


QUALIFICATIONS FOR TEACHING POSITIONS FOR CANDIDATES FROM GENERAL FACULTIES (CHEMISTRY/ENGLISH/GEOLOGY/MATHEMATICS/MANAGEMENT/PHYSICS) IN ENGINEERING COLLEGE/ DEPARTMENTS (REFERENCE: Advertisement No. SUA/ Establishment/1742/2013-14, Ambikapur, Dated: 04/10/2013) PROFESSOR: A. (i) An eminent scholar with Ph.D. in the concerned / allied/ relevant discipline and published work of high quality, actively engaged in research with evidence of published work with a minimum ten publications as books and/ or research/ policy papers indexed / ISBN/ ISSN numbered journals and/ or ISBN /ISSN books and University developed ISBN /ISSN numbered list of journals/ books hosted in the website of the concerned University. A minimum ten years of teaching experience in University / College, and /or experience of research at the University/ National Level Institutions/ Industries, including experience of guiding research at doctoral level; Contribution to educational innovation, design of new curricula and courses, and technologymediated teaching learning process. A minimum score as stipulated in the Academic Performance Indicator (API) based on the Performance Based Appraisal System (PBAS) developed by the UGC in the UGC Regulations. OR B. An outstanding professional with established reputation in the relevant field who has made significant contribution to knowledge.

(ii)

(iii) (iv)

ASSOCIATE PROFESSOR: (i) (ii) (iii) Good academic record with Ph. D. degree in the concerned / allied/ relevant discipline. 55% of the marks, or equivalent grade wherever grading system is followed at the Master degree level. A minimum five years of experience of teaching and or/ research in academic or research position equivalent to that of Assistant Professor in a University/ College or Accredited Research Institution/ Industry excluding the period of research with evidence of published work and a minimum five publications as books and/ or research/ policy papers in Indexed/ISBN /ISSN numbered books/ journals and University developed ISBN /ISSN numbered list of journals/ books hosted in the website of the concerned University. Contribution to educational innovation, design of new curricula and courses, and technologymediated teaching learning process with evidence of having guided doctoral candidates and research students. A minimum score as stipulated in the Academic Performance Indicator (API) based on the Performance Based Appraisal System (PBAS) developed by the UGC in the UGC Regulations.

(iv)

(v)

ASSISTANT PROFESSOR: (General faculties- Chemistry/English/Geology/Mathematics/Management/Physics) Good academic record as defined by the University with at least 55% of the marks or equivalent grade wherever grading system is practiced at the Master degree level. (This neither includes nor allows rounding of marks to make it 55% or 50% as the case may be through grace marks procedure permissible even under the University rules). SEVEN POINT SCALE: It is clarified that where the university/College/Institution declare results in grade points which is on a scale of seven, the following mechanism will be referred to ascertain equivalent marks in percentage: Grade O Outstanding A Very Good B Good C Average D Below Average E Poor F Fail (i) Point % Equivalent 5.50-6.00 75-100 4.50-5.49 65-74 3.50-4.49 55-64 2.50-3.49 45-54 1.50-2.49 35-44 0.50-1.49 25-34 0.00-0.49 0-24

Besides satisfying the above mentioned qualifications, as a mandatory requirement the candidate should have cleared the National Eligibility Test (NET) conducted by the UGC/ CSIR or similar test accredited by the UGFC like SLET/SET.

RELEXATION (Exemption) IN NET/SLET/SET: a. When a candidate is or has been awarded Ph.D. degree in accordance with the University Grants Commission (Minimum Standards and Procedure for award of Ph.D. Degree) Regulations, 2009. Master Degree Programs in discipline/subject for which NET/SLET/SET accredited test is not conducted.

b.

RELEXATION IN THE REQUIREMENT OF 55% AT MASTER DEGREE LEVEL. Subject to the provisions of the UGC Regulations, 2009, a relaxation of 5 % marks in the requirement of the qualification at Master Degree Level may be given to the following candidates: a. b. Candidates belong to S.C. / S.T. / Differently-abled (Physically and visually handicapped) categories. Candidates hold Ph. D. degree in and have passed Master Degree in the concerned subject prior to September 19th, 1991.

SARGUJA UNIVERSITY, AMBIKAPUR (C.G.)


QUALIFICATIONS FOR CANDIDATES SUBMITTING APPLICATIONS FOR NON-TEACHING POSITIONS (REFERENCE: Advertisement No. SUA/ Establishment/1742/2013-14, Ambikapur, Dated: 04/10/2013) COLLEGE LIBRARIAN: i. A Masters Degree in Library Science / Information Science / Documentation Science or an equival ent professional degree with at least 55% marks (or an equivalent grade in a point scale wherever grading system is followed) and a consistently good academic record with knowledge of computerization of library. Note: 1. A relaxation of 5% will be given at the graduate and masters level for the Scheduled Caste /Scheduled Tribe/ Differently-abled (Physically and visually/ differently-abled) categories for the purpose of eligibility and for assessing good academic record during direct recruitment to teaching positions. The eligibility marks of 55% marks (or an equivalent grade in a point scale wherever grading system is followed) and the relaxation of 5% to the categories mentioned above are permissible, based on only the qualifying marks without including any grace mark. 2. A relaxation of 5% will be provided, from 55% to 50% of the marks to the Ph.D. Degree holders, who have obtained their Masters Degree prior to 19 September, 1991. 3. A minimum of 55% marks (or an equivalent grade in a point scale wherever grading system is followed) will be required at the Masters level for those recruited as teachers at any level from industries and research institutions and at the entry level of Assistant Professors, Assistant Librarians, Assistant Directors of Physical Education. Relevant grade which is regarded as equivalent of 55% wherever the grading system is followed by a recognized university shall also be considered eligible. GOOD ACADEMIC RECORD (FOR DIRECT RECRUITMENT) Good academic record means at least IInd Division either at secondary or Sr. Secondary / Higher Secondary level or at graduate level. It is clarified that where the University/ College /Institution declare results in grade points which is on a scale of seven, the following mechanism will be referred to ascertain equivalent marks in percentage: P.T.I. (SPORTS OFFICER) IN ASSISTANT DIRECTOR SCALE): i. A Masters Degree in Physical Education or Masters Degree in sports science with atleast 55% marks (or an equivalent grade in point scale wherever grading system is followed) with a consistently good academic record. Record of having represented the University/College at the Interuniversity/Intercollegiate competitions or the state and /or national championships. Passed physical fitness test conducted in accordance with these Regulations.

ii. iii.

PHYSICAL FITNESS TEST NORMS: a) Subject to the provisions of UGC Regulations, 2010 all candidates who are required to undertake physical fitness test shall be required to produce a medical certificate certifying that he/she is medically fit before undertaking such test. b) On production of such certificate mentioned in the sub-clause (a), the candidate would be required to physical fitness test in accordance with the following norms:

NORMS FOR MEN 12 MINUTES RUN/WALK TEST Up to 30 years 1800 meters Up to 40 years 1500 meters Up to 45 years 1200 meters Up to 50 years 800 meters

NORMS FOR WOMEN 8 MINUTES RUN/WALK TEST Up to 30 years 1000 meters Up to 40 years 800 meters Up to 45 years 600 meters Up to 50 years 400 meters

FINANCE (ACCOUNTS) OFFICER: i. A Masters Degree in M.Com (Accountancy/M.B.A/C.A), with at least 55% marks (or an equivalent grade in a point scale wherever grading system is followed) and a consistently good academic record. Note: 1. A relaxation of 5% will be given at the graduate and masters level for the Scheduled Caste /Scheduled Tribe/ Differently-abled (Physically and visually/ differently-abled) categories for the purpose of eligibility and for assessing good academic record during direct recruitment to teaching positions. The eligibility marks of 55% marks (or an equivalent grade in a point scale wherever grading system is followed) and the relaxation of 5% to the categories mentioned above are permissible, based on only the qualifying marks without including any grace mark. 2. A relaxation of 5% will be provided, from 55% to 50% of the marks to the Ph.D. Degree holders, who have obtained their Masters Degree prior to 19 September, 1991. 3. A minimum of 55% marks (or an equivalent grade in a point scale wherever grading system is followed) DESIRABLE: 1. Experience to work on a post not below the junior accountant for a period of 5 years in regular pay scale in government/semi-government and/or statutory institution of higher education.

COLLEGE REGISTRAR: i. A Masters Degree in any discipline with at least 55% marks (or an equivalent grade in a point scale wherever grading system is followed) and a consistently good academic record. Note: 1. A relaxation of 5% will be given at the graduate and masters level for the Scheduled Caste /Scheduled Tribe/ Differently-abled (Physically and visually/ differently-abled) categories for the purpose of eligibility and for assessing good academic record during direct recruitment to teaching positions. The eligibility marks of 55% marks (or an equivalent grade in a point scale wherever grading system is followed) and the relaxation of 5% to the categories mentioned above are permissible, based on only the qualifying marks without including any grace mark. 2. A relaxation of 5% will be provided, from 55% to 50% of the marks to the Ph.D. Degree holders, who have obtained their Masters Degree prior to 19 September, 1991.

3. A minimum of 55% marks (or an equivalent grade in a point scale wherever grading system is followed) DESIRABLE: 2. Experience to discharge duties administrative, ministerial and/or teaching at the institution of higher education. 3. Degree in law.

API SCORE TABLE


(For the post of Professor & Associate Professor)
(CATEGORY-III: (RESEARCH AND ACADEMIC CONTRIBUTIONS) of Table I of APPENDIX III of UGC Regulations, 2010 for API Score)
S No. APIs Engineering/Agriculture/ Veterinary Science/Sciences/Medical Sciences Refereed Journals * Non-refereed but recognized and reputable journals and periodicals, having ISBN/ISSN numbers. Faculties of Languages Arts/Humanities/Social Sciences/Library/ Physical Education/Management Refereed Journals* Non-refereed but recognized and reputable journals and periodicals, havingISBN/ISSN numbers. Max. points for University and College teacher position 15 / publication 10 / Publication

III A

Research Papers published in:

Conference proceedings as Conference proceedings as full papers, etc. (Abstracts not full papers, etc. (Abstracts not to be included) to be included) III (B) Research Publications (books, chapters in books, other than refereed journal articles) Text or Reference Books Published by International Publishers with an established peer review system Text or Reference Books Published by International Publishers with an established peer review system Subject Books by / National level publishers/State and Central Govt. Publications with ISBN/ISSN numbers. Subject Books by other local Publishers with ISBN/ISSN numbers. Chapters contributed to edited knowledge based volumes published by International Publishers Chapters in knowledge based volumes in Indian/National level Publishers with ISBN/ISSN numbers and with numbers of National and International directories Major Projects amount mobilized with grants above 5.0 lakhs Major Projects Amount mobilized with minimum of Rs. 3.00 lakhs up to Rs. 5.00 lakhs. Minor Projects (Amount mobilized with grants above Rs. 25,000 up to Rs. 3 lakh)

10/ publication

50 /sole author; 10 /chapter in an edited book

Subjects Books by National level publishers/State and Central Govt. Publications with ISBN/ISSN numbers. Subject Books by other local Publishers with ISBN/ISSN numbers. Chapters contributed to edited knowledge based volumes published by International Publishers Chapters in knowledge based volumes by Indian/National level publishers with ISBN/ISSN numbers and with numbers of National and International directories III (C) RESEARCHPROJECTS III (C) (i) Sponsored Projects (a) Major Projects amount carried out/ ongoing mobilized with grants above 30.0 lakhs (b) Major Projects amount mobilized with grants above 5.0 lakhs up to 30.00 lakhs

25 /sole author, and 5/ chapter in edited books 15 / sole author, and 3 / chapter in edited books

10 /Chapter

5 / Chapter

20 /each Project 15 /each Project

(c) Minor Projects (Amount mobilized with grants above Rs. 50,000 up to Rs. 5 lakh)

10/each Project

III (C) (ii)

Consultancy Projects carried out / ongoing

Amount mobilized with minimum of Rs.10.00 lakh

Amount mobilized with minimum of Rs. 2.0 lakhs

Rs.10.0 lakhs and Rs.2.0 lakhs, respectively 20 /each major Project and 10 / each minor Project 30 / each National level output or patent /50 /each for International level, 3 /each candidate 10/each candidate 7 /each candidate 20/each

Completed Projects : III (C) (iii) Quality Evaluation

Completed Project Report (Acceptance from funding agency)

Completed project report (Accepted by funding agency)

III (C) (iv)

Projects Outcome / Outputs

Patent/Technology transfer/ Product/Process

Major Policy document of Govt. Bodies at Central and State level

III (D)

RESEARCH GUIDANCE Degree awarded only Degree awarded Degree awarded only Degree awarded

M.Phil. III (D) (i) III (D) Ph.D (ii) III(E)

Thesis submitted Thesis submitted TRAINING COURSES AND CONFERENCE /SEMINAR/WORKSHOP PAPERS (a) Not less than two weeks (a) Not less than two weeks Refresher Courses, duration duration Methodology Workshops, Training, Teaching-LearningEvaluation Technology Programmes, Soft Skills Development (b) One week duration (b) One week duration Programmes, Faculty Development Programmes (Max: 30 points) Participation and Presentation of research papers (oral/poster) in a) International Conference b) National c) Regional/State level d) Local-University/College level Participation and Presentation of research papers (oral/poster) in a)International Conference b) National c) Regional/State level d) Local-University/College level

10/each

III (E) (i) III (E) Papers in Conferences/ (ii) Seminars/Workshops etc.**

10 each 7.5 / each 5 /each 3 / each

III (E) (iii)

Invited lectures or presentations for conferences/symposia

(a) International (b) National level

(a) International (b) National level

10 /each 5 / each

*Wherever relevant to any specific discipline, the API score for paper in refereed journal would be augmented as follows: (i) indexed journals by 5 points; (ii) papers with impact factor between 1 and 2 by 10 points; (iii) papers with impact factor between 2 and 5 by 15 points; (iv) papers with impact factor between 5 and 10 by 25 points.

** If a paper presented in Conference/Seminar is published in the form of proceedings, the points would accrue for the publication (III (a)) and not under presentation (III (e) (ii)

Notes: i. It is incumbent on the Coordination Committee proposed in these Regulations and the University to prepare and publicize within six months subject-wise lists of journals, periodicals and publishers under categories III A and B. Till such time, Screening/Selection committees will assess and verify the categorization and scores of publications. ii. The API for joint publications will have to be calculated in the following manner: Of the total score for the relevant category of publication by the concerned teacher, the first/Principal author and the corresponding Author/Supervisor/Mentor of the teacher would share equally 60% of the total points and the remaining 40% would be shared equally by all other authors.

A-1

SARGUJA UNIVERSITY, AMBIKAPUR (CHHATTISGARH)


Application form for Direct Recruitment for the post of

Principal
(For various subjects in Faculty of Engineering)

Advertisement No. SUA/Estt./1742/2013-14

Affix self attested passport size photo

Subject ______________________________
Details of Payment DD Number & Date . Amount .... Banks Name ..

GENERAL INFORMATION AND ACADEMIC BACKGROUND


1. Name (in Block Letters) :...

2.

Mothers Name

:...

3.

Fathers Name

:...

4.

Date of Birth & Age (as on 01.01.2012)

:...

5.

Gender

6.

Domicile & Nationality

:...

7.

Department, if in service

:...

8.

Present Designation & Grade Pay

:...

9.

Indicate whether belongs to SC/ST/OBC/PH category

:...

10.

Address for correspondence code)

(with Pin

:... ...

A-2 11. Permanent Address with Pin code ... ... ....................................................................... 12. Telephone No: Email 13 ........................................................................ .......................................................................

Academic Qualifications (Secondary & onwards):


Name of the Board/ University Year of passing Percentage of marks obtained Division/ Class/Grade Subject

Examinations

Secondary Sr. Secondary/High School Graduation ............................ Post Graduation


(with subject)

........................ Other examinations, if any

14.

Research Degree(s)
Title Date of Award University

Degrees

M. Phil. Ph.D. any other ........................

15.

Prior Appointments
Designation Name of Employer Date of Joining Joining Leaving Salary with Grade Reasons for leaving

A-3 16. 17 18.


S. No.

Teaching Experience (in years): P.G.: Fields of Specialization: ................................................

U.G.

Papers presented in Conferences, Seminars, Workshops, etc.


Title of the Paper presented Title of Conference/ Seminar Organized by Whether international/ national/state/ regional/college or university level

1. 2. 19. Research Papers Published in Journals/ Periodicals/Conference Proceedings, etc.


S.No. Title of Paper with page nos. Journal/ Periodicals/ Conference Proceeding Refereed /NonRefereed ISSN/ ISBN No. Impact Factor, if any No. of coauthors Whether you are the main/sole author

1 2 3 4 20. Research Publication - Books, Articles/Chapters published in Books


S.No. Book Title, editor & publisher Title of Paper/chapter with page nos. Publishing LevelInternational/ National/ Local/Govt. ISSN/ISBN No. Whether peer reviewed No. of co- Whether you authors are the main author

1 2 3 4

21. Research Project


S.No. Project Title Whether Carried out or ongoing Amount of Major Project Amount of Minor Project

1 2 22. Consultancy Project carried out/ongoing


S.No. Project Title with Funding agency Whether Carried out or ongoing Amount Mobilized with

1 2

A-4 23.
S.No.

Completed Projects : Quality Evaluation


Project Title Funding Agency Duration Whether Accepted by Agency

1 2 24. Project Outcome/output


S.No. Project Title Funding Agency Duration Detail of Major Policy Document of Govt. Bodies at Central/state level; patent/technology transfer/product/ process as outcome/output of project

1 2 25. Research Guidance

(i) M.Phil
S. No. Number Enrolled Degree awarded

M. Phil or equivalent (ii) Ph.D.


S. No. Number Enrolled Thesis Submitted Degree awarded

Ph. D. or equivalent 26.


S. No.

Refresher Courses, orientation course, Methodology, Workshop, etc.


Programme Duration Organized by

1. 2. 27.
S. No.

Invited Lectures or presentations for conference/symposia etc.


Title of Lecture/ Academic Session Title of Conference/ Seminar etc. Organized by Whether International/ national

1. 2. 3. 28. Any Other Relevant Information S. No. Particulars

The Candidate may increase number of rows/ adjust columns/use extra sheets in prescribed format wherever required.

A-5 29. Experience of Managerial Leadership: S. No. Particulars

SUMMARY OF API SCORES


Criteria Total consolidated APl Score for entire period

III

Research Publications and Contributions ( A to E)

Academic

LIST OF ENCLOSURES: (Please attach, copies of certificates, sanction orders, papers etc. wherever necessary) 1 2 3 4 5 6 7 8 9 10

I certify that the above information provided by me is true and in case of any false information, I shall be personally responsible. Signature of the Applicant Place : Date :

_____________________________________________________________
FOR THE USE OF CANDIDATES IN EMPLOYMENT Certified that _______________________________________________ holds the post of _______________________ in the Department of ____________________. This Office has no objection for the consideration of his/her application and in case of selection he / she will be relieved as per rules. No. : _________________ Date : ________________ Signature ___________________ Designation __________________ Office Stamp _________________

B-1

SARGUJA UNIVERSITY, AMBIKAPUR (CHHATTISGARH)


Application form for Direct Recruitment for the post of

Professor
(For various subjects in Faculty of Engineering)

Advertisement No.

SUA/Estt./1742/2013-14

Subject ______________________________
Details of Payment DD Number & Date . Amount .... Banks Name ..

Affix self attested passport size photo

GENERAL INFORMATION AND ACADEMIC BACKGROUND


1. Name (in Block Letters) :...

2.

Mothers Name

:...

3.

Fathers Name

:...

4.

Date of Birth & Age (as on 01.01.2012)

:...

5.

Gender

6.

Domicile & Nationality

:...

7.

Department, if in service

:...

8.

Present Designation & Grade Pay

:...

9.

Indicate whether belongs to SC/ST/OBC/PH category

:...

10.

Address for correspondence code)

(with Pin

:... ...

B-2 11. Permanent Address with Pin code ... ... ....................................................................... 12. Telephone No: Email 13 ........................................................................ .......................................................................

Academic Qualifications (Secondary & onwards):


Name of the Board/ University Year of passing Percentage of marks obtained Division/ Class/Grade Subject

Examinations

Secondary Sr. Secondary/High School Graduation ............................ Post Graduation


(with subject)

........................ Other examinations, if any

14.

Research Degree(s)
Title Date of Award University

Degrees

M. Phil. Ph.D. any other ........................

15.

Prior Appointments
Designation Name of Employer Date of Joining Joining Leaving Salary with Grade Reasons for leaving

B-3 16. 17 18.


S. No.

Teaching Experience (in years): P.G.: Fields of Specialization: ................................................

U.G.

Papers presented in Conferences, Seminars, Workshops, etc.


Title of the Paper presented Title of Conference/ Seminar Organized by Whether international/ national/state/ regional/college or university level

1. 2. 19. Research Papers Published in Journals/ Periodicals/Conference Proceedings, etc.


S.No. Title of Paper with page nos. Journal/ Periodicals/ Conference Proceeding Refereed /NonRefereed ISSN/ ISBN No. Impact Factor, if any No. of coauthors Whether you are the main/sole author

1 2 3 4 20. Research Publication - Books, Articles/Chapters published in Books


S.No. Book Title, editor & publisher Title of Paper/chapter with page nos. Publishing LevelInternational/ National/ Local/Govt. ISSN/ISBN No. Whether peer reviewed No. of co- Whether you authors are the main author

1 2 3 4 21. Research Project


S.No. Project Title Whether Carried out or ongoing Amount of Major Project Amount of Minor Project

1 2 22. Consultancy Project carried out/ongoing


S.No. Project Title with Funding agency Whether Carried out or ongoing Amount Mobilized with

1 2

B-4 23.
S.No.

Completed Projects: Quality Evaluation


Project Title Funding Agency Duration Whether Accepted by Agency

1 2 24. Project Outcome/output


S.No. Project Title Funding Agency Duration Detail of Major Policy Document of Govt. Bodies at Central/state level; patent/technology transfer/product/ process as outcome/output of project

1 2 25. Research Guidance

(i) M.Phil
S. No. Number Enrolled Degree awarded

M. Phil or equivalent (ii) Ph.D.


S. No. Number Enrolled Thesis Submitted Degree awarded

Ph. D. or equivalent 26.


S. No.

Refresher Courses, orientation course, Methodology, Workshop, etc.


Programme Duration Organized by

1. 2.

27.
S. No.

Invited Lectures or presentations for conference/symposia etc.


Title of Lecture/ Academic Session Title of Conference/ Seminar etc. Organized by Whether International/ national

1. 2. 3. 28. Any Other Relevant Information S. No. Particulars

The Candidate may increase number of rows/ adjust columns/use extra sheets in prescribed format wherever required.

B-5

SUMMARY OF API SCORES


Criteria Total consolidated APl Score for entire period

III

Research Publications and Academic Contributions ( A to E)

LIST OF ENCLOSURES: (Please attach, copies of certificates, sanction orders, papers etc. wherever necessary) 1 2 3 4 5 6 7 8 9 10

I certify that the above information provided by me is true and in case of any false information, I shall be personally responsible. Signature of the Applicant Place : Date :

______________________________________
FOR THE USE OF CANDIDATES IN EMPLOYMENT Certified that _______________________________________________ holds the post of _______________________ in the Department of ____________________. This Office has no objection for the consideration of his/her application and in case of selection he / she will be relieved as per rules.

No. : _________________ Date : ________________

Signature ___________________ Designation __________________

Office Stamp ____________

C-1

SARGUJA UNIVERSITY, AMBIKAPUR (CHHATTISGARH)


Application form for Direct Recruitment for the post of

Professor
(General Faculties subjects: Chemistry/Mathematics/Physics in Engineering College/Department)

Advertisement No. SUA/ESTT./1742/2013-14 Subject ______________________________

Affix self attested passport size photo

Details of Payment DD Number & Date . Amount ... Banks Name . .

GENERAL INFORMATION AND ACADEMIC BACKGROUND


1. Name (in Block Letters) :...

2.

Fathers Name

:...

3.

Mothers Name

:...

4.

Date of Birth & Age (as on 31.10.2013)

:...

5. 6.

Gender Domicile & Nationality

:... :...

7. 8.

Department, if in service Present Designation & Grade Pay

: :...

9.

Indicate whether belongs to SC/ST/OBC/PH category

:...

10.

Address for correspondence (with Pin code)

:................... .....................

C-2

11.

Permanent Address with Pin Code

....................... ....................... .......................................................................

12.

Telephone No: Email

........................................................................ ........................................................................

13.

Academic Qualifications (Secondary & onwards):


Name of the Board/ University Year of passing Percentage of marks obtained Division/ Class/Grade Subject (s)

Examinations

High School/ Higher Secondary Senior Secondary Graduation ............................ Post Graduation
(with subject)

........................ Other examinations, if any

14.

Research Degree(s)
Title Date of Award University

Degrees

M. Phil. Ph.D. Any other ........................

C-3
15.

Prior Appointments held


Name of Employer Date of Joining Joining Leaving Salary with Grade Reasons for leaving

Designation

16.

Teaching Experience (in years): P.G.:

U.G.

17.

Fields of Specialization: ................................................

18. S.No.

Orientation/Refresher Courses attended:


Name of the Course/ Summer School Place Duration Sponsoring Agency

1. 2.

19. Any Other Relevant Information:

S. No.

Particulars

Signature of Applicant

C-4

Part B: PBAS PROFORMA for calculating API SCORE


Minimum API Score Required (As per table II(c) of Appendix III of UGC Regulation, 2010)

Direct Recruitment of Professor

Consolidated API score of 300 Points from Category III of Table-I of Appendix III

Note : 1. The Candidate is advised to go through the detailed information regarding API provided in Category III of Table I of Appendix III of UGC Regulation, 2010. 2. The Candidate may increase number of rows/ adjust columns/use extra sheets in prescribed format wherever required. (A)
S.No.

Research Papers Published in Journals/ Periodicals/Conference Proceedings, etc.


Title of Paper with page nos. Journal/ Periodicals/ Conference Proceeding Refereed ISBN/ISSN No. /NonRefereed Impact Factor, if any No. of coauthors Whether you are the main/sole author APl Score

1 2 3 4
Note: In Conference Proceedings full paper is required and abstract will not be counted for the purpose of API Score.

(B)

Research Publication - Books, Articles/Chapters published in Books


S.No. Book Title, editor & publisher Title of Paper/chapter with page nos. Publishing LevelInternational/ National/ Local/Govt. ISBN/ISSN No. Whether peer reviewed No. of coauthors Whether you are the main author APl Score

1 2 3 4

(C) Research Project (C) (i) Sponsored Projects carried out/ongoing


S.No. Project Title Whether Carried out or ongoing Amount of Major Project Amount of Minor Project APl Score

1 2

C-5
(C) (ii) Consultancy Project carried out/ongoing
S.No. Project Title with Funding agency Whether Carried out or ongoing Amount Mobilized with APl Score

1 2 (C) (iii) Completed Projects : Quality Evaluation


S.No. Project Title Funding Agency Duration Whether Accepted by Agency APl Score

1 2 (C) (iv) Project Outcome/output


S.No. Project Title Funding Agency Duration Detail of Major Policy Document of Govt. Bodies at Central/state level; patent/technology transfer/product/process as outcome/output of project APl Score

1 2 (D) Research Guidance

(D) (i) M.Phil


S. No. Number Enrolled Degree awarded APl Score

M. Phil or equivalent (D) (ii) Ph.D.


S. No. Number Enrolled Thesis submitted Degree awarded APl Score

Ph. D. or equivalent (E) Training Course and Conference/Seminar/Workshop Papers

(E) (i) Refresher Courses, Methodology, Workshop, etc. (Maximum 30 Points)


S. No. Programme Duration Organized by APl Score

1. 2. (E) (ii) Papers presented in Conferences, Seminars, Workshops, etc.


S. No. Title of the Paper presented Title of Conference/ Seminar Organized by Whether international/ National/State/ Regional/College or University level APl Score

1. 2.

C-6
(E) (iii) Invited Lectures or presentations for conference/symposia etc.
S. No. Title of Lecture/ Academic Session Title of Conference/ Seminar etc. Organized by Whether International/ National APl Score

1. 2. 3.

SUMMARY OF API SCORES


Criteria Total consolidated APl Score for entire period

III

Research Publications and Academic Contributions ( A to E)

LIST OF ENCLOSURES: (Please attach, copies of certificates, sanction orders, papers etc. wherever necessary) 1. 2. 3. 4. 5. 6. 7. 8. 9. 10.

I certify that the above information provided by me is true and in case of any false information, I shall be personally responsible.

Signature of the Applicant Place :

Date :

FOR THE USE OF CANDIDATES IN EMPLOYMENT


Certified that _______________________________________________ holds the post of _______________________ in the Department of ____________________. This Office has no objection for the consideration of his/her application and in case of selection he /she will be relieved as per rules. No. : _________________ Date : ________________ Signature ___________________

Designation ___________________ Office Stamp _____________________

D-1

SARGUJA UNIVERSITY, AMBIKAPUR (CHHATTISGARH)


Application form for Direct Recruitment for the post of

Associate Professor
(For various subjects in Faculty of Engineering)

Advertisement No. SUA/Estt./1742/2013-14 Subject ______________________________


Details of Payment DD Number & Date . Amount .... Banks Name ..

Affix self attested passport size photo

GENERAL INFORMATION AND ACADEMIC BACKGROUND


1. Name (in Block Letters) :...

2.

Mothers Name

:...

3.

Fathers Name

:...

4.

Date of Birth & Age (as on 01.01.2012)

:...

5.

Gender

6.

Domicile & Nationality

:...

7.

Department, if in service

:...

8.

Present Designation & Grade Pay

:...

9.

Indicate whether belongs to SC/ST/OBC/PH category

:...

10.

Address for correspondence Pin code)

(with

:... ...

D-2 11. Permanent Address with Pin code ... ... ....................................................................... 12. Telephone No: Email 13 ........................................................................ .......................................................................

Academic Qualifications (Secondary & onwards):


Name of the Board/ University Year of passing Percentage of marks obtained Division/ Class/Grade Subject

Examinations

Secondary Sr. Secondary/High School Graduation ............................ Post Graduation


(with subject)

........................ Other examinations, if any

14.

Research Degree(s)
Title Date of Award University

Degrees

M. Phil. Ph.D. any other ........................

15.

Prior Appointments
Name of Employer Date of Joining Joining Leaving Salary with Grade Reasons for leaving

Designation

D-3 16. 17 18.


S. No.

Teaching Experience (in years): P.G.: Fields of Specialization: ................................................

U.G.

Papers presented in Conferences, Seminars, Workshops, etc.


Title of the Paper presented Title of Conference/ Seminar Organized by Whether international/ national/state/ regional/college or university level

1. 2. 19. Research Papers Published in Journals/ Periodicals/Conference Proceedings, etc.


S.No. Title of Paper with page nos. Journal/ Periodicals/ Conference Proceeding Refereed /NonRefereed ISSN/ ISBN No. Impact Factor, if any No. of coauthors Whether you are the main/sole author

1 2 3 4 20. Research Publication - Books, Articles/Chapters published in Books


S.No. Book Title, editor & publisher Title of Paper/chapter with page nos. Publishing LevelInternational/ National/ Local/Govt. ISSN/ISBN No. Whether peer reviewed No. of coauthors Whether you are the main author

1 2 3 4

21. Research Project


S.No. Project Title Whether Carried out or ongoing Amount of Major Project Amount of Minor Project

1 2 22. Consultancy Project carried out/ongoing


S.No. Project Title with Funding agency Whether Carried out or ongoing Amount Mobilized with

1 2

D-4 23.
S.No.

Completed Projects: Quality Evaluation


Project Title Funding Agency Duration Whether Accepted by Agency

1 2 24. Project Outcome/output


S.No. Project Title Funding Agency Duration Detail of Major Policy Document of Govt. Bodies at Central/state level; patent/technology transfer/product/ process as outcome/output of project

1 2 25. Research Guidance

(i) M.Phil
S. No. Number Enrolled Degree awarded

M. Phil or equivalent (ii) Ph.D.


S. No. Number Enrolled Thesis Submitted Degree awarded

Ph. D. or equivalent 26. Refresher Courses, orientation course, Methodology, Workshop, etc.
S. No. Programme Duration Organized by

1. 2. 27.
S. No.

Invited Lectures or presentations for conference/symposia etc.


Title of Lecture/ Academic Session Title of Conference/ Seminar etc. Organized by Whether International/ national

1. 2. 3. 28. Any Other Relevant Information S. No. Particulars

The Candidate may increase number of rows/ adjust columns/use extra sheets in prescribed format wherever required.

D-5

SUMMARY OF API SCORES


Criteria Total consolidated APl Score for entire period

III

Research Publications and Academic Contributions ( A to E)

LIST OF ENCLOSURES: (Please attach, copies of certificates, sanction orders, papers etc. wherever necessary) 1 2 3 4 5 6 7 8 9 10 I certify that the above information provided by me is true and in case of any false information, I shall be personally responsible. Signature of the Applicant Place : Date :

_____________________________________________________________
FOR THE USE OF CANDIDATES IN EMPLOYMENT Certified that _______________________________________________ holds the post of _______________________ in the Department of ____________________. This Office has no objection for the consideration of his/her application and in case of selection he / she will be relieved as per rules. No. : _________________ Date : ________________ Signature ___________________ Designation __________________

Office Stamp ____________

E-1

SARGUJA UNIVERSITY, AMBIKAPUR (CHHATTISGARH)


Application form for Direct Recruitment for the post of

Associate Professor
(General Faculties subjects: Mathematics/Physics in Engineering College/Department)

Advertisement No. SUA/ESTT./1742/2013-14 Subject ______________________________

Affix self attested passport size photo

Details of Payment DD Number & Date . Amount ... Banks Name . .

GENERAL INFORMATION AND ACADEMIC BACKGROUND


1. Name (in Block Letters) :...

2.

Fathers Name

:...

3.

Mothers Name

:...

4.

Date of Birth & Age (as on 31.10.2013)

:...

5. 6.

Gender Domicile & Nationality

:... :...

7. 8.

Department, if in service Present Designation & Grade Pay

:.. :...

9.

Indicate whether belongs to SC/ST/OBC/PH category

:...

10.

Address for correspondence (with Pin code)

:...................... .......................

E-2

11.

Permanent Address with Pin code

........................ ........................ .......................................................................

12.

Telephone No: Email

........................................................................ .......................................................................

13.

Academic Qualifications (Secondary & onwards):


Name of the Board/ University Year of passing Percentage of marks obtained Division/ Class/Grade Subject

Examinations

High School/ Higher Secondary Senior Secondary Graduation ............................ Post Graduation
(with subject)

........................ Other examinations, if any

14.

Research Degree(s)
Title Date of Award University

Degrees

M. Phil. Ph.D. any other ........................

E-3
15.

Prior Appointments held


Name of Employer Date of Joining Joining Leaving Salary with Grade Reasons for leaving

Designation

16.

Teaching Experience (in years): P.G.:

U.G.

17.

Fields of Specialization: ................................................

18. S.No.

Orientation/Refresher Courses attended:


Name of the Course/ Summer School Place Duration Sponsoring Agency

1. 2.

19. Any Other Relevant Information

S. No.

Particulars

Signature of Applicant

E-4

Part B: PBAS PROFORMA for calculating API SCORE


Minimum API Score Required (As per table II(c) of Appendix III of UGC Regulation, 2010)

Direct Recruitment of Associate Professor

Consolidated API score of 300 Points from Category III of Table-I of Appendix III

Note : 1. The Candidate is advised to go through the detailed information regarding API provided in Category III of Table I of Appendix III of UGC Regulation, 2010. 2. The Candidate may increase number of rows/ adjust columns/use extra sheets in prescribed format wherever required. (A)
S.No.

Research Papers Published in Journals/ Periodicals/Conference Proceedings, etc.


Title of Paper with page nos. Journal/ Periodicals/ Conference Proceeding Refereed ISBN/ISSN No. /NonRefereed Impact Factor, if any No. of coauthors Whether you are the main/sole author APl Score

1 2 3 4
Note: In Conference Proceedings full paper is required and abstract will not be counted for the purpose of API Score.

(B) Research Publication - Books, Articles/Chapters published in Books


S.No. Book Title, editor & publisher Title of Paper/chapter with page nos. Publishing LevelInternational/ National/ Local/Govt. ISBN/ISSN No. Whether peer reviewed No. of coauthors Whether you are the main author APl Score

1 2 3 4

(C) Research Project (C) (i) Sponsored Projects carried out/ongoing


S.No. Project Title Whether Carried out or ongoing Amount of Major Project Amount of Minor Project APl Score

1 2

E-5
(C) (ii) Consultancy Project carried out/ongoing
S.No. Project Title with Funding agency Whether Carried out or ongoing Amount Mobilized with APl Score

1 2 (C) (iii) Completed Projects : Quality Evaluation


S.No. Project Title Funding Agency Duration Whether Accepted by Agency APl Score

1 2 (C) (iv) Project Outcome/output


S.No. Project Title Funding Agency Duration Detail of Major Policy Document of Govt. Bodies at Central/state level; patent/technology transfer/product/process as outcome/output of project APl Score

1 2 (D) Research Guidance

(D) (i) M.Phil


S. No. Number Enrolled Degree awarded APl Score

M. Phil or equivalent (D) (ii) Ph.D.


S. No. Number Enrolled Thesis submitted Degree awarded APl Score

Ph. D. or equivalent (E) Training Course and Conference/Seminar/Workshop Papers

(E) (i) Refresher Courses, Methodology, Workshop, etc. (Maximum 30 Points)


S. No. Programme Duration Organized by APl Score

1. 2. (E) (ii) Papers presented in Conferences, Seminars, Workshops, etc.


S. No. Title of the Paper presented Title of Conference/ Seminar Organized by Whether international/ National/State/ Regional/College or University level APl Score

1. 2.

E-6
(E) (iii) Invited Lectures or presentations for conference/symposia etc.
S. No. Title of Lecture/ Academic Session Title of Conference/ Seminar etc. Organized by Whether International/ National APl Score

1. 2. 3.

SUMMARY OF API SCORES


Criteria Total consolidated APl Score for entire period

III

Research Publications and Academic Contributions ( A to E)

LIST OF ENCLOSURES: (Please attach, copies of certificates, sanction orders, papers etc. wherever necessary) 1. 2. 3. 4. 5. 6. 7. 8. 9. 10.

I certify that the above information provided by me is true and in case of any false information, I shall be personally responsible.

Signature of the Applicant Place :

Date :

FOR THE USE OF CANDIDATES IN EMPLOYMENT


Certified that _____________________________________________________ holds the post of _______________________ in the Department of ______________________. This Office has no objection for the consideration of his/her application and in case of selection he /she will be relieved as per rules. No. : _________________ Date : ________________ Signature ___________________

Designation ___________________ Office Stamp _____________________

F-1

SARGUJA UNIVERSITY, AMBIKAPUR (CHHATTISGARH)


Application form for Direct Recruitment for the post of

Assistant Professor
(For Faculty in Engineering-All Engineering Subjects) (General faculties- Chemistry/English/Geology/Mathematics/Management/Physics)

Advertisement No.SUA/ESTT./1742/2013-14
Affix self attested

Subject _____________________
Details of Payment DD Number & Date . .. Amount . Banks Name .

passport size photo

GENERAL INFORMATION AND ACADEMIC BACKGROUND

1. 2.

Name (in Block Letters) Fathers Name

:... :...

3.

Mothers Name

:...

Date of Birth & Age (as on 31.10.2013)

:...

Gender

:...

Domicile & Nationality

:...

Department, if in service

8.

Present Designation & Grade Pay

:...

9.

Indicate whether belongs to SC/ST/OBC/PH category 10. Address for correspondence (with Pin Code)

:...

:... ...

F-2

11. Permanent Address with Pin code

.... ......................... .......................................................................

12.

Telephone No: Email

........................................................................ .......................................................................

13.

Academic Qualifications (Secondary & onwards):


Name of the Board/ University Year of passing Percentage of marks obtained Division/ Class/Grade Subject

Examinations

High School/Higher Secondary Senior Secondary Graduation ............................ Post Graduation


(with subject)

........................ Other examinations, if any


14.

Research Degree(s)
Title Date of Award University

Degrees

M. Phil. Ph.D. any other ........................ Prior Appointments held


Designation Name of Employer Date of Joining Joining Leaving Salary with Grade Reasons for leaving

15.

F-3
16. 17. 18.

Teaching Experience (in years): P.G.: Fields of Specialization: ................................................ Orientation/Refresher Courses attended:

U.G.

S.No.

Name of the Course/ Summer School

Place

Duration

Sponsoring Agency

1. 2.

19.

Attended/Paper presented in Seminar/ Symposium/Workshop etc


Details of Seminar/ Symposia/Workshop etc Organized by

Title of paper

20.

Paper published in journal, book, conference proceedings etc.


Detail of Journal, Book, Conference Proceedings etc. Published by

Title of paper with page number

21. Any Other Relevant Information

S. No.

Particulars

Note: The Candidate may increase number of rows/ adjust columns/use extra sheets in prescribed format, wherever required.

F-4 LIST OF ENCLOSURES: (Please attach, copies of certificates, sanction orders, papers etc. wherever necessary) 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. I certify that the above information provided by me is true and in case of any false information, I shall be personally responsible.

Name & Signature of the Applicant Place : Date :

FOR THE USE OF CANDIDATES IN EMPLOYMENT

Certified that _________________________________________________holds the post of _______________________ in the Department of ____________________. This office has no objection for the consideration of his/her application and in case of selection he / she will be relieved as per rules.

No. : _________________ Date : ________________

Signature ____________________ Designation __________________ Office Stamp ____________________

G-1

SARGUJA UNIVERSITY, AMBIKAPUR (C.G.)


Advertisement No. : SUA/ESTT./1742/2013-14 Last date of submission: 15/12/2013

APPLICATION FORM FOR THE POST OF: COLLEGE REGISTRAR/COLLEGE LIBRARIAN/ P.T.I. (SPORTS OFFICER)/ACCOUNTS/FINANCE OFFICER (MARK TICK)
Details of Payment DD Number & Date . .. Amount . Banks Name .

CATEGORY OF CANDIDATE: GENERAL (UR)/SC/ST/OBC/WOMEN Note : Certificate issued by competent authority including the non Creamy layer certificate in case of OBC has to be attached. 1 Name in full (In block letters) 2 Fathers/Husbands Name 3 Permanent address with Pin Code No. and Phone. /Mobile No.

4 Address for communication with Pin Code. Mobile No. Email id

5 Date of Birth and Age 6 Nationality and Domicile 7 a) Language known b) Knowledge of Hindi

G-2 8 Particulars of Educational Qualifications from Matriculation/Secondary onwards: (Attested photo copies to be attached)

S.No.

Name/Title of Examination/ Degree/Diploma/ Certificate

Year

School/Board/University

Max. marks and marks /grade obtained

Division with Percentage of marks in friction (Rounding of Percentage is not permissible)

Title of PG Degree .

Details of Experience: Nature and address of employer Date of joining Date of leaving with reasons Pay Scale/ Basic Salary Experience: Teaching/Professional Degree Post Graduate

Post/Office/ Status held and nature of employment

Note: Separate sheet may be used with reference to the chart (s) mentioned at clause 8 and/or 9.

G-3 10 Detail of Research Work done or guided: (attached additional sheet, if necessary)

11

Detail of the Extracurricular activities in which participated: (attached additional sheet, if necessary)

12

Publications: (attached additional sheet, if necessary)

13

Prizes and Medals won:

G-4 14 (a) Details required for P.T.I. (Sports Officers): Nature of Participation (Attach Certificate) Status/Report/Particulars

Record of having represented the university/college at the interuniversity/intercollegiate competitions or/and national championship: Title & Year

14

(b) Detail of the physical fitness status: (You can walk/run in meters as per your age) NORMS FOR MEN 12 MINUTES RUN/WALK TEST (Submit statement in the column of your age) Up to 30 years meters Up to 40 years .. meters Up to 45 years .. meters Up to 50 years meters

OR NORMS FOR WOMEN (Submit statement in the column of your age) 12 MINUTES RUN/WALK TEST Up to 30 years meters Up to 40 years .. meters Up to 45 years .. meters Up to 50 years meters

G-5 15 Statement of experience to work in the field of accountancy on a post not below the Junior Accountant (for Accounts/Finance Officer only) Post held Scale & Basic Pay Name of Institution Experience Date of Joining Date of Leaving with reasons

S. No.

16

Statement of experience to discharge administrative/ministerial/teaching at the institutions of higher education: (only for College Registrar) Post held Nature of work Experience Date of Joining Date of Leaving with reasons

S. No.

G-6 17 List of Enclosures:

1. __________________________________________________________________________________ 2. __________________________________________________________________________________ 3. __________________________________________________________________________________ 4.__________________________________________________________________________________ 5.__________________________________________________________________________________ 6.__________________________________________________________________________________ 7.__________________________________________________________________________________ 8.__________________________________________________________________________________ 9.__________________________________________________________________________________ 10._________________________________________________________________________________ 11._________________________________________________________________________________ 12._________________________________________________________________________________ 13._________________________________________________________________________________ 14._________________________________________________________________________________ 15._________________________________________________________________________________

Declaration: I hereby declare that all the statements made in this application are true, complete & correct to the best of my knowledge &belief in the event of any information being found false or incorrect, or ineligibility being, detected before or after the interview/selection, my candidature will stand cancelled and my claims for the recruitment will stand forfeited. I have not been charged/tried and/or punished for any offence in any court.

Date: Place: Full Signature of the Candidate

G-7

SARGUJA UNIVERSITY, AMBIKAPUR (C.G.)


ABSTRACT OF APPLICATION
1. 2. 3. 4. 5. S. No. Name in Block Letters: Fathers/Mothers/Husbands Name: Date of Birth/Place of Residence: Category: GENERAL/SC/ST/OBC/WOMEN/PH (Tick applicable & attach certificate) Educational Qualification: Examination Passed Year Subject(s)/ Discipline Division/Grade Maxm. Marks & marks obtained % of marks Remarks

1 2 3 4 5 6

7 8

PG .. Ph.D .. M.Phil . UG . UG . Higher Secondary or equivalent Secondary or equivalent Desirable qualification as per the post: . Any other

6. Experience: (Teaching/Practice/Profession/Any other- as per the requirement of the respective post) S. No. Name of post/office/status Organization name & address Period

7. No. of publication: _________________ 8. N.O.C in case of employment: _______________ Signature of the Candidate

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