NAGALAND UNIVERSITY (A Central University Estd. By the Act of Parliament No.35 of 1989) Headquarters : Lumami

Transcription

1 NAGALAND UNIVERSITY (A Central University Estd. By the Act of Parliament 35 of 1989) Headquarters : Lumami SUMMARY SHEET (For the post of Deputy Librarian) [TO BE COMPULSARILY FILLED IN BY THE APPLICANT] (Strike out whichever is not applicable) Name : Post applied for: Date of Birth : Age as on Years SC/ST/OBC/PWD/None : Place of Birth : Educational Qualifications (Indicate percentage) : Secondary/Matriculation : Higher/Senior Secondary [10+2] : Graduation (B.A/B.Sc./B.Com/BBA). : M.A./M.Sc./M.Com/MBA. : M.Phil./Ph.D. (Subject & Specialization): UGC-NET/SLET passed & Year : Other Qualifications, if any : Current Employment and Full Address of the Institution : Work Experience (only Full-time/Part

2 time) [in yrs] Experience in Educational Institution/University/Research : Administrative Experience [ of years] : Brief Detail : Professional Training Attended [in ] Brief Detail : Date:... Signature of the Applicant FOR OFFICE USE Eligibility of the Candidate for the Post : Recommendation of the Screening Committee: To be Called/Not to be called for Interview If not called for, please state the reasons: _ Chairman Member Member Member (Name and Signature with date)

3 NAGALAND UNIVERSITY (A Central University Estd. By the Act of Parliament 35 of 1989) Headquarters : Lumami APPLICATION FORM (For the post of Deputy Librarian) Please fill up separate form for each post Post applied for Department of School of Applied under category UR/SC/ST/OBC/PWD Advertisement No & Date Post Affix recent passport size photograph Particulars of remittance Name of Bank with address Amount Rs. (Rupees ) only Date of Deposit 1. Name of applicant (In Block Letters) : 2. Father s/ Husband s Name : 3. Date of Birth (Please attach attested copy) : 4. (a) Present Address for correspondence : (b) Permanent Address Tel.Ph.& Fax Id. : Tel.Ph. & Fax Id. 5. (a) Nationality (b) Religion (c) District (e) Sex: Male / Female (d)place of Birth (f)marital Status (g) Category (GEN/SC/ST/OBC) 6. Whether Qualified NET / SLET conducted by : Yes / No (Please indicate the date and UGC / ICAR / CSIR / State attach documentary proof)

4 7. EDUCATIONAL QUALIFICATION. (starting with highest degree obtained) No Examination passed Subjects Year of passing Division with % of Marks Board/ University Distinction achieved if any RESEARCH DEGREE(S) Degree University Date of submission of thesis M. Phil Date of award Title of the thesis Ph.D D.Sc / D.Litt.

5 9 TEACHING/PROFESSIONAL/RESEARCH EMPLOYMENT (Give particulars in descending order starting with the present post): Employer Status of Institute/ University Post held Scale of Pay Basic Pay Period of employment Y M D From To *Government/Quasi Government/Autonomous/Private 10. Teaching experience : From(Date) To(Date) (i) Under Graduate : : (ii) Post Graduate : : 11. Have you ever been dismissed from service? : Yes/ No (If Yes, give the details) : 12. Name and address of two referees (including their Mobile & ID):

6 13. Academic Performance Indicator (s): CATEGORY iii: RESEARCH PUBLICATION & ACADEMIC CONTRIBUTION (A) (i) Published Papers in Refereed Journals with / without ISSN Numbers / Non-refereed Journal and Periodicals Title of Research Paper / Article with page nos. Name, Volume and year of the published Journals ISSN / without ISSN Whether peer reviewed. Impact Factor, if any Refereed / Nonrefereed Journal and Periodic als Author / Co- Author / Editer s (ii). Symposium / Conference Proceeding Publications Title of Research Paper / Article with page nos. Name and Addres of the Publisher Title and Year of the Symposium / Conference Name and Address of the Sponsorin g Agencies Internati onal / National / Regiona l / Local Author / Co- Author s

7 (iii). Member of Editorial Board of Refereed Journal with / without ISSN Numbers and non refereed Journals and Periodicals with ISSN Numbers Name and Address of the Journals Name and Addres of the Publisher Tenure of the Editoral Board Refereeed / Nonrefereed With / with out ISSN Number Chief Editor / Member of Editorial s Board (iv). Reviewer / Refree of Refereed Journals with / without ISSN Numbers and non refereed Journals and Periodicals with ISSN Numbers Name and Address of the Journals Name and Addres of the Publisher Reviewer / Referee Refereeed / Nonrefereed With / with out ISSN Number Title of research paper / artile s

8 (B) (i) Text or Reference Books / Edited Books Published by International Publisher with an Established Peer Review System Title of the Books Name and Address of the Publisher Year of Publication ISBN Number Whether peer reviewed Author / Co- Author / Editer assessme nt Verifi ed s ii) Subject or Reference Books / Edited Books by National Level Publisher / State and Centarl Government Publication with ISBN Numbers. Title of the Books Name and Address of the Publishers Year of Publication ISBN Number Author / Co- Author / Editer assessme nt s

9 iii) Subject Books by other local Publishers with ISBN Numbers Title of the Books Name and Address of the Publishers Year of Publication Publisher ISBN Number Regional / Local Author / Co-Author / Editer s (iv) Chapters contributed in knowledge based volumes published by International Publishers Title of the Chapters Title of Book Name and Address of the Publisher Year of Publication ISBN Number Author / Co-Author / Editer s (v) Chapters in knowledge based volumes published by National Level Publishers with ISBN number with International directories Title of the Chapters Title of Book Name and Address of the Publisher Year of Publicatio n ISBN Number Author / Co-Author / Editer s

10 vi) Extension manual leaflet / folder / bulletin etc. Title Name of coauthors Whether you are main author vii) Laboratory / technical manual / curricula based books Title Suitable for UG/PG degree programmes Name and Address of the Publishers Year of Publication Author / Co-Author / Editer

11 (C) Research Projects: (i ). Sponsored Projects Completed / Carried out Title Sponsoring / Funding Agency Major / Minor Project Duration / Period PI/Co- PI/AS Grant / Amount Mobilised (Rs. lakh) (ii) Consultancy Projects (Carried out / ongoing) Title Sponsoring / Funding / Coordinate Agency Nature of Consultancy Duration / Period Grant / Amount Mobilised (Rs. lakh)

12 (iii) Quality evaluation Project (completed / ongoing) Title Agency Period Grant / Amount Mobilised (` lakh) Whether policy document/patents as outcome (iv) Research Project Outcome / Output (Technology developed / Transfer / Patent) Title Agency Period Grant / Amount Mobilised (` lakh) Whether policy document/patents as outcome

13 (v) Post doctoral fellowship/associateship (CSIR / UGC / ICSSR / ICAR / IVC / ICMR etc.) Name of the Fellowship awarded Duration Name of the Agencies awarding fellowship/scholarship Amount (`/month) (D) Research Guidance (Supervisor/Joint Supervisor / Major Advisor) Status of the guidance (S/JS/MA) of the students enrolled of the students Submitted Thesis of the students Awarded Degree M.Sc.(Ag.)/M.Tech/ M.V.Sc. MA/M.Com./M.Sc. M.Phil. Ph.D.

14 (E) Training Courses / Conferences / Seminar / Workshop (Organized / attended) i) (a). Chairman / Convenor / Coordinator / Organizing Secretary of Seminar / Conference / Workshop etc; ii) Title of the Symposium/ Seminar/ Conferences Position held as Chairman/ Convenor/ Coordinator/ Organizing Secretary Organized by Whether International/ National/ Regional/ State/ University (b). Member of Technical Committees of Symposium / Seminar / Conference etc. Name of the Symposium/ Seminar/ Conferences Position held as Name and Address of the Organizing bodies Name and Address of the Sponsoring Agencies Year International/ National/ Regional/ State/ University

15 iii) Refresher Courses / Orientation Course / Methodology Workshop / Training Teaching Learning Evaluation Technology Programme / Soft Skill Development. Types of Course / Programme Duration Coordinator/ Deputy Coordinator/ Participant iv) Papers presented in Conferences, Seminars, Workshops, Symposia, etc. Title of the Paper presented Title of Conference / Seminar Organised by Whether international / national / state / regional / college or university level

16 v) Invited Lectures, Presentation, Resource person for Conference / Symposia / Workshop and Chairmanship at National or International Conference, Seminar, etc Title of Lecture / Academic Session Title of Conference / Seminar,Symposia, Workshop etc. Organised by Whether international / national / state / regional / college or university level vi) Chairing session at Conference / Seminar / Symposium etc. Title of Seminar/Conference Title of inaugural/ technical session chaired Organised by Whether international / national / state / regional / college or university level

17 f. Office bearer / Advisor / Professional societies / bodies: Name of the professional societies/bodies Address of the professional societies/ bodies Whether international / national / state / regional / college or university level g. (i). Awards / Honours / Recognitions while in University Service (Government Institution / Reputed Organization/ University etc.). Name of the institutions / reputed organizations Name of the awards/ honours/ recognitions Title and nature of the awards Whether international / national / state / regional / college or university level

18 g. (ii). Important Assignment by University Authorities (Annual report / University News letter preparation / University Journal Committee / Ordinance and other intellectual Assignments etc.) Types of Assignmemnt Name of the University / Institute Duration h. Best research paper / poster presentation (Awards in Seminar / Conference / Symposia etc.) Title of the paper/poster presentation Title of the Seminar/ Workshop/ Symposium Whether international / national / state / regional / college or university level

19 CALCULATION OF SCORES ADMISSIBLE UNDER SUB-CATEGORIES IN CATEGORY III (Research and Publications and Academic Contributions) SUB-CATEGORY Cap as % of cumulative in application (Minimum) Scores claimed by the applicant (3) Claims Admissible *(4) (1) (2) III(A): Research papers (Journals, etc.) 30% III(B) Research publications (Books, etc.) 25% III Research Projects 20% III(D) Research Guidance III(E) Training Courses and Conference/Seminar, etc., 10% 15% To be filled by the Screening/Selection Committee at the stage of screening. # Minimum s, as stipulated in the UGC Guidelines, should remain unchanged.

20 14. List of Enclosures attached: (a) (b) (c) (d) (e) (f) (g) (h) (i) (j) (k) DECLARATION I, Smt./Kum/Sh.... do hereby certify that the information furnished above are true to my knowledge and belief. In case, any of the information given by me is found to be false or incorrect at any stage of recruitment, I am aware that my services are liable to be terminated by the University. Place Date Candidate Signature of the

21 (TO BE FORWARDED BY THE EMPLOYER) (For in-service candidates only) Certified that Dr./Mr/Mrs/Miss is a permanent/temporary employee who has been serving in this organization as with effect from to. There is no case is pending against him/her on any account as per records. The institution/organization has, therefore, no objection to his/her candidature being considered for the post applied for. Signature of the Head of the Institution (With Seal) Place: Date: Name Designation Address