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CONTENTS Page No. 1. Proforma - 2. C.C.R. - 3. Self Appraisal Report - 4. Ph.D. notification - 5. Orientation - 6. Refresher - 7. Notification (Senior Scale) - 8. Notification (Reader) - 9. Appointment Letter - 10. Joining Letter - 11. Confirmation Letter - 12. Academic Qualifications (Metric, Intermediate, Graduation and Post Graduation) - 13. Ph.D. Supervised (Certificate) - 14. Research contribution/ books/ articles Published (Cover page, content, Main article & Last page of Journal) - 15. Seminars (National with certificate) 16. Seminar (International with certificate) - 17. Conferences (with certificate) - 18. Workshop (with certificate) 19. Symposium (with certificate) - Mobile No. ................................. Email ID ..........................................

CONTENTSlnmuacin.in/studentnotice/2020/performa for teacher.pdf · 2020. 11. 27. · Notification (Senior Scale) - 8. Notification (Reader) - 9. Appointment Letter - 10. Joining Letter

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Page 1: CONTENTSlnmuacin.in/studentnotice/2020/performa for teacher.pdf · 2020. 11. 27. · Notification (Senior Scale) - 8. Notification (Reader) - 9. Appointment Letter - 10. Joining Letter

CONTENTS

Page No.

1. Proforma -

2. C.C.R. -

3. Self Appraisal Report -

4. Ph.D. notification -

5. Orientation -

6. Refresher -

7. Notification (Senior Scale) -

8. Notification (Reader) -

9. Appointment Letter -

10. Joining Letter -

11. Confirmation Letter -

12. Academic Qualifications

(Metric, Intermediate, Graduation and Post Graduation)

-

13. Ph.D. Supervised (Certificate) -

14. Research contribution/ books/ articles Published

(Cover page, content, Main article & Last page of Journal)

-

15. Seminars (National with certificate)

16. Seminar (International with certificate)

-

17. Conferences (with certificate) -

18. Workshop (with certificate)

19. Symposium (with certificate)

-

Mobile No. ................................. Email ID ..........................................

Page 2: CONTENTSlnmuacin.in/studentnotice/2020/performa for teacher.pdf · 2020. 11. 27. · Notification (Senior Scale) - 8. Notification (Reader) - 9. Appointment Letter - 10. Joining Letter

Confidential

LALIT NARAYAN MITHILA UNIVERSITY

KAMESHWARANAGAR, DARBHANGA

Form of Confidential Character Roll for Teaching Staff

1. Name –

2. Designation –

3. How employed –

4. Period of report –

5. Different type of leave taken C.L. E.L. D.L. M.L. Other Leave

during the period under review –

6. Punctuality and regularity in attendance –

7. Name of deptt. in which the individual

was employed during the period of report -

8. Integrity –

9. (a) Relationship with students and Colleagues-

(b) Behaviour towards superior staff –

(c) Behaviour towards visitors-

10. Performance of duties, promptness & zeal –

11. Efficiency in teaching during the period –

12. Research work and publication –

13. Co-curricular activities –

14. Conferences attended & paper presented –

15. General remarks, if any taking all

the above points in consideration -

16. Signature of the Head of the Department –

17. Remarks of the Principal/ Head of the Institution -

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- 1 -

LALIT NARAYAN MITHILA UNIVERSITY Kameshwaranagar, Darbhanga - 846004

PROFORMA FOR PLACEMENT OF LECTURER IN SENIOR PAY SCALE

(10,000-325-15,200) Under Career Advancement Scheme (Effective Date of Scheme 27.07.1998)

(3 Copies of application alongwith enclosures be submitted)

1. Names of the Subject :-

2. Name & Designation of the Teacher :-

3. Name of the Department / College :-

4. Date of Birth:-

5. Educational Qualifications (Matriculation Onwards):-

Name of Examination

Board/ University Class Year

Total Marks

Obtained

Percentage of marks

1 2 3 4 5 6

1.

2.

3.

4.

5.

6. Educational Qualification at the time of appointment:- 7. Details of substantive appointment :-

(i) Appointment letter/Joining report :- (ii) Recommendation of the commission/Permanent

concurrence/absorption :- (iii) Appointment authority :- (iv) Nature of appointment :- (v) Approval of appointment, if any :- (vi) Date of sanction of post

(Letter to be enclosed) :- (vii) Position in the Department at the

time of appointment :- 8. Affiliation of the College:-

(i) Intermediate :-

(ii) Degree :-

9. Details of service rendered in other University. i. Date of relieving (from parent University):-

ii. Date of joining (Under L.N.M.U. Service):-

iii. Details of permanent appointment be

furnished as in column no. 7 & 8 :-

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- 2 -

10. Date of completion of 6 years of continued service after regular appointment on sanctioned post :-

(i) Service rendered in affiliated College :-

(ii) Service rendered in Constituent Colleges :-

11. Participations in :-

i. Refresher courses :-

No. of participation

Duration of the

Course

Name of the

institution

Details of permission of the Univ.

Date of completion

of the course

Performance/ appraisal Reports

1.

2.

3.

ii. Orientation Course

No. of participation

Duration of the

Course

Name of the

institution

Details of permission of the Univ.

Date of completion

of the course

Performance/ appraisal Reports

1.

2.

3.

iii. Summer institutions:-

No. of participation

Duration of the

Course

Name of the

institution

Details of permission of the Univ.

Date of completion

of the course

Performance/ appraisal Reports

1.

2.

3.

iv. Other appropriate continuing & education programmes of comparable quality as specified by the U.G.C. :-

12. Confidential Character Roll of the Candidate:-

13. Special performance of the applicant (to be issued by the Head of the Institution):-

Note:- Records/Documents/Papers as specified in different columns of the proforma

must be duly attested by the Head of the Institution and be enclosed with the application.

I hereby solemnly affirm that the above information is true to the best of my knowledge and belief. Signature of the Applicant Signature of the Head of the Institution

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LALIT NARAYAN MITHILA UNIVERSITY Kameshwaranagar, Darbhanga - 846004

PROFORMA FOR PROMOTION OF LECTURER (SENIOR SCALE) TO

THE RANK OF LECTURER (SELECTION GRADE)*/READER* (→ strike off whichever is not applicable)

(3 Copies of application alongwith enclosures be submitted)

1. Name & designation of the Teacher :-

2. Names of the Subject :-

3. Name of the Department / College :-

4. Date of Birth:-

5. Contact No. :-

6. Educational Qualifications (Matriculation Onwards):-

Name of Examination

Board/ University

Class Year Total Marks

Obtained

Percentage of marks

1 2 3 4 5 6 1.

2.

3.

4.

5.

7. Details of substantive appointment :-

8. Details of service rendered in other University.

i. Date of relieving (from parent University):-

ii. Date of joining (Under L.N.M.U. Service):-

9. Effective date of grant of Senior Scale:-

(copy of the notification be attached)

10. Date of Obtaining Ph.D. Degree.

11. Date of completion of 5 years of continued service

as Lecturer (Senior Scale)

12. Participations after placement in the Senior Scale :-

i. Refresher courses :-

No. of participation

Duration of the

Course

Name of the

institution

Details of permission of the Univ.

Date of completion

of the course

Performance/ appraisal Reports

1.

2.

3.

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ii. Orientation Course No. of

participation Duration

of the Course

Name of the

institution

Details of permission of the Univ.

Date of completion

of the course

Performance/ appraisal Reports

1.

2.

3.

iii. Summer institutions:-

No. of participation

Duration of the

Course

Name of the

institution

Details of permission of the Univ.

Date of completion

of the course

Performance/ appraisal Reports

1.

2.

3.

iv. Details of participation before the date of placement of Senior Scale

in Refresher Course, Summer Institute, Orientation Course……….

v. Details of Publication if any:-

vi. Other appropriate continuing & education programmes of comparable quality as specified:-

vii. Details of contribution to corporate life of the Institution,

Examination Work or through Extension Activities.

viii. Details of Quality of Publication, Contribution to Educational Innovation, Design of New Courses and Curricula and Extension activities etc.

13. Performance appraisal reports:-

14. Confidential Character Roll of the Candidate:-

15. Special performance of the applicant

(to be issued by the Head of the Institution):- Note:- Records/Documents/Papers as specified in different columns of the proforma

must be duly attested by the Head of the Institution and be enclosed with the application.

I hereby solemnly affirm that the above information is true to the best of my knowledge and belief. Signature of the Applicant Signature of the Head of the Institution

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(Note:- Relevant provisions of the Statutes printed on the overleaf)

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Relevant provisions of the Statutes as communicated vide Governor’s Secretariat, Bihar

Letter no. – BSU – 8/2005-1715/G.S.(I), Patna, dated 29.06.2005

3.0.0 PROMOTION OF LECTURER (SENIOR SCALE) TO THE RANK OF LECTURER (SELECTION GRADE)

3.1.0. Notwithstanding anything to the contrary contained in the Statutes, it is hereby provided that a Lecturer in the Senior Scale who does not have a Ph.D. degree or equivalent published work, and who does not meet the Scholarship and the Research standards, but fulfils the other criteria for the post for Reader including five years continuous service as Lecturer (Senior Scale) and has good record in teaching and preferably has contributed in various ways, such as, to the corporate life of the Institution, examination work, or through extension activities, will be placed in the Selection Grade, subject to the recommendations of the Bihar State University (Constituent Colleges) service Commission. He will be designed as Lecturer (Selection Grade). He can offer himself for fresh assessment after obtaining Ph.D. and / or fulfilling other requirement for promotion as Reader and, if found suitable, would be given designation of Reader. 3.2.0. The placement in the Selection Grade shall not be automatic, but shall be made on the recommendation of Bihar State University (Constituent Colleges) Service Commission on consideration of experience and performance appraisal reports. 4.0.0. PROMOTION OF LECTURER (SENIOR SCALE) TO THE RANK OF READER 4.1.0. Notwithstanding anything to the contrary contained in the Statutes, it is hereby provided that a Lecturer in the Senior Scale serving in the University Department or in a Degree College managed and maintained by the University shall, on the recommendation of the Bihar State University (Constituent Colleges) Service Commission, be eligible for promotion to the post of Reader if he she had:-

(a) Completed 5 years of Service in Lecturer (Senior Scale); (b) Obtained a Ph.D. Degree or has equivalent published work; (c) Made some mark in the area of scholarship and Research, as evidenced by self-assessment,

report of referees, quality of publication, contribution to educational innovation, design of new courses and curricula and extension activities etc.

(d) After placement in the Senior Scale, participated in two refresher courses/Summer Institutes of approved duration, or engaged in other appropriate continuing education programmes of comparable quality as may be specified or approved by the U.G.C; and

(e) Possess consistently good performance appraisal reports. (f) The promotion to the post of Reader shall not be automatic, but shall be made on the

recommendation of Bihar State University (Constituent Colleges) Service Commission on consideration of experience and performance appraisal reports.

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LALIT NARAYAN MITHILA UNIVERSITY Kameshwaranagar, Darbhanga - 846004

PROFORMA FOR PROMOTION OF LECTURER (SENIOR SCALE) TO

THE RANK OF READER

(3 Copies of application alongwith enclosures be submitted) 1. Name & designation of the Teacher :-

2. Names of the Subject :-

3. Name of the Department / College :-

4. Date of Birth :-

5. Contact No. :--

6. Educational Qualifications (Matriculation Onwards):-

Name of Examination

Board/ University

Class Year Total Marks

Obtained

Percentage of marks

1 2 3 4 5 6 1.

2.

3.

4.

5.

7. Details of substantive appointment :-

8. Details of service rendered in other University.

i. Date of relieving (from parent University):-

ii. Date of joining (Under L.N.M.U. Service):-

9. Effective date of grant of Senior Scale:-

(copy of the notification be attached)

10. Date of Obtaining Ph.D. Degree.

11. Date of completion of 5 years of continued service

as Lecturer (Senior Scale)

12. Participations after placement in the Senior Scale :-

i. Refresher courses :-

No. of participation

Duration of the

Course

Name of the

institution

Details of permission of the Univ.

Date of completion

of the course

Performance/ appraisal Reports

1.

2.

3.

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ii. Orientation Course No. of

participation Duration

of the Course

Name of the

institution

Details of permission of the Univ.

Date of completion

of the course

Performance/ appraisal Reports

1.

2.

3.

iii. Summer institutions:- No. of

participation Duration

of the Course

Name of the

institution

Details of permission of the Univ.

Date of completion

of the course

Performance/ appraisal Reports

1.

2.

3.

iv. Details of participation before the date of placement of Senior Scale

in Refresher Course, Summer Institute, Orientation Course……….

v. Details of Publication if any:-

vi. Other appropriate continuing & education programmes of comparable quality as specified:-

vii. Details of contribution to corporate life of the Institution, Examination Work or through Extension Activities.

viii. Details of Quality of Publication, Contribution to Educational Innovation, Design of New Courses and Curricula and Extension activities etc.

13. Performance appraisal reports:-

14. Confidential Character Roll of the Candidate:-

15. Special performance of the applicant

(to be issued by the Head of the Institution):- Note:- Records/Documents/Papers as specified in different columns of the proforma

must be duly attested by the Head of the Institution and be enclosed with the application.

I hereby solemnly affirm that the above information is true to the best of my knowledge and belief. Signature of the Applicant Signature of the Head of the Institution

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*1*

LALIT NARAYAN MITHILA UNIVERSITY Kameshwaranagar, Darbhanga - 846004

PROFORMA FOR PROMOTION OF READERS TO THE RANK OF PROFESSOR

(Under Career Advancement Scheme implemented w.e.f. 27.07.1998) (Six copies of application alongwith all the relevant documents as specified in different

columns of the proforma be submitted)

1. Name of the Applicant:-

2. Subject:-

3. Name of the Department/College:-

4. Date of Birth:-

5. Nature of appointment as Reader:- (Whether directly recruited or promoted under Merit Promotion Scheme)

6. Educational Qualification:(Matriculation onwards):

Name of the Exam. Board/University Class Year Total Marks

obtained

Percentage of marks

1 2 3 4 5 6 1.

2.

3.

4.

7. Date of obtaining Ph.D. degree:-

8. Date of appointment as Reader on the

recommendation of the Commission:-

9. Date of promotion as Reader under Career Advancement Scheme/

Merit Promotion Scheme:-

10. Date of completion of Eight Years of continuous Service as Reader:-

11. Details of Research contribution/ books/ articles Published (Name of the journal/ Publisher with date / month/ year of publication be mentioned):-

(If needed, separate sheet be attached)

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*2*

12. Minimum of three best written contributions of the teacher (as defined by him/her

which could be research publication/ books be submitted for evaluation/

assessment before the interviews:-

(1) .

(2) .

(3) .

(4) .

(5) .

(If needed, separate sheet be attached)

13. Details of Seminars/ Conferences attended:- (Name of the Seminars/ Conferences attended with date/s be indicated)

(1)

(2) .

(3) .

(4) .

(5) .

14. Details of contribution to teaching/ academic environment/ institutional corporate

life:-

15. Extension and field outreach activities:-

16. Confidential Character Roll/ Self-appraisal report for the period of five years

preceding the date of eligibility be submitted:-

17. Special Performance of the applicant (to be issued by the Head of the institution):-

Note:- 1. Records/Documents/Papers duly attested by the Head of the Institution as

specified in different columns of the proforma must be and be enclosed with the

application.

2. If needed, separate sheets be attached for informations as specified in different

columns of the proforma.

Dated : ……………………

Signature of the applicant Signature of Head of the Institution

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- 1 -

LALIT NARAYAN MITHILA UNIVERSITY Kameshwaranagar, Darbhanga - 846004

Proforma for shifting of date of promotion of Lecturer to the rank of lecturer

(Senior Scale)/ (Selection Grade)/ Reader under Career Advancement Scheme in the light of provisions of the Statute as amended vide Governor's Secretariat Letter no.

BSU-17/2009-1395/GS(I) dated 26.09.2012 implemented w.e.f. 27.07.1998

(* Strike out which is not applicable)

(3 Copies of application alongwith enclosures be submitted)

1. Names of the Subject :-

2. Name & Designation of the Teacher :-

3. Name of the Department / College :-

4. Date of Birth:-

5. Educational Qualifications (Matriculation Onwards):-

Name of Examination

Board/ University

Class Year Total

Marks Obtained

Percentage of marks

1 2 3 4 5 6 1.

2.

3.

4.

5.

6. Date of Publication of Ph.D. Result: - 7. Date of Joining as Lecturer on the recommendation of the Commission:- 8. Details of Promotion under CAS:-

(i) Date of Promotion as Lecturer (Senior Scale) :-

(ii) Date of Promotion as Lecturer (Selection Grade) :-

(iii) Date of Promotion as Reader :-

9. Details of service rendered in other University. i. Date of relieving (from parent University):-

ii. Date of joining (Under L.N.M.U. Service):-

iii. Details of appointment of such Lecturer Inter 'Varsity transferred to L.N. Mithila University, Darbhanga

10. Date of completion of 4/5/6 years of continued service after regular appointment on sanctioned post :-

(i) Details of Service rendered in affiliated College :-

(ii) Details of Service rendered in Constituent Colleges :-

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- 2 -

11. Participations in :- i. Refresher courses :-

No. of participation

Duration of the

Course

Name of the

institution

Details of permission of the Univ.

Date of completion

of the course

Performance/ appraisal Reports

1.

2.

3.

ii. Orientation Course

No. of participation

Duration of the

Course

Name of the

institution

Details of permission of the Univ.

Date of completion

of the course

Performance/ appraisal Reports

1.

2.

3.

iii. Summer institutions:-

No. of participation

Duration of the

Course

Name of the

institution

Details of permission of the Univ.

Date of completion

of the course

Performance/ appraisal Reports

1.

2.

3.

iv. Other appropriate continuing & education programmes of comparable quality as specified by the U.G.C. :-

12. Shifting back of date of Promotion of eligible teachers under the provisions of amended Statute:-

Sl. No.

Name of the Post / Rank Present Date of Promotion

Date of Promotion required to be

shifted 1. Lecturer (Senior Scale)

2. Lecturer (Selection Grade)

3. Reader

Note:- Records/Documents/Papers as specified in different columns of the proforma must be duly attested by the Head of the Institution and be enclosed with the application.

I hereby solemnly affirm that the above information is true to the best of my knowledge and belief. Signature of the Applicant Signature of the Head of the Institution

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LALIT NARAYAN MITHILA UNIVERSITY Kameshwaranagar, Darbhanga - 846004

PROFORMA FOR MERIT PROMOTION OF LECTURERS TO THE POST OF READER (4 Copies of application alongwith enclosures be submitted)

1. Name of the Teacher:-

2. Name of Designation of the Teacher:-

3. Name of the Department/College:-

4. Date of Birth :-

5. Educational Qualification:- (From Matriculation onward)

Name of the Exam. Board/University Class Year Total Marks

obtained

Percentage of marks

1 2 3 4 5 6 1.

2.

3.

4.

5.

6.

6. Date of Joining :-

7. Date of Confirmation:-

8. Details of Service records :-

(i) Temporary appointment ;-

(a) Whether by G.B./Ad-Hoc committee –

(b) Whether by Univ. under V.C.'S Appt,-

(c) Whether Temporary concurrence was accorded by the commission

(The details thereof)

*1*

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(ii) Substantive appointment :-

(a) Whether appointed directly on the recommendations of B.P.S.C / Univ.

Selection committee/ Bihar State Univ. ( Const. Colleges ) Service

Commission. If so, the details thereof –

9. Teaching Experience :

Name of Institution From To Total (A) Under Temporary Capacity

(B) Under Substantive Appointment

10.Post –Graduate teaching Experience , if any–

11.Details of Post held by the incumbent – (A) Whether the post held is sanctioned by the G.B./ Ad-hoc Committee –

(B)Whether the post held is sanctioned by the State Govt.(The details thereof)-

12. (i) Total no. of sanctioned posts of Lecturer in the concerned subject in the

college/ P.G. Deptt. and 1/3 ratio thereof – (ii) Details of posts upgraded as Reader/Professor under Time Bound /Merit

Promotion Statute, Departmentally in the concerned subject.

13. The details of break in service, if any- 14. Research qualifications acquired-

(A) Title of the thesis-

(B) Letter no. & date of Publication of the M. phil./ Ph. D. degree-

(C) Name of the Institution / Univ. where research work has been undertaken-

15. Research project undertaken- Sl. No.

Title of the Project Source of Finance Remarks

*2*

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16. Papers Published: Sl. No.

Name of the Article

Where Published When Published Remarks

17. Name of the Research scholars who have successfully completed their research leading to the award of M. Phil / Ph.D. degree-

Sl. No.

Name of the Research Scholars

Address Title of the Project/Thesis

Year of the Publication of Result

Remarks

18. Name of Seminars / Workshop / Conferences attended – (Please indicate the topics of the papers presented) 19. Books Published-

Sl. No.

Title of the Books

Name of the Publishers

Year of Publication

Remarks

20. Significant contributions made in the field of :-

(a) Curriculum development- (b) Teaching Methods-

*3*

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(c) Evaluation techniques-

(d) Teaching aids developed-

(e) Equipment developed-

(f) Any Experiment / apparatus designed or fabricated for improving teaching-

I certify that the information given above is correct to the best of my knowledge and belief. Date ……………………….. (Please ensure that all the relevant documents as specified in different columns of the proforma are enclosed with this proforma.)

Place ……………………. Date : ……………………

Signature of the teacher/appicant

Signature

*4*

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*1*

LALIT NARAYAN MITHILA UNIVERSITY Kameshwaranagar, Darbhanga - 846004

PROFORMA FOR MERIT PROMOTION OF READERS AS PROFESSORS IN RESPONSE TO H.R.D. DEPARTMENT LETTER NO. 1044 DATED 07.08.1989

EFFECTIVE DATE OF SCHEME 23.09.1995 (4 Copies of application alongwith enclosures be submitted)

1. Name of the subject:-

2. Name of Designation of the Teacher:-

3. Name of the Department/College:-

4. Educational Qualification:(Matriculation onwards):

Name of the Exam. Board/University Class Year Total Marks

obtained

Percentage of marks

1 2 3 4 5 6

1.

2.

3.

4.

5. Copy of the letter regarding prior option for consideration under this scheme to the

effect that he opts for consideration under this scheme:

6. Date of production of first scholar:

7. Total Permanent posts of Reader in the subject duly created and sanctioned by the

competent authority:

8. Date of appointment as Reader on recommendation of University Selection

Committee/Commission:

9. Date of completion of 8 years of continuous service as Reader:

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*2*

10. Date & place of completion of 4 years continuous service as Reader at the time of

this promotion:

11. Details of outstanding works in the area of teaching and research:

(i)

(ii)

(iii)

(iv)

(if needed, separate sheet be attached)

12. Confidential character roll of the applicant:

13. Special Performance of the applicant (to be issued by the Head of the institution);

Note:- Records/Documents/Papers as specified in different columns of the proforma

must be duly attested by the Head of the Institution and be enclosed with the

application.

Dated : ……………………

Signature of the applicant Signature of Head of the Institution

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1

1-

2-

3-

4-

5-

6-

---------------------------------------------

7- -------------------------------------------------------------

8-

----------------------------------------------------------------

------------------------------------

9-

----------------------------------------------------------

---------------------------------------

----------------------------------------

---------------------------------

--------------------------------------------------------- ----------------------------

10- --------------------------------------------------------

-------------------------------------------- -----------------------------

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2

11-

¼v½ 'kklh fudk;@ fo'ofo|ky; }kjk in l̀tu dh frfFk ------------------- izLrko la[;k --------------

i=kad ---------------------------------------------------------------------- fnukad --------------------------------

¼vk½ jkT; ljdkj }kjk in Lohd̀fr dk i=kad ----------------------------------------------------------------------------------------

fnukad ---------------------------- ,oa in lt̀u dh izHkkoh frfFk ---------------------------------------------------

¼b½ lEcfU/kr fo"k; esa dqy Lohd`r inksa dh la[;k ---------------------------------------------------

12- -------------------------

---------------------------------------- ------------------------------

---------------------------------------------------------------------------------------- -----------------------------

13-

¼d½ fu;qfDr i=kad -------------------------------------------------------------------------- fnukad --------------------------------------

¼[k½ /kkfjr in dh Lohd`fr dk i=kad ---------------------------------------------------- fnukad -------------------------

¼x½ ;ksxnku dh frfFk --------------------------------------------------------

¼?k½ dk;ZeqDr gksus dk i=kad --------------------------------------------------------------------------- fnukad ------------------------------

fojfer gksus dh frfFk -----------------------------------------------

¼³½ lEcfU/kr fo"k; esa vUrj Lukrd ,oa Lukrd Lrj rd lEcU/ku lEcU/kh i=ksa ds i=kad ----------------

---------------------------------------------------------------------------fnukad --------------------------------------

14- ---------------------------------

15- fu;qfä ds le; ifjfu;e ds izko/kkukuqlkj çk/;kid in ij fu;qfä gsrq fu/kkZfjr vgZrk %&

mi;qZDr ifjfu;e esa fu/kkZfjr 'kŸkksZa dks fu;qfä ds le; gqbZ iwfrZ ls lEcfU/kr iw.kZ fooj.k %&

16-

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17-

18- vk;ksx dh lgefr dh izR;k'kk esa mikpk;Z in ij dh xbZ dkyc) izksUufr dk i=kad -------------------

-----------------------------------------------------------------fnukad --------------------------------------------

19- ------------------------------------------------------

fnukad -----------------------

20-

--------------- -------------------- ---------------------- ---------------------- --------------------

--------------- -------------------- ---------------------- ---------------------- --------------------

21-

22- vkyksP; vof/k dh xksiuh; pfj= iqfLr dh vfHkizekf.kr izfr layXu djsaA xksiuh; pfj= iqfLr

ds vHkko esa iz/kkukpk;Z@foHkkxk/;{k }kjk fuEukafdr :i esa lsok dk izek.k&i= iz;kstuh; gS%&

-----------------------------------------------------------------------

¼i½ d`i;k bls uksV djsa fd Øekad 5 ls 22 rd ifji= esa mfYyf[kr lkjs dkxtkrksa dh

vfHkizekf.kr Nk;k izfr fuf'pr :i ls ifji= ds lkFk layXu dj Hksats] vU;Fkk vfHkys[k ds

vHkko esa ;fn vH;FkhZ ds vkosnu ij fopkj ugha fd;k tkrk gS vFkok vk;ksx dh laLrqfr izkIr

ugha gksrh gS rks blds fy, fo'ofo|ky; mÙkjnk;h ugha gksxkA

(ii) vH;FkhZ dk vkosnu vuq'kaflr ,oa vxzlkfjr djus ds iwoZ iz/kkukpk;Z@ LukrdksRrj foHkkxk/;{k lkjs

dkxtkrksa dh futh:i ls tk¡p dj lHkh vfHkys[kksa dh fuf'pr :i ls vfHkizekf.kr dj HkstsaA

(iv) vuqyXudksa dk fooj.k uhps vafdr djsa %&

----------------------------------------------------------------------------

----------------------------------------------------------------------------

fnukad -------------------------------------------------

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1-

2-

3-

4-

5-

6- -------------------------------------------------------------

7-

----------------------------------------------------

------------------------------------- ------------------------------------

8-

------------

------------------------------------- ---------------------------------------

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----------------------------

---------------------------- ---------------------------------

-------------------------------------------------- ----------------------

9- --------------------------------

------------------------------------------------------------------------------------------------------------------------ -----------------------------

10-

¼v½ 'kklh fudk;@ fo'ofo|ky; }kjk in l`tu dh frfFk --------------------------- izLrko

la[;k --------------------------------- i=kad ----------------------------- fnukad --------------------------------

¼vk½ jkT; ljdkj }kjk in Lohd`fr dk i=kad -------------------------------------------------------------------------

fnukad ---------------------------- ,oa in l`tu dh izHkkoh frfFk ---------------------------------------------------

¼b½ lEcfU/kr fo"k; esa dqy Lohd`r inksa dh la[;k ---------------------------------------------------

11- -

---------------------------------------------------------------- ------------------------------

-----------------------------------------------------------

------------------ ------------------------------------

12-

¼d½ fu;qfDr i=kad -------------------------------------------------------------------------- fnukad --------------------------------------

¼[k½ /kkfjr in dh Lohd`fr dk i=kad ---------------------------------------------------- fnukad -------------------------

¼x½ ;ksxnku dh frfFk --------------------------------------------------------

¼?k½ dk;ZeqDr gksus dk i=kad -------------------------------------------------------------------- fnukad --------------------------

fojfer gksus dh frfFk -----------------------------------------------

¼³½ lEcfU/kr fo"k; esa vUrj Lukrd ,oa Lukrd Lrj rd lEcU/ku lEcU/kh i=ksa ds

i=kad fnukad --------------------------------------

13- %& ---------------------------------

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14-

15- 'kks/k izca/k@iqLrd@izdkf'kr ys[k ¼if=dk dk uke@izdk'ku frfFk ds lkFk½%&

(1)

(2)

(3)

(4)

(5)

16-

------------------------------------------------------

fnukad -----------------------A

17-

-----------------------------------------------------------------------------------------------------------------------------------------------------------------

-----------------------------------------------------------------------------------------------------------------------------------------------------------------

--------------------------------------------------------------------------------------

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18-

19-

---------------------------------------------------------------

¼i½ d`i;k bls uksV djsa fd Øekad 5 ls 19 rd ifji= esa mfYyf[kr lkjs dkxtkrksa dh

vfHkizekf.kr Nk;k izfr fuf'pr :i ls ifji= ds lkFk layXu dj Hksats] vU;Fkk

vfHkys[k ds vHkko esa ;fn vH;FkhZ ds vkosnu ij fopkj ugha fd;k tkrk gS vFkok

vk;ksx dh laLrqfr izkIr ugha gksrh gS rks blds fy, fo'ofo|ky; mÙkjnk;h ugha

gksxkA

(ii) mikpk;Z ds in ij dh xbZ izksUufr esa ftUgsa vkk;ksx dh lgefr izkIr ugha gS]

vkosnu ugha HkjsaxsA

(iii) vH;FkhZ dk vkosnu vuq'kaflr ,oa vxzlkfjr djus ds iwoZ iz/kkukpk;Z@ LukrdksRrj

foHkkxk/;{k lkjs dkxtkrksa dh futh:i ls tk¡p dj lHkh vfHkys[kksa dh fuf'pr :i

ls vfHkizekf.kr dj HkstsaA

(iv) vuqyXudksa dk fooj.k uhps vafdr djsa %&

----------------------------------------------------------------------------

----------------------------------------------------------------------------

fnukad -------------------------------------------------

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1

PERFORMANCE APPRAISAL REPORT- I SELF APPRAISAL

A. GENERAL INFORMATION

(a) Name :-

(b) Address (Residential) :-

Ph. No. ……….…….…

(c) Designation :-

(d) Department :-

(e) Date of Birth :-

(f) Area of Specialization :-

B. ACADEMIC QUALIFICATIONS

Exam. Passed Board/ University Subjects Year Div./Grade Merit etc.

High School

Higher Secondary or Pre-degree

Bachelor's degree(s)

Master's degree(s)

Research degree(s)

Others (Diplomas/ Certificates etc.

* For teachers already in employment at the time of introduction of the scheme and for new entrants at the time of joining of the institution.

C. RESEARCH EXPERIENCE & TRAINING

Research Stage Title of Work/ Thesis University where the work was carried out

M.Phil. or equivalent

Ph.D.

Post-Doctoral

Publications (give a list separately)

Research Guidance (give names of students guided successfully)

Training (please specify)

D. RESEARCH PROJECTS CARRIED OUT

Title of the Project Name of the

Funding Agency Duration Remarks

Appendix-II

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E. SEMINARS, CONFERENCES, SYMPOSIA, WORKSHOPS ETC. ATTENDED Name of the Seminar/ Conference,

Symposia, Workshop etc. Name of the Sponsoring Agency Place and Date

F. TEACHING EXPERIENCE

Course Taught Name of University/ College/Institution

Duration

i) U.G. (B.A./B.Sc. etc. Pass) B.A./B.Sc. etc. Hons.)

ii) P.G. (M.A./ M.Sc., etc.)

iii) M.Phil.

iv) Any other

Total Teaching Experience ……………………………………………………………

(a) Under-Graduate (Pass) :…………………………………………………………

(b) Under-Graduate (Hons.): ……………………………………………..…..…….

(c) Post Graduate : ……………………………………………………….

G. Innovations/Contributions in Teaching

i. Design of curriculum :

ii. Teaching methods :

iii. Laboratory experiments :

iv. Evaluation methods :

v. Preparation of resource material

including books, reading materials,

Laboratory mannuals etc. :

vi. Remedial Teaching/Student Counselling (Academic) :

vii. Any other :

H. Extension Work/Community Service

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(a) Please give a short account of your contribution to :

i) Community work such as values of National integration, secularism, democracy, socialism, humanism, peace, scientific temper, flood or drought relief, small family norms etc.

ii) National Literacy Mission

(b) Positions held/Leadership role played in organisation linked with Extension Work and National Service Scheme (NSS), or NCC or any other similar activity.

I. Participation in Corporate Life :-

Please give a short account of your contribution to :

(a) College/ University/Institution

(b) Co-curricular Activities

(c) Enrichment of Campus Life (hostels, sports, games, cultural activities)

(d) Students Welfare and Discipline

(e) Membership/Participation in Bodies/ Committees on Education and National Development.

(f) Professional Organisation of Teachers.

J. (a) Membership of Professional Bodies, Societies etc.

(b) Editorship of Journals

K. Any other information.

……………………………………… (Signature of the Teacher)

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4

PERFORMANCE APPRAISAL REPORT-- II* SELF APPRAISAL

A. GENERAL INFORMATION

(a) Name :-

(b) Date of Birth :-

(c) Address (Residential) :-

Ph. No. ……….…….…

(d) Designation :-

(e) Department :-

(f) Area of Specialization :-

(g) Date of Appointment

i. In the Institution

ii. In the Present Post

(h) Honours Conferred

B. TEACHING :-

a) Classes Taught Class Periods

Assigned per week **L T/P

(1)

Taught in the year **L T/P

(2)

Steps taken for the teaching of periods

missed during absence of leave

(3)

i) U.G. (B.A./B.Sc. etc. Pass)

(B.A./B.Sc. etc. Hons.)

ii) P.G. (M.A./ M.Sc., etc.)

iii) M.Phil.

iv) Any other

(To be filled at the end of every academic year) * L= Lecturer T= Tutorial P= Practical

b) Regularity and Punctuality

c) Details of course teaching plan, synopses of Lecturers, and reading lists supplied to students.

d) Details of participation in the following :-

(i) University Evaluation

(ii) Internal Evaluation

(iii) Paper Setting

(iv) Assessment of Home assignments

Appendix-III

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5

(v) Conduct of Examinations

(vi) Evaluation of Dissertation etc.

C. Details of Innovations/ Contribution in Teaching, during the year :

a) Design of curriculum;

b) Teaching methods;

c) Laboratory experiments;

d) Evaluation methods;

e) Preparation of resource material

including books, reading materials,

laboratory manuals etc.

f) Remedial Teaching/Student

Counselling (academic)

g) Any other

D. Improvement of Professional Competence :-

a) Details regarding refresher course/ orientation attended, participation in summer schools,

workshops, seminars, symposia etc. including open University courses/M.Phil., Ph.D.

E. Research Contributions :-

a) Number of Students (M.Phil./ Ph.D.)

At the beginning of the year Registered during the year Completed during the year

M.Phil.

Ph.D.

b) No. of research papers published (please enclose list)

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c) Research Projects

Title of the Project Name of the Funding Agency Duration

d) Details of Seminars, Conferences, Symposia organised.

e) Patents taken, if any, give a brief description.

f) Membership of Professional Bodies,

Editorship of Journals etc.

………………………………………

(Signature of the Teacher)

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Confidential

LALIT NARAYAN MITHILA UNIVERSITY KAMESHWARANAGAR, DARBHANGA

Form of Confidential Character Roll for Teaching Staff

1. Name –

2. Designation –

3. How employed –

4. Period of report –

5. Different type of leave taken C.L. E.L. D.L. M.L. Other Leave

during the period under review –

6. Punctuality and regularity in attendance –

7. Name of deptt. in which the individual

was employed during the period of report -

8. Integrity –

9. (a) Relationship with students and Colleagues-

(b) Behaviour towards superior staff –

(c) Behaviour towards visitors-

10. Performance of duties, promptness & zeal –

11. Efficiency in teaching during the period –

12. Research work and publication –

13. Co-curricular activities –

14. Conferences attended & paper presented –

15. General remarks, if any taking all

the above points in consideration -

16. Signature of the Head of the Department –

17. Remarks of the Principal/Head of the Institution –

Remarks of the Vice-Chancellor

Vice-Chancellor L.N.M.U. Press UJ-Gen-31-11-12—3,000

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1- ¼d½ e``r ljdkjh lsod dk uke %&

¼[k½ mudk inuke osrueku izkIr osru rFkk

LFkkiuk tgk¡ e`R;q ds igys lsokjr Fkh %&

¼x½ e`R;q dh frfFk ,oa e`R;q dk dkj.k %&

¼?k½ iznÙk lsok dh d`y vof/k ,oa ;ksxnku dh frfFk %&

¼M+½ LFkk;h ;k vLFkk;h %&

¼p½ tUe frfFk %&

2- ¼d½ lsok esa fu;qfDr ds fy, mEehnokj dk uke %&

¼[k½ mudk e`r ljdkjh lsod ls lEcU/k %&

¼x½ tUe frfFk %&

¼?k½ 'kS{kf.kd ;ksX;rk %&

¼M+½ D;k e`r ljdkjh lsod ds dksbZ vU; vkfJr dh fu;qfDr vuqdEik ds vk/kkj ij

igys gqbZ gS] ;fn gk¡ rks iw.kZ O;ksjk nsaA

¼p½ fookfgr vFkok vfookfgr %&

¼N½ fookg ds frfFk ¼frfFk Lej.k u gks rks ekg ,oa o"kZ½%&

¼t½ ;fn fookgr gks rks D;k fookg esa ngst dk ysu&nsu gqvk FkkA

mudk vk'oklu gqvk Fkk vFkok ugha %&

¼>½ dksfV %&

3- e`r ljdkjh lsod dh dqy lEifÙk dk fooj.k fuEukafdr enksa dh jkf'k lfgr

¼d½ ifjokfjd isa'ku %&

¼[k½ ch0lh0vkj0 xzsP;qVh %&

¼x½ lkekU; Hkfo"; fuf/k esa tek jkf'k %&

¼?k½ thou chek iksfylh %&

¼M+½ py ,oa vpy lEifÙk ls vk; %&

4- nsuk&ikouk ds laca/k esa laf{kIr fooj.k ;fn gks rks%&

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5- e`r ljdkjh lsod ds vU; lnL;ksa dk fooj.k %&

Øe la0 ,oa inuke e`r ljdkjh lsod ds lkFk

lEcU/k ,oa vk;q

dqy miyfC/k;k¡

1-

2-

3-

4-

5-

6- vkosnd dk iwjk LFkk;h irk%&

7- vkosnd dk iwjk orZeku irk %&

8- eksckbZy@VsyhQksu ua %&

9- D;k vkosnd ds fo:) dksbZ eqdnek py jgh gS vFkok fdlh eqdnesa ls mls ltk

gqbZ gS \

;fn gk¡ rks iw.kZ fooj.k ns%&

eSa ;g izekf.kr djrk@djrh gw¡ fd esjs }kjk mi;qZDr rF; iw.kZr% lgh gSA ;fn dksbZ

Hkh rF; Hkfo"; esa xyr ;k >wBh ik;k tk;xk rks esjh lsok,W rRdky lekIr dj nh tk

ldsxhA mlds vfrfjDr esjs fo:) ,slh fo"i{k xokg dk gLrk{kj] uke ,oa irk%&

1- ---------------------------------------------------------------------

2- ---------------------------------------------------------------------

3- ---------------------------------------------------------------------

¼mEehnokj dk gLrk{kj ,oa rkjh[k½

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1- e`r ljdkjh lsod dk uke] in ,oa foHkkx

tUe frfFk lfgrA

¼d½ e`R;q dh frfFk ,oa dkj.k %&

2- e`rd dk py ,oa vpy lEifÙk %&

¼d½ tehu edku %&

¼[k½ O;kikj ls vk; %&

¼x½ vU; vk; %&

¼?k½ dqy vk; %&

¼M+½ vkosnd ds e`r ljdkjh lsod ls laca/k %&

¼p½ e`r ljdkjh lsod ds vykos vU; lnL;ksa dh lwph%&

uke vk; ljdkjh lsok esa dk;Zjr gSa ;k ugha ekfld

vfookfgr iq=h%&

fo/kok iqrgq%&

3- e`R;q ds i'pkr izkIr dqy Hkqxrku dh jkf'k %&

¼d½ ifjokfjd isa'ku %&

¼[k½ miknku %&

¼x½ vftZr vodk'k osru%&

¼?k½ xzqi bUlksjsUl %&

¼M+½ lkekU; Hkfo"; fuf/k vuqnku %&

¼p½ Hkqxrku yfEcr dk dkj.k %&

¼N½ izkfIr jkf'k dk mi;ksfxrk ds laca/k esa

Ldy fooj.k %&

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1. ¼d½ fu;qfDr ds fy, mEehnokj dk uke %&

¼[k½ e`r ljdkjh lsod ls mudk laca/k %&

¼x½ 'kS{kf.kd ;ksX;rk] mez] tUe frfFk %&

,oa vuqHko ;fn gks rks A

¼?k½ in ftl ij fu;qfDr ds fy, izLrko fd;k tk jgk gSA

¼M+½ D;k izLrkfor in ij lh/kh fu;qfDr nh tk ldrh gS \

¼p½ D;k mEehnokj in ds fy, fofgr vgZÙkk

¼mez laca/kh vgZÙkk lfgr½ /kkj.k djrk gS

¼N½ fu;kstuky; ds izfØ;k ds f'kf'kyhdj.k djus ds

vykos D;k vU; dksbZ f'kfFkyhdj.k visf{kr gS \

;fn gkW rks fooj.k nsa

2. D;k [kaM 1 esa mfYyf[kr rF;ksa dh dk;kZy;@foHkkx }kjk Loar :i ls tkWp dj yh

xbZ gSA

3. D;k e`r ljdkjh lsod dh fu;qfDr dk fofgr

izfØ;k dk rFkk vkj{k.k uhfr dk vuqikyu djrs

gq, jksLVj fcUnq ds vuqlkj dh xbZ Fkh \

4. D;k vkosnd fookfgr gS \ ;fn gkW rks fookg dh

le; mldh mez D;k Fkh \

5. D;k vkosnd us fookg esa ngst ysus&nsus dk dke

fd;k Fkk vFkok mldk@mldh vk'oklu fy;k@fn;k Fkk\

6. D;k vkosnd ds nk ifRr;ka@ifr thfor gSA

7. e`r ljdkjh lsod tgk¡ vfUre esa dk;Zjr Fks ogkW ds

dk;kZy; iz/kku dk iw.kZ gLrk{kj dk;kZy; dh eqgj

8. fu;u=.k inkf/kdkjh@foHkkxk/;{k ;fn os dk;kZy;

iz/kku ds ojh; inkf/kdkjh dh vuq'kalk,W

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1- vkosnd dk uke %&

¼d½ tUe frfFk %&

¼[k½ fo/kok@fo/kqj@ukokfyd laca/k %&

¼x½ 'kS{kf.kd ;ksX;rk %& ¼v½ ek/;fed %&

¼c½ vUrj Lukrd %&

¼l½ Lukrd %&

¼n½ LukrdksÙkj %&

2- 'kiFk i= ¼vkfo"B fLFkfr½ %&

3- 'kiFk ¼Hkj.k iks"k.k nk;fRo½ %&

4- ldfeZ;ksa dk izfrosnu ¼vU; laca/kh½ %&

¼d½ lgdehZ dk uke] inuke] foHkkx %&

1-

2-

5- dk;kZy; }kjk ekWxh xbZ vU; lwpuk;sa %&

,oa mldk QykQy %&

6- vuqdEik lfefr }kjk ekWxh xbZ vU;

lwpuk,W ,oa mudk QykQy %&