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No.Estt/Advt./2014/3594 FACULTY RECRUITMENTS Date : 22.02.2014
Shri G.S. Institute of Technology & Science is a grant in aid autonomous institute of
Madhya Pradesh offering UG and PG programmes in Engineering/ Technology/Pharmacy/Applied
Sciences & Management. The Institute invites applications in prescribed proforma from eligible
candidates for the post of Assistant Professor, Associate Professor and Professor. The reservation for
SC/ST/OBC/Women/PH category shall be applicable as per M. P. Government Norms. The
qualification and experience shall be as per AICTE / UGC / M.P. Government norms.
SC/ST/OBC candidates of outside M.P. shall be considered under unreserved category. The
institute reserves the right to call only short listed candidates for interview on the basis of academic
performance, experience, publications, higher qualification etc. decided by the Institute and to hold
interview on priority for a discipline or post. The number of posts may increase or decrease as per the
requirement of the institute at the time of interview/appointment.
The application form & detailed information of qualification, experience, pay scales etc. can
be downloaded from institute website www.sgsits.ac.in.
Those who have applied in response to Advertisement No. Estt/Advt./2012/740 dated
27.07.2012 need not apply again. However, they are required to submit filled up API proforma. They
may also submit their revised resume in the prescribed application proforma along with additional
documents, if any before the last date of submission of form without any application fees.
The last date of receipt of completed application form in the prescribed application and API
proforma alongwith demand draft of Rs. 1500/- (Rs. 750/- in case of SC/ST of M.P. Domicile) in
favour of Director, SGSITS, Indore payable at Indore towards application fees in the Institute is
15.04.2014.
DIRECTOR
SHRI G.S. INSTITUTE OF TECHNOLOGY & SCIENCE (An Autonomous Institution, Established in 1952)
23, Park Road, INDORE, Pin– 452 003 (MP) Ph.:(0731) 2434095, 2538760, 2541567,2548334-8
Fax : 0731-2432540. website : www.sgsits.ac.in
SHRI G.S. INSTITUTE OF TECHNOLOGY & SCIENCE (An Autonomous Institution, Established in 1952)
23, Park Road, INDORE, Pin– 452 003 (MP) Ph.:(0731) 2434095, 2538760, 2541567,2548334-8
Fax : 0731-2432540. website : www.sgsits.ac.in
No. Estt/Advt/2014/ Date : 22/02/2014
Advertisement No. Estt/Advt/2014/ 3594 dated 22.02.2014.
APPLICATION PROCEDURE, QUALIFICATION AND EXPERIENCE FOR VARIOUS
POSTS ADVERTISED
APPLICATION PROCEUDRE : The complete details on prescribed application form
together with attested copies of all marks-sheets, certificates and list of publications, etc.
accompanied by a Demand Draft of Rs. 1500/- (Rs. 750/- for SC/ST candidate of M.P.
domicile) in favour of Director, SGSITS, Indore payable at Indore to be submitted by
15.04.2014 to the office of Director, SGSITS, Indore.
Sleeper class TA will be paid to candidates belonging to SC/ST categories of M.P. domicile
called for interview as per rules.
Higher starting salary in the pay scales may be considered for deserving candidates having
higher qualification/experience.
In case a candidate wants to apply for more than one post or for the same post in different
disciplines, then separate application for each post along with Demand Draft towards
application fees for each application will have to be submitted.
DETAILS OF VACANT POSTS
(a) U.G. Program
Sr.No. Department Professor Associate
Professor
Assistant
Professor
1. Civil Engg.& Applied Mechanics ST-01 --- UR-01, ST-01
2. Electrical Engg. ST-01 SC-01, ST-01 ---
3. Industrial & Production Engg. ST-01 UR-03 (W-01),
ST-01, SC-01
OBC-01, ST-01
4. Central Workshop --- UR-01
(WS Supdt.)
---
5. Computer Engg. UR-01 UR-01, ST-01 ST-01, SC-01
6. Electronics &
Telecommunication Engg.
UR-01, ST-01 SC-01, ST-01 UR-01, ST-01
7. Mechanical Engg. ST-01 UR-02, OBC-
01
ST-02, SC-01
OBC-01, ST-02
8. Electronics & Instrumentation
Engg.
UR-01 --- ---
9. Pharmacy ST-01 UR-02, SC-01,
ST-01
UR-02, OBC-01
SC-02, ST-02
10. Applied Physics --- ST-01 UR-02
11. Applied Chemistry --- UR-01, ST-01 SC-01, ST-01
12. Applied Mathematics UR-01 ST-01, UR-01 OBC-01, SC-01
ST-01
Contd…
…contd. from previous page
(b) P.G. Program Sr.No. Department Specialization Professor Associate
Professor
1. Civil Engg.& Applied
Mechanics
Structural --- UR-01
Transportation --- UR-01
Water Resource UR-01 UR-01
M.Tech. in
Environmental Engg.
UR-01 UR-01
M.E. Environmental
Engg. (CPHEEO-
Temporary Post)
UR-01 UR-01
2. Electrical Engg. Dig. Tech. Instr. UR-01 UR-01
Power Elx. UR-01
3. Industrial & Production Engg. Industrial
Engineering &
Management
UR-01 ---
4. Computer Engg. Computer UR-01 UR-01, ST-01
5. Mechanical Engg. Tribology & Maint.
Engg.
--- UR-01
6. Pharmacy M.Pharm. (Medicinal
& Pharmaceutical
Chemistry)
UR-01 ---
(c) Self Finance Program (UG & PG)
Sr.No. Department Professor Associate
Professor
Assistant
Professor
1. Information Technology UR-01, ST-01 SC-01,
ST-01
UR-02, ST-02
2. Bio Medical Engg. UR-01 UR-01,
ST-01
UR-01, ST-01,
SC-01
3. Computer Technology &
Application (MCA)
UR-01 ST-01 ST-01, SC-01,
UR-01
4. Electronics & Instrumentation -
M.Tech. (Micro Electronics &
VLSI Design)
UR-01 UR-01,
ST-01
---
5. Management (M.B.A.) UR-01 UR-01 SC-01, ST-01,
OBC-01
6. Pharmacy - M.Pharm.
(Industrial Pharmacy)
UR-01 UR-01 UR-01
Note : - 1.ST-Scheduled Tribe, SC-Scheduled Caste, OBC-Other backward Classes,
UR-Unreserved (General), W-Woman & PH- Physically Handicapped.
Contd….
…contd. from previous page
QUALIFICATION
ASSISTANT PROFESSOR : (Pay Scale : Rs. 15600-39100+6000).
Engineering: 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.
M.C.A. : 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. OR
B.E./B.Tech. and MCA with First Class or equivalent in either B.E./B.Tech. or MCA. OR
MCA with first class or equivalent with two years relevant experience.
Pharmacy : Bachelor and Master degree in Pharmacy with First Class or equivalent either
in Bachelor or Master Degree.
Applied Sciences :
First Class Master degree in appropriate branch from recognized university/Institute or
equivalent.
Note :- Preference will be given to candidates having cleared the National Eligibility Test
(NET) conducted by the UGC, CSIR or similar test accredited by the UGC like SLET/SET.
For MBA Programme : First class or equivalent in Masters Degree in Business
Administration or equivalent and 02 years relevant experience is desirable.
ASSOCIATE PROFESSOR: (Pay Scale : 37400-67000+9000)
Engineering:
1. Qualification as above that is for the post of Assistant Professor, as applicable and
Ph.D. or equivalent, in appropriate discipline.
2. Post Ph.D. publications and guiding Ph.D. student is highly desirable.
Experience : Minimum of 5 years experience in teaching / research / industry out of which 2
years post Ph.D. experience is desirable.
M.C.A. :
1. Qualification as above that is for the post of Assistant Professor, as applicable and
Ph.D. or equivalent, in appropriate discipline.
2. Post Ph.D. publications and guiding Ph.D. student is highly desirable.
Experience : Minimum of 5 years experience in teaching / research / industry out of which 2
years post Ph.D. experience is desirable.
Pharmacy :
1. Qualification as above that is for the post of Assistant Professor, as applicable and
Ph.D. or equivalent, in appropriate discipline.
2. Post Ph.D. publications and guiding Ph.D. student is highly desirable.
Contd….
…contd. from previous page
Experience : Minimum of 5 years experience in teaching / research / industry out of which 2
years post Ph.D. experience is desirable.
M.B.A.:
1. Qualification as above that is for the post of Assistant Professor, as applicable and
Ph.D. or equivalent, in appropriate discipline.
2. Post Ph.D. publications and guiding Ph.D. student is highly desirable.
Experience : Minimum of 5 years experience in teaching / research / industry out of which 2
years post Ph.D. experience is desirable.
Applied Sciences :
1. Qualification as above that is for the post of Assistant Professor, as applicable and
Ph.D. or equivalent, in appropriate discipline.
2. Post Ph.D. publications and guiding Ph.D. student is highly desirable.
Experience : Minimum of 5 years experience in teaching / research / industry out of which 2
years post Ph.D. experience is desirable.
PROFESSOR : (Pay Scale : Rs. 37400-67000 + 10000/- )
Engineering, M.C.A., M.B.A., Applied Science & Pharmacy : 1. Qualifications as above that is for the post of Associate Professor, as applicable.
2. Post Ph.D. publications and guiding Ph.D students is highly desirable
Experience : Minimum of 10 years experience in teaching / research / industrial experience of
which at least 5 years shall be at the level of Associate Professor. OR
Minimum of 13 years experience in teaching / Research / 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. Equivalence for Ph.D. is based on publication of 5 International Journal papers, each
Journal having a cumulative impact index of not less than 2.0, with incumbent as the
main author and all 5 publications being in the authors’ area of specialization.
2. Ph.D. shall be from a recognized University.
Contd….
…contd. from previous page
3. If a class/division is not awarded, minimum of 60% marks in aggregate shall be
considered equivalent to first class/division. If a Grade Point System is adopted the
CGPA will be converted into equivalent marks as below.
Grade Point Equivalent Percentage
6.25 55%
6.75 60%
7.25 65%
7.75 70%
8.25 75%
4. In Pharmacy for U.G. program, the candidates shall have the M.Pharm. Degree
qualification in the core branch of specialization namely Pharmaceutics (Industrial
Pharmacy, Pharmaceutical Technology)/ Pharmacology/ Pharmacognsy/
Pharmaceutical Chemistry commensurate with the need of the department in
accordance with the prevailing scheme of syllabi.
For the post under M.Pharm. (Industrial Pharmacy) programme, candidates having
industrial experience will be given preference.
5. In all UG program of Engineering and Applied Sciences and Computer Technology
and Application department the candidates with PG degree in the area of
specialization commensurate with the need of department in accordance with the
prevailing scheme of syllabi shall be preferred.
6. The candidate who have obtained qualifying degrees (UG/PG/Ph.D.) from Institutions
approved by AICTE/UGC/PCI as per rule shall only be considered for appointment.
7. Every person recruited on initial post such as Assistant Professor shall be appointed
initially for a period of three years on contract. On completion of this period,
performance of the candidates shall be reviewed and, if found suitable, he/she shall be
offered a regular appointment.
8. The selected candidates will be eligible for Contributory Provident Fund, Mediclaim,
Group Insurance, HRA, CCA, however as per the Gazette notification No. 77
dated 05.03.2004 of M.P. State Government, the staff appointed after this notification
will not be eligible for Gratuity & EL encashment etc.
9. Conduct of any person appointed under these rules shall be governed by the Madhya
Pradesh Services (conduct) rules 1965, as amended from time to time.
10. The institute reserves the right to call only short listed candidates for interview on the
basis of academic performance, experience, publications, higher qualification etc.
decided by the Institute and to hold interview on priority for a discipline or post. 11. Deserving candidates, if selected, can be considered on deputation.
DIRECTOR D:\Establishment\Office Files\Advt\Teaching Advertisement (Regular-17.02.2014).doc
Page 1 of 9 Pharmacy office 2013-13 AICTE/gmalviya/Monday, February 24, 2014
API PROFORMA
(Based on Government of India Gazettee Notification No. 247 dated 8th November 2012)
CATEGORY-III: RESEARCH AND ACADEMIC CONTRIBUTIONS
Brief Explanation: Based on the teacher’s self-assessment, API scores are proposed for research
and academic contributions. The self-assessment score will be based on verifiable criteria and
will be finalized by screening/selection committee.
Sl. No.
APIs Engineering/Pharmacy/MCA
Faculties of Languages /Humanities/Social Sciences/Management/Applied Sciences
Max. points for University and College teacher position
III A Research Papers published in :
Refereed Journals * Refereed Journals * 15/ publication
Non-referred but recognized and reputable journals and periodicals, having ISBN/ISSN number.
Non-referred but recognized and reputable journals and periodicals, having ISBN/ISSN number.
10/ publication
Seminar/Conference proceedings as full papers, etc. (Abstracts not to be included)
Conference proceedings as full papers, etc. (Abstracts not to be included)
International 10/ publication
National 5/ publication
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
50/ sole author; 10/ chapter in an edited book
Subjects Books by National level publishers/State and Central Govt. Publications with ISBN/SSN Numbers.
Subjects Books by National level publishers/State and Central Govt. Publications with ISBN/SSN Numbers.
25/ sole author; 5/ chapter in edited books
Subject Books by Other local publishers with ISBN/ISSN numbers
Subjects Books by Other local publishers with ISBN/ISSN numbers
15/ sole author; and 3/ chapter in an edited books
Page 2 of 9 Pharmacy office 2013-13 AICTE/gmalviya/Monday, February 24, 2014
Chapters contributed to edited knowledge based volumes published by International Publishers
Chapters contributed to edited knowledge based volumes published by International Publishers
10/Chapter
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
Chapters in Knowledge
based volumes in
Indian/National level
publishers with
ISBN/ISSN numbers and
with numbers of national
and international
directories
5/Chapter
III(C) RESEARCH PROJECTS
III(C)(i) Sponsored Projects carried out/ ongoing
Major Projects amount mobilized with grants above Rs.30.0 lakh
Major Projects amount mobilized with grants above Rs.5.0 lakh
20/ each Project
Major Projects amount mobilized with grants above Rs.5.0 lakhs up to Rs.30.00 lakh
Major Projects amount mobilized with minimum of Rs.3.0 lakhs up to Rs.5.00 lakh
15/ each Project
Minor Projects (Amount mobilized with grants above Rs.50,000 up to Rs.5 lakh)
Minor Projects (Amount mobilized with grants above Rs.25,000 up to Rs.3 lakh)
10/ each Project
III(C)(ii) Consultancy Projects carried out/ ongoing
Amount mobilized with minimum of Rs.3.00 lakh
Amount mobilized with minimum of Rs.1.00 lakh
10 per every Rs.3.0 lakh and Rs.1.0 lakh Respectively
III(C)(iii) Completed projects Quality Evalution
Completed project Report (Acceptance from funding agency)
Completed project Report (Accepted by funding agency)
20/ each major project
10 /each minor project
III(C)(iv) Projects Outcome /Outputs
Major policy document of Govt. Bodies at Central and State level Patent/Technology transfer/Product/Process
Major policy document of Govt. Bodies at Central and State level Patent/Technology transfer/Product/Process
30/ each national level output or patent
50/ each for international level
Page 3 of 9 Pharmacy office 2013-13 AICTE/gmalviya/Monday, February 24, 2014
III (D) RESEARCH GUIDANCE
III (D) (i) M.Phil/ME/ M.Tech/ M.Pharm.
Degree awarded only Degree awarded only 3/ each candidate
III (D) (ii) Ph.D Degree awarded Degree awarded 10/each candidate
Thesis submitted Thesis submitted 7/each candidate
III (E) TRAINING COURSES AND CONFERENCE/SEMINAR/WORKSHOP PAPERS
III (E)(i) Attended Refresher courses, Methodology workshops, Training, Teaching Learning-Evaluation Technology Programmes, Soft Skills development Programmes Faculty Developoment Programmes (Max: 30 points)
Not less than two weeks Duration
Not less than two weeks Duration
20/ each
One week duration One week duration 10/ each
III (E)(ii) Papers in Conferences/ Seminars/ workshops etc**
Participation and Presentation of research papers (oral/poster) in
Participation and Presentation of research papers (oral/poster) in
a) International conference
a) International conference
15 / each
b) National b) National 10 / each
c) Regional/State level
c) Regional/State Level
5 / each
d) Local University/ College level
d)Local University/College level
3 / each
III (E)(iii) Invited lectures or presentations for conferences/ Symposia
(a) International (a) International 10 /each
(b) National level (b)National Level 5 / each
Page 4 of 9 Pharmacy office 2013-13 AICTE/gmalviya/Monday, February 24, 2014
* Wherever relevant to any specific discipline, the API score for paper in referred 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: 1. Screening/selection committees will assess and verify the categorization and scores of
publications.
2. 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 total score, if the number of authors are more, than the first two authors would share equally 60% of the total points and the remaining authors would share equally 40% of the points.
Page 5 of 9 Pharmacy office 2013-13 AICTE/gmalviya/Monday, February 24, 2014
TABLE- II (c)
Minimum Scores for APIs for direct recruitment of teachers in University departments/Colleges, and weightages in Selection Committees to be considered along with other specified eligibility qualifications stipulated in the Regulations.
Assistant Professor/ equivalent cadres (Stage I)
Associate Professor/ equivalent cadres (Stage 4)
Professor/equivalent cadres (Stage 5)
Minimum API Scores
Minimum Qualification as stipulated in these Regulations
Consolidated API secure requirement of 300 points from category III of APIs
Consolidated API score requirement of 400 points from category III of APIs
Note: For Universities/Colleges for which Sixth PRC Awards are applicable, Stages 1, 4 and 5 correspond to scales with AGP of Rs.6000, 9000 and 10000 respectively.
Page 6 of 9 Pharmacy office 2013-13 AICTE/gmalviya/Monday, February 24, 2014
API SCORE DETAILS
Name of Candidate:…………………………………………………
Father’s Name:……………………………………………………….
Department:…………………………………………………..Post Applied for:……………………………………………..
CATEGORY III
(RESEARCH, PUBLICATIONS AN ACADEMIC CONTRIBUTIONS)
A) Published Papers in Journals
Sl. No.
Title with Page Nos.
Journal ISSN/ISBN No.
Whether peer reviewed, impact factor, if any
No. of Co- authors
Whether you are the main author
API Score
B (i) Articles/Chapters published in Books
Sl. No.
Title with Page Nos.
Book Title, editor & publisher
ISSN/ISBN No.
Whether peer reviewed
No. of Co- authors
Whether you are the main author
API Score
(ii) Full Papers in Conference Proceedings
Sl. No.
Title with Page Nos.
Details of Conference Publication
ISSN/ISBN No.
No. of Co- authors
Whether you are the main author
API Score
Page 7 of 9 Pharmacy office 2013-13 AICTE/gmalviya/Monday, February 24, 2014
(iii) Books Published as single author or as editor
Sl. No.
Title with Page Nos.
Type of Book & Authorship
Publisher & ISSN/ISBN No.
Whether peer reviewed
No. of Co- authors
Whether You are the main author
API Score
iii (c) Ongoing an Completed Research Projects and Consultancies
(c) (i & ii) Ongoing Projects/Consultancies
Sl. No.
Title Agency Period Grant/Amount Mobilized (Rs.Lakh)
API Score
(c) (iii & iv) Completed Projects/Consultancies
Sl. No.
Title Agency Period Grant/Amount Mobilized (Rs. In Lakh)
Whether policy document/patent as outcome
API Score
(D) Research Guidance
Sl. No.
Number Enrolled
Thesis Submitted Degree awarded API Score
M.E./M.Tech./Master in appropriate field
Ph.D. or equivalent
Page 8 of 9 Pharmacy office 2013-13 AICTE/gmalviya/Monday, February 24, 2014
(E) (i) Training Courses, Teaching-Learning-Evaluation Technology Programmes, Faculty
Development Programmes (not less than one week duration)
Sl. No.
Programme Duration Organised by API Score
(E) (ii) Papers presented in Conferences, Seminars, Workshops, Symposia
Sl. No.
Title of the paper presented
Title of Conference/Seminar
Organised by
Whether international/national /state/regional/College or University level
API Score
(E) (iii) Invited Lectures and Chairmanships at national or International
conference/seminar, etc.
Sl. No.
Title of Lecture/Academic Session
Title of Conference/Seminar, etc.
Organised by
Whether international/national
API Score
CONSOLIDATED API SCORE : …………………..
Page 9 of 9 Pharmacy office 2013-13 AICTE/gmalviya/Monday, February 24, 2014
List of Enclosures :
Please attach copies of certificates, sanction orders, etc. wherever necessary.
S.No. Details of Enclosures S.No. Details of Enclosures
Declaration
I certify that the information provided is correct as per records available in
University and/or documents enclosed.
Signature of the Faculty with Designation& Department
Place:
Date:
Forwarded by
Signature of Head of Department/Section Incharge
Place:
Date:
An Autonomous Institution, Established in 1952
SHRI G.S. INSTITUTE OF TECHNOLOGY & SCIENCE (An Autonomous Institution, Established in 1952)
23, Park Road, INDORE, Pin– 452 003 (MP) Ph.:(0731) 2434095, 2538760, 2541567,2548334-8 Fax :
0731-2432540. website : www.sgsits.ac.in
Advertisement No. Estt/Advt/2014/3594 dated 22.02.2014.
APPLICATION FORM FOR THE POST OF _______________________
IN THE ______________________________________ DEPARTMENT
Payment Details: Demand Draft No. : _________________Rs. _____________
Date _____________ Name of Bank: __________________________________
1. Full name (in Block letters) : __________________________________________ (Surname) (Name)
2. Father’s Name : ____________________________________________________
(Surname) (Name)
3. Postal address in full for : ___________________________________________________
Correspondence ____________________________________________________
____________________________________________________
____________________________________________________
City________________________Pin Code_________________
E-mail______________________Phone No. : ______________
4. Permanent address : ____________________________________________________
____________________________________________________
City________________________Pin Code_________________
Phone No. : ___________________Mobile No. ____________
5. Sex (Male /Female) : ____________________________________________________
6. Date of Birth : ____________________________________________________
(Date) (Month) (Year)
7. Place of Birth : ____________________________________________________
(Vill/Town/Distt.) (State)
8. Marital Status : ____________________________________________________
9. Nationality : ____________________________________________________
Cont… 2
Please paste Your
Recent Passport
Size Photograph Here
… 2 …
10. Membership of Professional Bodies : _____________________________________
: ____________________________________________
: ____________________________________________
11.(a) Status of present Central/State Govt. ( )
employer, if employed: Autonomous body ( )
Private Estt. ( )
(b) State the address of : ____________________________________________________
present employer
____________________________________________________
(c) Present salary drawn : ____________________________________________________
12. Academic qualifications
No. Degree/Exam. Branch/
specialization
Year of
passing
University/
Institute/
Board
% of
Marks
Division/
Grade
Encl.
No.
1. 10+2/Higher Secondary
2. B.E. / B.Tech./ B.Pharm./
B.Sc.
3. M.E. / M.Tech./ M.Pharm./
M.C.A./ M.Sc. / MBA
4. Ph.D.
5. Other (specify, if any)
13. Area of Specialization____________________________________________________
14. Details of Ph.D. Degree (if awarded)
(a) Year of Registration
_________________________________
(b) Year of Award
_________________________________
© Name of Faculty of University in which Ph.D.
awarded
_________________________________
(d) Name of Board of studies of University in which
Ph.D. awarded
_________________________________
(e) Title of Thesis
________________________________
________________________________
(f) Whether the Ph.D. awarded through a Process of
admission, registration, course work and external
evaluation as have been laid down by UGC
regulations, 2009 (Yes/No)
________________________________
________________________________
If Yes attach appropriate supporting documents – Encl. No……… Cont… 3
… 3 …
15. Particulars of employment and Experience :-
a. Experience in Academic Institute
S.
No.
Name of Post
Held
Pay Scale Name of
Employer
Date of
Joining
Date of
Leaving
Total
Experience
Encl.
No.
b. Experience in Industrial Organisation
S.
No.
Name of Post
Held
Pay Scale Level of post
(Supervisor/
Manager
Name of
Employer
Date of
Joining
Date
of
Leavi
ng
Total
Experie
nce
Encl.
No.
c. Experience in Other Organisation
S.
No.
Name of Post Held Pay Scale Name of Employer Date of
Joining
Date of
Leaving
Total
Experience
Encl.
No.
Cont… 4
… 4 …
16. Scientific publications, presentations and patents, etc.
(a) Paper Publications (Total Number _____)
S.
No.
Article Research Paper National
Journal
International
Journal
Encl. No.
(b) Book Publications (Total Number _____)
S.
No.
Name of Book Publisher Year of
Publication
Encl. No.
(c)Paper Presentations (Total Number _____)
S.
No.
Name of Conference
Host
Institute/Agency
Conference Year Mode of
presentation
oral/poster
Title of
Research Paper
Encl.
No. National International
(d)Patents (Total Number _____)
S.No. Title of Patent and Name
of Inventors
Description Registration
No.
Year of
Grant
Encl.
No. National International
17. Research Project Grant Awards :
S.
No.
Year of
Award
Year of
Completion
Funding
Agency
Scheme Title of
Project
Amount
Sanctioned
Encl. No.
Cont… 5
… 5 …
18. Participation in Summer/Winter / Other School(s) and other courses :
S.
No.
Name of Course Duration Name of Organizer Remarks, if any Encl. No.
19. Experience of organizing seminar/symposium/winter-summer school/conference etc.
S.No. Details of Scientific event
Year Capacity of participation Encl. No.
20. Referee/Reviewer in Scientific
Journal/Magazine : _________________________________________
_________________________________________
21. Consultancy projects undertaken : _________________________________________
_________________________________________
22. Award/Honors received :_________________________________________
________________________________________
23. Contribution to educational innovation, design of new curricula and courses, and technology mediated
teaching learning process
_________________________________________
________________________________Encl . No. (___)
24. Brief description of major achievements
in last five years : ________________________________________________________
________________________________________________________
25. Minimum pay acceptable in the :______________________________________
scale of pay
26. Appropriate period required for :_____________________________________
Joining, if selected :
27. Give the name, profession and 1. _________________________________________
present full postal address with
phone number and E-mail ID _________________________________________
of two persons
not related to you and to whom
reference may be made & attach
testimonials from them 2. _________________________________________
______________________________(Encl. No. ……)
Cont… 6
… 6 …
28. Declaration to be signed by the Candidate:-
I hereby declare that the entries made in this form from 1 to 28 are true and correct to the best of my knowledge
and belief.
Signature___________________________
Full Name __________________________
PLACE :________________ DATE : ________________
29. No Objection Certificate of Employer:
(to be signed by the Head of the Institution in the case of candidate already serving (whether
permanent or temporary).
No.____________________ DATED_____________________
The application of Shri/Smt./Kumari_____________________________________________________
S/D/O Shri_____________________________ who is working as _______________________in the
pay scale of Rs. _________________________________ in our organization since ________ in a
temporary/permanent capacity is hereby forwarded for consideration for the post of
_______________________________ in SGSITS, Indore. Nothing against his/her character is known
to the undersigned which may render him/her unsuitable for employment on the above post. This
organization has no objection if he/she is considered for appointment in your institution.
Name & Signature of the
Competent forwarding officer
Designation: _________________
Seal of Office_________________
Place :_____________
Date : _______________
Cont… 7
… 7 …
CHECK LIST
The applicant shall ensure that following enclosures are submitted along with the application to
confirm the eligibility for the post of _______________________________ as per advertisement.
Sr. No. Documents Enclosure No. Remarks Comments of Scrutinizer
(for office use only)
D:\Establishment\Office Files\Advt\Application Proforma - Teaching (Regular - 22.02.2014).docx