Gen. SC ST OBC PWD Application No.............

GURUKULA KANGRI VISHWAVIDYALAYA

HARIDWAR - 249404 (U.K.)
APPLICATION FORM FOR THE TEACHING OR EQUIVALENT POSTS
(For direct recruitment to the post of Assistant Professor/Associate Professor/Professor and equivalent)

Post Applied for : .......................................................................

Subject/Department : ...................................................................
Affix passport size
recent colour photograph
Specialization (if any) : ………………………………………..…..… with signature

Reference of Post Published in: ............................. dated ..............................

Advertisement No : ........................................................................

1. GENERAL INFORMATION

a. Name of the Applicant : ........................................................................................

(In block letters)

b. Father's/Husband's Name : ........................................................................................

c. Date of Birth : ........................................................................................

d. Present Postal/
Correspondence Address : ………………................................................................
........................................................................................
........................................................................................
e. Permanent Home Address : ........................................................................................

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

f. Applicant's Contact Details :

Telephone No. ...............................................................
Mobile No. ....................................................................
E-Mail ..........................................................................
g. (i) Present Post/Designation with Pay : ............................................................................
Band +AGP (If applicable)

(ii) Present Basic Pay : ……………………………………………..

(iii) Name of Employing Authority: ............................................................................

h. Sex and Marital Status

(i) Male/Female : ............................................................................

(ii) Married/Unmarried : ............................................................................

(iii) If married, give the full name

of Wife/Husband : ............................................................................
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i. Do you belong to SC/ST/OBC/PWD:
(if yes, please state clearly & attach certificate in support)

2. ACADEMIC QUALIFICATIONS
a. Academic Background (From Matriculation Onwards)
Division/
As a Regular/
Examination Board/University/ Year of Grade with
Subject (s) Private/
Passed Institute Passing %age of
Correspondence
Marks
High School
(10th)
Intermediate
(12th)
Graduation
Post
Graduation
M.Phil.
Ph.D.
D.Lit.
Others
Note : Please attached all mark sheets/certificates (self attested) along with character certificate
issued by last academic institution you have studied/employed.

b. M.Phil. Topic : ................................................................

c. Ph.D. Topic : ................................................................

d. D.Lit. Topic : ................................................................

e. Technical Qualification, if any : ................................................................

f. Area of Specialization/Field of Research : ................................................................

g. Have you qualified in NET/SLET/SET? : ................................................................

(If yes, please give details)

h. Academic distinction (e.g. any prize, medal, : ................................................................

honour, award etc.)

i. Foreign visits for academic purpose : ................................................................

(If any, please give details)

j. Have you been punished during your studies: ................................................................

at College/University (if so give details).

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3. TEACHING EXPERIENCE

a. Give the details of employment in chronological order on permanent/regular basis in UGC

Scale
Designation/ Name of Exact Dates/ Period Scale of Pay + Nature of
Post Held Institution From To AGP duties

b. Particulars of service (in chronological order) only on adhoc/temporary/part time/contract

basis in UGC Scale or fixed emoluments, if any
Exact Dates/ Period Scale of Pay +
University/ Designation/ Nature of
AGP or Fixed
Institution Post Held From To duties
Emoluments

c. Total Teaching Experience : ........................................................................................

(i) Under Graduate : ...........................Years ..................................... Months

(ii) Post Graduate : ...........................Years ..................................... Months

d. (i) Break in Service, if any : Period ....................................................

(Indicate the period giving reasons) Reasons ................................................

(ii) Have you been punished during : ................................................................

your services? If so, give details.

(iii) Do you have any court cases pending

as one of the parties? (If yes, give
details) : ................................................................

e. Research Experience :

(i) As Ph.D. Scholar : ............ Years ............. Months

(ii) As Research Scientist/Associate : ............ Years ............. Months

(iii) As Teacher : ............ Years ............. Months

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f. Administrative Experience, (if any) :
Name of Dates/Periods Length of Experience
Nature of
the Designation
Assignment From To Years Months
Institution

g. Details of Refresher Course/Orientation Course/Summer Institute Attended (If any):

Name/Nature of the Institute and Place Dates/Period Total duration of the
Course course (in weeks/ days)

h. Membership of Professional
Bodies/Societies etc. : ………………………………………………..

i. Period of Extra Ordinary Leave

without pay (If availed) : ………………………………………………..

4. RESEARCH AND ACADEMIC CONTRIBUTIONS (COMPULSORY FOR ASSOCIATE

PROFESSOR / PROFESSOR POST)
(Give detailed API score and weightages point as per UGC regulations for eligibility)
*Weightage point/score shall be given by the applicant for research and academic contributions as per standard
norms of the UGC regulations.

(A) Research Papers Published in Journals :

Research/Academic Activities Points/ Score* For Office Use
Only
(i) Refereed Journals

(ii) Non-refereed Journals but having ISBN/ISSN number

(iii) Full length papers in conference proceedings etc.

(abstracts not to be included)

(B) Research Publications (Books, Chapters in books, other than Refereed Journals
articles):
Points/ For Office Use
Research/Academic Activities
Score* Only
(i) Text or Reference Books Published by International
Publishers with an established peer review system.

(ii) Subjects Books published by National level

publishers/State and Central Govt. Publications with
ISBN/ISSN numbers.

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(iii) Subjects Books published by other local publishers
with ISBN/ISSN numbers

(iv) Chapters contributed to edited volumes/books

published by International Publishers

(v) Chapters in knowledged based edited volumes/books

published by Indian/National level reputed publishers
with ISBN/ ISSN numbers.

(C) Research Projects:

For Office Use
Research/Academic Activities Points/ Score*
Only
(i) Sponsored Project carried out/ongoing through the
Institution
(a) Major Projects with Title :
Amount :
Sponsoring Agency :
(a) Minor Projects with Title :
Amount :
Sponsoring Agency :
(ii) Consultancy Projects carried out/ongoing :

(iii) Completed projects :

Quality Evaluation with
year of award and completion

(iv) Projects Outcome/Outputs

(D) Research Guidance :

(Supervisor/Co-Supervisor)
For Office Use
Research/Academic Activities Points/ Score*
Only
(i) M.Phil. Degree awarded only
Name of Students :
Title :
Year :
(ii) Ph.D. Degree awarded/Thesis submitted
Name of Students :
Title :
Year :

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(E) Training Courses and Conference/Seminar/Workshop Attended:
Points/ For Office
Research/Academic Activities
Score* Use Only
(i) Attended Orientation/Refreshers Course and Research
methodology course (not less than two weeks duration) and
workshops not less than one week duration.
(ii) Attended Conferences/Seminars/Workshops etc. (Participation
and Presentation of research papers - oral/ poster).
(a) International Conference
(b) National Level Conference
(c) Regional/State Level Conference
(d) University/College Level Conference
(iii) Invited lectures/Key note address/chair sessions for
conferences/ seminars/workshops and symposia etc.
(a) International Level
(b) National Level
(c) Regional/State Level
(d) University/College Level Endowment Lectures
(iv) Conferences/Seminars/Workshops/Sympsia Organized
(a) International Level
(b) National Level
(c) Regional/State Level
(d) University/College Level

 Total points/scores evaluated by the applicant: ................................................................

 Total points/scores evaluated by the recruitment

and assessment committee (Office use only) : ……………………………...………….

Additional Information:
Any other academic information/contribution
which you wish to highlight, please give in details for career
purpose (Attach additional sheets, if the space is insufficient) : ………………..........……………….

List of enclosed documents:

(i)
(ii)
(iii)
(iv)
(v)

(Signature of the Applicant)

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 Forwarded by Parenting Institute/Organisation

Forwarded with the remarks that the facts stated in the above application have been verified
and found correct and this institution/organisation has no objection to the candidature of the
applicant being considered for the post applied for.

Date: Signature .........................................................

Registrar/Head of Institution with seal
Telephone No. ................................................

DECLARATION

I hereby declare that I fulfill all the minimum qualifications and eligibility requirements for
the direct recruitments on the post of Assistant Professor, Associate Professor and Professor (Tick
which is applicable) as per prescribed UGC norms. Information given by me in the application
form is true and no fact has been suppressed. If at any stage it is found that I do not fulfill the
eligibility requirements, my claim for appointment shall automatically stand cancelled. In case any
information or documents furnished by me is found to be wrong/false/suppressed, or if anything
against me is detected at any stage, my appointment be cancelled outright at any stage and further
that any disciplinary action be also taken against me as per service rules and regulations of the
Vishwavidaylaya.
No disciplinary proceedings are pending or contemplated against me.

Date: Signature of Applicant: ...............................................

Name of the Applicant: ...............................................

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 VERIFICATION
(FOR OFFICE USE ONLY)

This is to certify that application on the post of ........................................................ in the

subject/department ............................................................. Pay Band Rs. ................... +
AGP ........................................ has been accepted/rejected for the interview as per UGC regulations.

A.R./S.O. Chairman
Establishment Recruitment and Assessment
(Convener) Committee

General Instructions :
1. Knowledge of Hindi is essential.
2. Only tea-totallar candidates should apply. Candidates having faith in Arya Samaj principles and Gurukul
system of education will be preferred.
3. Candidates in employment should send their prescribed application form through proper channel. However,
advance copy of Bio-Data may be sent within time.
4. The University reserves the right not to fill up any of the vacancies advertised if the circumstances so warrant.
5. Qualifications and Pay Band with AGP as per UGC rules and regulations. The same is also available at the
University website : www.gkvharidwar.org
6. Applications complete in all respects along with enclosures must reach the Registrar of the Vishwavidyalaya
by registered post/speed post in stipulated time. The Vishwavidyalaya will not be responsible for any postal
delay.
7. Candidates will be called for interview on the recommendations of the recruitment and assessment cell of the
University and as such all applicants may not be called for interview. No TA and DA shall be admissible for
attending the interview. However, SC/ST candidates would be given TA as per Central Government Rules.
8. The prescribed essential qualifications are the minimum and the mere possession of the same does not entitle
candidates to be called for interview. Where the number of applications received in response to an
advertisement is large and it will not be convenient or possible to interview all the candidates, the university,
at its discretion, may restrict the number of candidates to a reasonable limit on the basis of
qualifications/experience higher than the minimum prescribed in the advertisement after a
screening/assessment process through a duly constituted committee. As such all applicants may not be called
for interview.
9. Reservation for reserve category will be as per the UGC/Central Government Rules.
10. Candidates should read all the instructions given in the Application form carefully before filling it.
11. If a candidate desires to apply for more than one post, he/she should make a separate application for each post
with requisite fee.
12. The Vishwavidyalaya reserves the right to alter/modify any condition at any stage.
13. Incomplete applications shall not be entertained.
14. All information provided in the application must be supported with documentary proofs (self-attested).
15. Separate sheet may be attached wherever necessary.
16. Purely Temporary/Adhoc services in regular UGC Scale (without any break) shall be counted (if approved by
syndicate) as per UGC rules.

Phone : 01334-311881, 249013 Registrar

Fax : 01334-246811

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 Application No. ………
GURUKULA KANGRI VISHWAVIDYALAYA
HARIDWAR - 249404 (U.K.)
SUMMARY OF ACADEMIC PROFILE
(To be submitted in eight copies and photocopy may be used)

Post Applied for: ............................................ Subject/Department: ……………...............................

Specialization (if any): ………………………….……................................…………………………

Name: ................................................................................... Date of Birth: .........................................
Father's/Husband's Name: .................................................... Category: General/SC/ST/OBC/PWD
Academic Qualification
Exam. Passed with Year Board/ University/ Institution Div. with % of marks Subjects

Details of Experience
Name of the Post held or Exact Dates Length of Service Pay Scale
Organization/ Designation From To Years Months
Institution

Number of Publications (Published only) Research Guidance

Research Papers Number of students guided for and Degrees awarded

Articles M.Phil.

Books Ph.D.

No. of Conferences/ Seminars attended Number of Research Projects

 *Total points/scores evaluated by the applicant: ..........................................................................

 *Total points/scores evaluated by the recruitment

and assessment committee (Office use only): ………………....………............……………
(*Compulsory for Associate Professor / Professor Post )

Signature of Applicant