Gurukula Kangri, Haridwar
Gurukula Kangri, Haridwar
Subject/Department : ...........................................................
Affix a recent passport
size coloured
Specialization (if any) : ........................................................... Photograph.
...........................................................
(Don't staple)
Reference of Post Advertised in : ........................ dated.......................
Advertisement No : ...........................................................
1. GENERAL INFORMATION
a. Name of the Applicant : ...................................................................................
(In block letters)
b. Father's/Husband's Name : ...................................................................................
2. ACADEMIC QUALIFICATIONS*
a. Academic Background (From Matriculation onwards)
As a Regular/ %age
Examination Board/University/ Year of Subject (s)/ Division/
Private/ of
Passed Institute Passing Specialization Grade
Correspondence Marks
High School
(10th)
Intermediate
(12th)
Graduation
Post-Graduation
M.Phil.
Ph.D.
D.Lit.
* As per UGC Regulation-2018, Ph.D. Degree shall be mandatory qualification for Assistant Professor
w.e.f. 01.07.2021.
2
j. Have you been punished during your
studies at College/University
(if so give details) : .........................................................................
3. TEACHING EXPERIENCE
e. Research Experience
3
f. Administrative Experience, (if any) :
Name of Dates/Periods Length of Experience
Nature of
the Designation
Assignment From To Years Months
Institution
h. Membership of Professional
Bodies/Societies etc. : ………………………………………………..
Academic/Research Score
Academic Score in accordance with UGC (Minimum Qualification for Appointments of
Teachers and Other Academic Staff in Universities and Colleges and Measures for the
Maintenance of Standards in Higher Education), 2018.
(Attach evidence such as: copy(ies) of publications, project sanction letter, utilization and completion
certificates issued by the University and acknowledgements for patent filing and approval letters,
students’ Ph.D. award letter, etc.)
4
Joint Author (More than 2 Authors)
Research Papers in UGC –CARE listed Journals with Impact Factor between 1 and 2 (Include 1
not 2)
Single Author
Two Authors
First/Principal/Corresponding Author (More
than 2 Authors)
Joint Author (More than 2 Authors)
Research Papers in UGC –CARE listed Journals with Impact Factor between 2 and 5 (Include 2
not 5)
Single Author
Two Authors
First/Principal/Corresponding Author (More
than 2 Authors)
Joint Author (More than 2 Authors)
Research Papers in UGC –CARE listed Journals with Impact Factor between 5 and 10 (Include 5
not 10)
Single Author
Two Authors
First/Principal/Corresponding Author (More
than 2 Authors)
Joint Author (More than 2 Authors)
Research Papers in UGC –CARE listed Journals with Impact Factor > 10 (Include 10)
Single Author
Two Authors
First/Principal/Corresponding Author (More
than 2 Authors)
Joint Author (More than 2 Authors)
Sub Total (Part 1)
2 (a) Books Authored
Published by International Publishers
Published by National Publishers
Publication of Chapter in Edited Books
Editor of Book by International Publishers
Editor of Book by International Publishers
Editor of Book by National Publishers
2 (b) Translation Works in Indian and Foreign languages
Chapter or Research Paper
Translation Work of Book
Sub Total (Part 2)
3 Creation of ICT mediated Teaching Learning pedagogy and content and development of new and
innovative courses and curricula
3 (a) Development of Innovative pedagogy
Contributor / Contributors
3 (b) Design of New Curricula and Courses (ICT Based)
Contributor / Contributors
3 (c) Development of Complete MOOC's in 4 Quadrant (4 Credit Course)
4 Credit Course
5
3 Credit Course
2 Credit Course
1 Credit Course
MOOCs (developed in 4 quadrant) per module / lecture
Module / Lecture Creator (Per Module)
Content writer/subject matter expert for each module of MOOCs (at least one quadrant)
Content Writer / Subject Matter Expert (Per
Module)
Course Coordinator for MOOCs
4 Credit Course
3 Credit Course
2 Credit Course
1 Credit Course
3 (d) Development of E-Content in 4 quadrants for a Complete Course / E-Book
E-Content in 4 quadrants for a Complete
Course / E-Book
E-Content (developed in 4 quadrants) per module
Module(s)
Contribution to development of E-Content module in Complete Course / Paper / E-Book (at least
one quadrant)
Contributor
Editor of E-Content for Complete Course / Paper / E-Book
Editor
Sub Total (Part 3)
4 (a) Research Guidance
Ph.D. Guidance (Degree Awarded)
Ph.D. Guidance (Awarded) (Single
Supervisor)
Ph.D. Guidance (Awarded) (Supervisor in
Joint Guidance)
Ph.D. Guidance (Awarded) (Co-Supervisor
in Joint Guidance)
Ph.D. Guidance (Thesis Submitted)
Ph.D. Guidance (Submitted) (Single
Supervisor)
Ph.D. Guidance (Submitted) ( Supervisor in
Joint Guidance)
Ph.D. Guidance (Submitted) ( Co-
Supervisor in Joint Guidance)
M.Phil./P.G Dissertation Guidance
M.Phil./P.G Dissertation (Single
Supervisor)
M.Phil./P.G Dissertation (Supervisor in
Joint Guidance)
M.Phil./P.G Dissertation (Co-Supervisor in
Joint Guidance)
4 (b) Research Project Completed (More than 10 Lakhs)
Sole Investigator
Principal Investigator in Joint Project
6
Co-investigator in Joint Project
Research Project Completed (Less than 10 Lakhs)
Sole Investigator
Principal Investigator in Joint Project
Co-investigator in Joint Project
4 (c) Research Project Ongoing (More than 10 Lakhs)
Sole Investigator
Principal Investigator in Joint Project
Co-investigator in Joint Project
Research Project Ongoing (Less than 10 Lakhs)
Sole Investigator
Principal Investigator in Joint Project
Co-investigator in Joint Project
4 (d) Consultancy
Consultancy
Sub Total (Part 4)
5 (a) Patent
International
National
5 (b) Policy Document (International Body/Organization/Central Govt. or State Govt.)
International
National
State
5 (c) Awards / Fellowship
International
National
Sub Total (Part 5)
6 Invited lectures / Resource Person/ paper presentation in Seminars/ Conferences/full paper in
Conference
International (Abroad)
International (Within Country)
National
State University
Sub Total (Part 6)
Total Score without Capping
Total Score of 5(b) + 6
Capped Score of 5(b) + 6 (30 % of Total
Score of 5(b) + 6)
Total Score with Capping, wherever
applicable
7
Summary of Academic and Research Scores:
Categories Score
Academic and Research Score (after applying cap, wherever applicable)
(Attach documentary proof in support of the information provided by you in this proforma)
List of Enclosures: (Please attach copies of certificates, sanction orders, papers, notifications etc., wherever
necessary)
1 6
2 7
3 8
4 9
5 10
8
DECLARATION
I hereby declare that I fulfill all the minimum qualifications and eligibility requirements for the
direct recruitment on the post of .................................................................................................. as
per prescribed 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,
Gurukula Kangri (Deemed to be University) has the right to cancel my appointment out rightly and
further any disciplinary action may also be taken against me as per service rules and regulations.
No disciplinary proceedings are pending or contemplated against me.
9
VERIFICATION
(For office use only)
This is to certify that application on the post of ........................................................ in the
subject/department ............................................................. Pay Scale Rs. ......................................
Level..................................... has been accepted/rejected for the interview as per UGC regulations.
A.R./S.O. Chairman
Establishment Recruitment and
(Convener) Assessment Committee
Important 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. Applications complete in all respects along with enclosures must reach the Registrar of the Gurukula Kangri
(Deemed to be University) by registered post/speed post in stipulated time. The University will not be
responsible for any postal delay.
6. 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 Rules.
7. 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.
8. Reservation for reserve category will be as per the UGC/Central Government Rules.
9. Candidates should read all the instructions given in the Application form carefully before filling it. Attach
supporting documents for your claim in the application form. Incomplete application form will not be
considered in any case.
10. If a candidate desires to apply for more than one post, he/she should make a separate application for each post
with requisite fee.
11. The University reserves the right to alter/modify any condition at any stage.
12. Incomplete applications shall not be entertained.
13. All information provided in the application must be supported with documentary proofs (self-attested).
14. Separate sheet may be attached wherever necessary.
10
Application No. ………
GURUKULA KANGRI (DEEMED TO BE UNIVERSITY), HARIDWAR
(NAAC Accredited ‘A’ Grade Deemed to be University u/s 3 of UGC Act 1956)
SUMMARY OF ACADEMIC PROFILE
(To be submitted in Six copies and Photocopy may be used)
Details of Experience
Name of the Post held or Exact Dates Length of Service Pay Scale
Organization/ Designation From To Years Months
Institution
3. Creation of ICT mediated Teaching Learning pedagogy and content and Development of new and
innovative courses and curricula
(a) Development of Innovative Pedagogy Contributions
No. of Document
S. Name of the material Courses/ Whether uploaded modules proof No.
Score
No. /contribution Programmes as blog on internet
5 (a). Patent
S. Patent filed to International / Document
Patent Details File No. Score
No. National/State / Central Agency proof No.
(ii) Invited lectures/ Resource Person/ paper presentation in Seminars/ Conferences [International (Within
Country) / National/ State/ University]
International/ Document proof
Title of
S. Title of Conference / Organised National/ No.
the Score
No. Seminar/ Workshop by State/
Lecture
University
___________________
Place: (Signature of Candidate)
Date:
Appendix-1
Note:
● Paper presented if part of edited book or proceeding then it can be claimed only once.
● For joint supervision of research students, the formula shall be 70% of the total score for Supervisor and Co-
supervisor. Supervisor and Co-supervisor, both shall get 7 marks each.
● *For the purpose of calculating research score of the teacher, the combined research score from the categories of
5(b). Policy Document and 6. Invited lectures/Resource Person/Paper presentation shall have an upper capping
of thirty percent of the total research score of the teacher concerned.
● The research score shall be from the minimum of three categories out of six categories.