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CENTRAL UNIVERSITY OF HARYANA

FOR OFFICE USE ONLY
SERIAL NO.

APPLICATION FORM FOR TEACHING & LIBRARY POSTS

(Part – A)
Name of the post applied for……..………………………………….

School/ Department …….…………………………………………...

PASTE HERE A
Advt. No.…………………………………Date……………………. SIGNED COPY OF
YOUR RECENT
DEMAND DRAFT PARTICULARS PASS-PORT SIZE
Name of the Bank D.D. Number Date Amount PHOTOGRAPH

A. General Information:
1. Name in Full……………..……………………………………………………………..……..
(IN BLOCK LETTERS)
2. Parentage……………………………………………………………………………………..

3. Husband’s Name (in case of married Women)……………………………….………………

4. Date of Birth: Day …………….…..Month………………………Year……………………..
(As recorded in the Matriculation or equivalent certificate)
5. Age (as on the last date fixed for the receipt of application) ……………..years…………months.
6. Nationality ……………………………………….….

7. Religion ……………………………………………..

8. Marital Status: Married Unmarried

9. Sex: Male Female
10. Do you belong to any reserved category?: Yes No
If yes, specify the category (SC/ST/OBC)

11. Whether Handicapped? : Yes No

If yes, indicate whether Physically/Visually/ any other………………………….

12. Permanent Address …………………………………………………………………………...

………………………………………………………………………………………………..
PIN CODE…………….……..Phone No…………………………Cell ………………….….

Address for correspondence …………………………………………………………………..

……………………………………..……………………….PIN CODE……….…..……….

Email ID………………………………………………………………………..……..

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B. Educational Qualifications:
Exam. Board/ Year of Marks % of Class/Div/
Subjects
Passed University Passing Obtained Out of marks Grade
Matriculation (10th)

Higher Secondary/
Intermediate (10+2)
Bachelor’s degree

Master’s Degree

M.Phil

Ph.D

NET/SLET

Any other Degree/

Diploma
Technical
Qualifications
(if any)

C. Teaching/Administrative/Technical/Research Experience.
Name of the Scale of Pay Nature of Period of service
Designation
Organization PB GP appointment From To Period

Note: Please indicate Pay Band and Grade Pay/ Academic Grade Pay separately.
Please attach separate sheet if the space is insufficient for the said column

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State whether you have been at any time (a) dismissed, removed or debarred from Service or (b) convicted by a Criminal
Court. (Please tick YES NO )

I hereby declare that all entries made by me in this application are true, complete and correct to the best of my
knowledge and belief. I understand that in the event of any information being found false, incomplete or
incorrect, my candidature/appointment is liable to be cancelled/terminated.

Signature of the Applicant

Place…………………………

Date ………………………….

(The endorsement below is to be signed and forwarded by the Head of the Department/Employer in the case of
the in-service candidates whether in permanent or temporary capacity failing which the application is liable to be
rejected).

ENDORSEMENT OF THE EMPLOYER

Ref. No………………………… Date…………………………..

FORWARDED

The applicant …………………………….… (name) is holding the post of ……………………………………… in this

College/University/Institution/Department in a temporary/substantive basis since……..…………(date). His/Her present
Pay is Rs…………………………in the Pay structure of Rs……………….………………. with AGP/GP of
Rs………………...and he/she is drawing salary of Rs ………………….per month. His/Her next date of increment is
……………………We have no objection to his/her application being considered.

Signature of the Officer

(with office seal)

DECLARATION/UNDERTAKING
(for OBC Candidates only)

I, __ son/daughter of Shri resident of village/town/city district

State hereby declare that I belong to the _ community which is recognised as a backward
class by the Government of India for the purpose of reservation in services as per orders contained in Department of
Personnel and Training Office Memorandum No.36012/22/93- Estt.(SCT), dated 8/9/1993. It is also declared that I do
not belong to persons/sections (Creamy Layer) mentioned in Column 3 of the Schedule to the above referred Office
Memorandum, dated 8/9/1993, which is modified vide Department of Personnel and Training Office Memorandum
No.36033/3/2004 Estt.(Res.) dated 9/3/2004.

Signature of the Candidate

Place:
Date:

Declaration/undertaking not signed by Candidate will be rejected

False declaration will render the applicant liable for termination of registration at any time

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 (Part – B)
(API score on the basis of Performance Based Appraisal System for Teaching Posts)

Brief Explanation: Based on the teacher's self-assessment, API scores are proposed for
research and academic contributions. The applicant is required to fill the following sections.
The self- assessment score will be based on verifiable criteria and will be finalized
by the screening/selection committee.

CATEGORY I: TEACHING, LEARNING AND EVALUATION RELATED ACTIVITIES

MAXIMUM SCORE TO BE
CATEGORY DETAILS
ITEM SCORE FILLED BY THE
I (A)
CANDIDATE
1. Seminars Lectures, tutorials, Below 80% : No score 50
practicals, contact hours 80%-85% : 35
undertaken as percentage of 86%-90% : 40
those actual allocated 91%-95% : 45
96%- 100% : 50
2. Lectures or other teaching Below 2= No score 10
duties in excess of the UGC 2-4= 8
norms 5+ = 10

3. For (a)- 10
(a)Preparation and imparting
of knowledge / instruction as 20
per curriculum; (b) Syllabus
enrichment by Providing For (b)-10
additional resources to
students
4. Use of participatory and If used full score 20
innovative teaching –
learning methodologies,
updating of subject content,
course improvement etc.

5. Examination duties [Invigilation: 5 25

(Invigilation; question paper question paper
setting, evaluation/ setting–10 evaluation/
assessment of answer scripts) assessment of answer
as per allotment. scripts-10

Total score- 125

Minimum API score required 75

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CATEGORY II: CO-CURRICULAR, EXTENSION AND PROFESSION RELATED
ACTIVITIES

Sl. DETAILS MAXIMUM SCORE TO BE

ITEM SCORE FILLED BY THE
No. CANDIDATE
1. Student related co- Activities may be in one or more than 20
curricular, extension and one particular field (s)
field based activities (such
as extension work
through NSS/ NCC and
other channels, cultural
activities, subject related
events, advisement and
counseling)

2. Contribution to Corporate Membership of committees 15

life and management of 1:4
the department and 2-3 : 10
institution through 4 and above: 15
participation in academic Dean, Students’ Welfare : 15
and administrative Dean, R&D / Dean of School (Full term)
committees and : 15
responsibilities Head of the Department : 10

3. Professional Seminars/ Conferences : 3 15

Development activities
(such as participation in Short term training/ talks or Lectures: 3
seminars, conferences,
short term training Membership of associations :3
courses talks, lectures, Dissemination and general articles : 6
membership of
associations,
dissemination and
general articles, not
covered in Category III
below)
Total score 50

Minimum API Score Required 15

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 CATEGORY-III: RESEARCH AND RELATED CONTRIBUTIONS
Engineering / Agriculture / Faculties of Languages / Max. points for
Veterinary Science / Arts / Humanities / Social University and SCORE TO BE
Sl. No. APIs FILLED BY
Sciences / Medical Sciences / Library / college THE
Sciences Physical teacher CANDIDATE
Education / Management position
III (A) Research Papers Referred Journals * Referred Journals* 15/publication
published in
Non-referred but Non-referred but 10/publication
recognized and reputable recognized and reputable
(Detailed list to be journals and periodicals, journals and periodicals,
enclosed) having having ISBN/ISSN
ISBN/ISSN numbers. numbers.
Conference proceedings as Conference proceedings as 10/publication
full papers, etc. (Abstracts full papers, etc. (Abstracts
not to be included) not to be included)
III (B) Research Text or Reference Books Text or Reference Books 50/sole author;
Publications Published by International Published by International 10/chapter in an
(books, chapters in Publishers with an Publishers with an edited book
books, other than established peer review established peer review
refereed journal system system
articles) Subjects Books by Subject Books by/ national 25/sole author,
National level publishers/ level publishers/State and and 5/ chapter
State and Central Govt. Central Govt. Publications in edited books
(Detailed list to be Publications with ISBN / with ISBN/ISSN numbers.
enclosed) ISSN numbers
Subjects Books by Subject Books by Other 15/sole author,
other local publishers with local publishers with and 3 / chapter
ISBN / ISSN numbers ISBN/ISSN numbers. in edited books

Chapters contributed to Chapters contributed to 10 /Chapter

edited knowledge based edited knowledge based
volumes published by volumes published by
International Publishers International Publishers

Chapters in knowledge Chapters in knowledge 5 / Chapter

based volumes in based volumes in
Indian/National level Indian/National level
publishers with ISBN publishers with ISBN
/ISSN numbers and with /ISSN numbers and
numbers of national and withnumbers of national
international directories and international directories
III (C) RESEARCH PROJECTS
III (C) (i) Sponsored (a) Major Projects amount Major Projects amount 20 /each Project
Projects mobilized with grants above mobilized with grants above
carried out/ 30.0 lakhs 5.0 lakhs
ongoing (b) Major Projects amount Major Projects Amount 15 /each Project
mobilized with grants above mobilized with minimum of
5.0 lakhs up to 30.00 lakhs Rs. 3.00 lakhs up to Rs.
(Detailed list to be 5.00 lakhs
enclosed) (c) Minor Projects (Amount Minor Projects (Amount 10/each Project
mobilized with grants above mobilized with grants above
Rs. 50,000 up to Rs. 5 lakh) Rs. 25,000 up to Rs. 3 lakh)

III (C) Consultancy Amount mobilized with Amount mobilized with 10 per every
(ii) Projects carried minimum of Rs.10.00 lakh minimum of Rs. 2.0 lakhs Rs.10.0 lakhs
out / ongoing (Science, Engg
(Detailed list to be etc) & Rs.2.0
enclosed) Lakhs (Langs,
Arts etc) respectively
III (C) Completed projects: Completed project Report Completed project report 20 /each major
(iii) Quality Evaluation (Acceptance from funding (Accepted by funding project and 10 /
(Detailed list to be agency) agency) each minor
enclosed) project
III (C) Projects Outcome / Patent/Technology transfer/ Major Policy document of 30 / each national
(iv) Outputs Product/Process Govt. Bodies at Central and level output or
State level patent /50 /each
(Detailed list to be for International
enclosed level
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III (D) RESEARCH GUIDANCE (Details to be enclosed):

III (D)(i) M. Phil. Degree awarded Degree awarded 3 /each

candidate

III (D) Degree awarded Degree awarded

10 /each
(ii) Ph. D. candidate
Thesis submitted Thesis submitted 7 /each
candidate
III(E) TRAINING COURSES AND CONFERENCE /SEMINAR/WORKSHOP PAPERS (Details to be enclosed):

III(E) Refresher courses, (a) Not less than two weeks (a) Not less than two weeks 20/each
(i) Methodology duration duration
workshops,
Training,
Teaching-Learning- (b) One week duration (b) One week duration 10/each
Evaluation
Technology
Programmes, Soft
Skills development
Programmes,
Faculty
Development
Programmes (Max:
30 points)
III(E) (ii) Papers in Participation and Participation and
Conferences/ Presentation of research Presentation of research
Seminars/ papers (oral/poster) in papers(oral/poster) in
workshops etc.** a) International a)International conference 10/ each
conference
b) National b) National 7.5 / each
c) Regional/State level c) Regional/State level 5 /each
d) Local -University/College d) Local -University/College 3 / each
level level
III(E) Invited lectures or (a) International (a) International 10 /each
(iii) presentations for
conferences/
symposia
(b) National level (b) National level 5/each

* Wherever relevant to any specific discipline, the API score for paper in refereed 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)).

NOTE:

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 60% of the
total points and the remaining 40% would be shared equally by all other authors.

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 (API score on the Basis of PBAS for Posts in Library)

Category – I: Procurement, organisation, and delivery of knowledge and information through Library
services

S.No Nature of Activity Maxiumum Score to be filled by

Score the Candidate
I. Library Resource Organisation, Services & Assistance
1 Library resources organisation and maintenance of books,
12
journals, reports
2 Provision of library reader- services, literature retrieval services
12
to researchers and analysis of reports
3 Provision of assistance to the departments of University/College
with the required inputs for preparing reports, manuals and 8
related documents
4 Assistance towards updating institutional website with activity
related information and for bringing out institutional Newsletters, 8
etc
Total Score 40
II. ICT Applications
5 Automation of catalogue 5
6 Learning resources 5
7 Procurement functions including serial subscription 4
8 Circulation operations including membership records 4
9 Reference and information services 4
10 Library security including RFID & CCTV 5
11 Development of library management & information management
3
tools & Intranet management.
Total Score 30
III. Development, Organization & Management of
12 e-resources and their accessibility over Intranet/Internet, 10
13 Digitization of library resources 9
14 e-delivery of information 6
Total Score 25
IV. User awareness and instruction programmes
15 Orientation lectures, users’ training in the use of library services
12
as e-resources, OPAC
16 Knowledge resources user promotion programmes like
organizing book exhibitions, other interactive latest learning 8
resources
Total Score 20
V. Additional Services
17 Library facilities on holidays 3
18 Shelf order maintenance 7
19 Library user manual 3
20 Building and extending institutional library facilities to outsiders
7
through external membership norms
Total Score 20
G.TOTAL SCORE 125
MINIMUM API SCORE REQUIRED 75

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Category- II – Co-curricular, Extension and Professional Development related activities.

S.No Nature of Activity Maximum Score Score to be filled by

the Candidate
1 Student related co-curricular, extension and field
based activities (such Cultural exchange and
Library service Programmes (various level of
extramural and intramural programmes); 20
extension, library-literary work through different
channels,
2 Contribution to Corporate life and management of
the library units and institution through
participation in library and administrative 15
committees and responsibilities.
3 Professional Development activities (such as
participation in seminars, conferences, short term,
e-library training courses, workshops and events,
talks, lectures, membership of associations,
15
dissemination and general articles, not covered in
Category III below)
Maximum Score 50
Minimum API Score Required 15

Category – III – Research and Academic contributions

Max. points for
SCORE TO BE
University and
Sl. No. APIs FILLED BY
Activity college THE
teacher CANDIDATE
position
III (A) Research Papers Referred Journals* 15/publication
published in
Non-referred but recognized 10/publication
and reputable journals and
periodicals, having
ISBN/ISSN numbers.
Conference proceedings as 10/publication
full papers, etc. (Abstracts
not to be included)
III (B) Research Text or Reference Books 50/sole author;
Publications Published by International 10/chapter in an
(books, chapters in Publishers with an edited book
books, other than established peer review
refereed journal system
articles) Subject Books by / national 25/sole author, ,
level publishers/State and and
Central Govt. Publications 5/ chapter in
with ISBN/ISSN numbers. edited books
Subject Books by Other 15/sole author,
local publishers with and
ISBN/ISSN numbers. 3 / chapter in
edited books
Chapters contributed to edited 10 /Chapter
knowledge based volumes
published by International
Publishers

9
 Chapters in knowledge 5 / Chapter
based volumes in Indian/National
level publishers with ISBN /ISSN
numbers and with numbers of
national and international
directories

III (C)
Sponsored
III (C) (i) Projects Major Projects amount 20 /each Project
carried out/ mobilized with grants above
ongoing 30.0 lakhs
Major Projects Amount 15 /each Project mobilized
with minimum of
Rs. 5.00 lakhs up to Rs.
30.00 lakhs
Minor Projects (Amount 10/each Project mobilized
with grants above
Rs. 50,000 up to Rs.5 lakh)

III (C) Consultancy

Amount mobilized with
(ii) Projects carried minimum of Rs. 10.0 lakhs
out / ongoing 10/each project

III (C) Completed Completed project report 20 /each major

(iii) projects: (Accepted by funding project and 10 /
Quality Evaluation agency) each minor
project

III (C) Projects Outcome / Patent/Tech Transfer/

(iv) Outputs Product/Process level output or patent /50
/each for International
level

III (D)
III (D)(i) M. Phil. Degree awarded 3 /each
candidate

III (D) Degree awarded 10 /each

(ii) Ph. D. candidate
Thesis submitted 7 /each
candidate
III(E)

III(E) Refresher courses, (a) Not less than two weeks 20/each
(i) Methodology duration
workshops,
Training,
Teaching-
Learning- (b) One week duration 10/each
Evaluation
Technology
Programmes, Soft
Skills development
Programmes,
Faculty
Development
Programmes
(Max:
30 points)
10
III(E) (ii) Papers in Participation and
Conferences/ Presentation of research
Seminars/ papers(oral/poster) in
workshops etc.** a)International conference 10/ each

b) National 7.5 / each

c) Regional/State level 5 /each
d) Local -University/College 3 / each
level
III(E) Invited lectures or (a) International 10 /each
(iii) presentations for
conferences/
symposia
(b) National level 5/each

** 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)).

NOTE:

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 60% of the
total points and the remaining 40% would be shared equally by all other authors.

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