Sam Higginbottom University of Agriculture, Technology & Sciences

(Formerly Allahabad Agricultural Institute)

(Established in 1910)

APPLICATION FORM (Only for Teaching Post)

AFFIX PHOTOGRAPH
Application No. _________

1. Post applied for_______________________________________________Adv. Ref. & date________________________________

2. Name of the applicant _____________________________ _____________________________ ___________________________
(In Block Letters) (First Name) (Middle Name) (Surname)

3. Father’s / Husband Name ____________________________________________________________________________________

4. Date of Birth ______________ 5. Nationality____________________________________________________

6. Physical Disabilities (if any) __________________________________________________________________________________

7. Permanent Address ___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________

8. Correspondence Address ___________________________________________________________________________________

___________________________________________________________________________________
___________________________________________________________________________________
9. Contact No. (Telephone No.) _______________________ Mob.____________________ Email ID.__________________________
10. Marital Status ________________________ No. of Children ___________________ 11.Religion___________________________
11. Particulars of academic and technical qualifications:
Examination or Examination body % / OGPA / Division/ Year of No. of Specialization
degree CGPA of Marks Grade passing attempts
High School
Intermediate
Graduation
Post graduation
Doctoral degree
NET/SLET/GATE/ or Any
Other Qualifying Test
Other relevant
Qualifications
*Please attach attested copies of Certificates, Testimonials, and Degrees, etc.
14. Particulars of Employment:
Designation Employer Date of Date of Last Basic Reason for leaving
joining leaving Salary

*Please attach appointment letters and experience certificates

15. Any other Experience: ………………………………………………………………………………………………………………………………..
(Attach supporting document, if required)
16. List of publications: …………………………………………………………………………………………………………………………………...

S. No. Particulars Give total numbers only

1. Research papers in International referred journals
2. Research papers in National referred journals
3. Review articles in referred journals
4. Books (Published by Publishers)
5. Manuals (Published by Publishers/Institute)
6. Chapters in Books
7. Popular articles in magazine
8. Published in Proceedings / Extended Summaries

*Please attach complete list of publications (along with NAAS rating and Impact Factor)
Note: Impact Factor Preferably of Thomson Reuter Index Journal / UGC approved Journal

17. Seminars/Symposium/Conference/Training/Workshop Organized

Title of Seminars/ Symposium/ Give total numbers only Organized As Duration
Conference/Training/Workshop
From To

*Please attach complete list of Organized

18. Symposium/Conference/ Seminars/ Workshop/Training/ Attended
S. No Particulars Give total numbers only
International National
1. Conference
2. Symposium
3. Seminars
4. Training
5. Workshop
*Please attach as stated above

19. Paper/ Poster/Oral Presentation

S. No. Presented Place Give total numbers only

1. Paper
2. Poster
3. Oral
*Please attach as stated above
20. Special Achievement (Innovations - Technology development, Variety released, Patent, Prototype, Concept Methodology
highlight any other)
Category Title Year Details
(Attach Sheet if Needed)

*Please attach complete details wherever required

21. Externally funded Project(s)
Title of the Project Funding Agency Duration PI/Co-PI Amount (Rs.) in Lakhs

*Please attach complete details wherever required

22. Awards/Recognition/Fellowship received
Name of the Awarding Year International/National/Institutional/Award/
Award/Recognition/Fellowship Organization Fellowship/ Recognition / President/ Member

*Received during service based on contributions

23. Highest examination passed in Hindi/English: ………………………………………………………………………………………………......
24. Did you ever apply to this University previously?: ……………………………………………………………………………………………....

25. Approximate period required to be relieved from the present employer:

26. Name of two referees: (They should not be related to you, and should respond to enquires about character, intelligence, capacity etc.
Include the head of the educational institution and the present employer UNLESS copies of testimonials from them are attached)
A. Name:…………………………………..… B. Name:…………………………………….……...
Occupation:…………………………….... Occupation:……………………………………..….
Address:…………………………………. Address:.……………………………………..…….
Mob. No……………………………….…. Mob. No:……………………………………….…...

SELF DECLARATION
I hereby certify that entries in this application form and additional particulars furnished are truly and correctly stated. I understand that
whenever any of the facts stated above are found to be incorrect, my appointment is liable to be quashed. I certify that I have read
Terms and Conditions carefully.

Date and Place ---------------------------- Candidate’s Signature ---------------------------------------

Applicant Name ------------------------------------------------

27. Forwarding Note and “No Objection Certificate” of the employer with Seal.

Employer Remarks
(For in - Service Candidate)

The application Mr./Mrs./Ms./Er./Dr.---------------------------------------------------------------- is holding a Permanent / Temporary

post of---------------------------------------------------------in the pay scale of Rs------------------------------------------------------------------
from the period-----------------upto-----------------and his/her present basic pay is Rs.---------------------------------------per month.
Our Institution / organization has no objection for his / her application for the post of ----------------------------------- at your
University.
His/her application is forwarded and he / she will be relieved in case he / she is selected for the post applied for
--------------------------------------------------- Adv. Ref. ------------------------------- Dated -----------------------
Place: ----------------------

Signature
Name & Designation of the Authority
(With Official Seal)
 General Instructions to the Candidates

1. Please ensure to enter all your research publications and other Academic/Research contributions in the application.
Only the information entered in the applications will be taken into account for deciding eligibility / shortlisting. Filling all
mandatory fields is required to make your application Complete.
2. Incomplete applications will not be considered and will be REJECTED
3. Please note that sending the duly signed printout along with all enclosures is mandatory without which the
applications may not be considered for further processing. Mere eligibility will not entitle any candidate for being called
for interview. More stringent criteria may be applied for short-listing the candidates to be called for interview.
Applicants having higher qualification and merit will be given preference. Candidates must send self-attested copies of
certificates and mark-sheets from matriculation (10th Standard) onwards in support of their qualifications and reprints of
publications and certificates in support (for teaching positions or wherever required) along with the application form.
4. The eligibility of an application shall be determined in accordance with the UGC/ICAR/AICTE/NCTE/MCI/PCI Regulations
and its subsequent amendments and/or in accordance with the relevant regulations of concerned Regulatory bodies.
5. Mere eligibility will not entitle any candidate for being called for interview. More stringent criteria including holding written
test may be applied for short-listing the candidates to be called for interview. Applicants having higher qualification and
merit or higher marks in the written test will be given preference.
6. The University reserves the right to withdraw any advertised post(s) at any time without giving any reason. Any
consequential vacancies arising at the time of interview may also be filled up from the available candidates.
7. The University may, at its discretion, fill up any future vacancy out of the available candidates. The number of positions is
thus open to change. The University may relax/review the qualification/ experience and age limit at its discretion at any
stage and in case of candidates with exceptional merit.
8. In case of any inadvertent mistake in the process of selection which may be detected at any stage even after the issue of
appointment letter, the University reserves right to modify/withdraw/cancel any communication made to the candidate.
9. In case of any dispute/ambiguity that may occur in the process of selection, the decision of the University shall be final.
10. Applicants who are in employment should route their application through proper channel or should submit a "No
Objection Certificate" from the employer prior applying for the post, failing which they may not be considered further.
11. Canvassing in any form will be a disqualification.
12. Having fulfilled the essential qualifications will not entitle an applicant to be called for interview. Maximum number of
candidates called for interviews will be in ratio of 1:10 (vacancy: candidates) on merit prepared after scrutinizing.
13. An application form will be summarily rejected in the following events:
If a candidate submits more than one application form for a particular post.
If the application is not in the prescribed Proforma.
If the application is unsigned/incomplete.
If the experience certificate is without detail of salary per month received & not issued by competent authority.
If the application form is received in the University after the last date.
If a candidate does not possess the requisite academic qualifications on the last date.
14. No TA/DA shall be paid to the candidates for attending the interview.
Note: - The candidates who do not have NET or Any Other Qualifying Test and claim exemption from NET on the basis of
their Ph.D. Degree must submit a certificate issued by the concerned University (as per Norms Applied Presently)