Application Form For Academic Position


Download Application Form For Academic Position


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Sl.No._____

RASHTRIYA SANSKRIT VIDYAPEETHA
(Deemed to be University - Established under section 3 of UGC Act, 1956)
TIRUPATI – 517 507 (A.P.)
APPLICATION FORM FOR THE POST OF PROFESSOR/ASSOCIATE PROFESSOR

Latest Photograph (self attested)

(PART – A)

Application for the post of ___________________________________ Subject________________

Note : 1. The downloaded application form should be filled in English by the Candidate in his/her own handwriting. Along with the application form, a D.D. drawn on any nationalized bank in favor of the Registrar, Rashtriya Sanskrit Vidyapeetha, Tirupati for the prescribed amount is to be enclosed.
2. Self attested latest passport size photograph is to be affixed in the space provided and one additional photograph is to be attached in the application form.
3. Candidates should fill up both Part-A and Part-B of the downloaded application form. If the space provided is inadequate, information may be given in a separate sheet.
4. In-complete Application in any respect will not be entertained. 5. Candidate is required to mention the category along with the post.
Advertisement No. ________________________ dated ___________ D.D. No. _______________

Dated _____________________Amount _____________ Name of the Bank _______________________

(Candidates should write Name of the Post, Name of the Candidate, Address, & Mobile No. on the backside of Bank Draft.)

FOR OFFICE USE ONLY

REGN. No.

Scrutiny Committee Recommendations :

Name of the Candidate : Eligible / Not Eligible :

Date:

Member

Member

Member

Scrutiny Committee

Chairman

1. Full Name (In block letters)

:

___________________________________________

2. Father’s Name

:

___________________________________________

3. Mother’s Name

:

___________________________________________

4. Date of Birth

:

___________________

(As per X class/H.S.C. certificate or its equivalent)

Age in Years:_______

- :2 :-

5. Gender

:

Male / Female

6. Category

:

SC ST OBC

PwD EWS Gen.

7. Whether Physically Challenged, if yes :

VH

HH

OH

(Please tick )

(In case of SC/ST/ OBC/EWS, a valid certificate in support thereof fro m the co mpetent authority should be enclosed. In case

of Person With Disability-Category of Disability to be mentioned and Certificate in support thereof from Medical Board or

Co mpetent Authority should be enclosed.)

8. Place of Birth 9. Nationality

:

__________________________________________

(Please mention name of the Village/District, State)

:

__________________________________________

10. Mother Tongue

:

_________________________________________

11. Marital Status

:

Married/Unmarried/Widowed/Separated/Divorced

12. In case of married women,

Name of Husband

:

13. Languages known

1. Speak

:

2. Read

:

3. Write

:

14. Permanent Address

:

(with Pin code)

15. Address for Correspondence

:

(with Pin code)

16. Contact Telephone/Mobile Number :

17. Email ID

:

_________________________________________
_________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ ________________________________________ ________________________________________

- :3 :-

18. Educational Q ualifications

:

(Examinations passed from Matriculation/Higher Secondary onwards to Doctorate Degree etc., as on date of

advertisement with full and e xact details must be given. Self Attested true copies should be attached to this application)

Examination/ Degree Passed

Name of the Board/ Uni versity

Year of Pas s ing

Di vision/ Gr ade

% of Marks obtained in aggregate (upto deci mal of two
dig its .)

Subjects Taken

Re mark s , if any

High School/ X Class/HSC or its equivalent

Intermediate/Higher Secondary examination/ Prak Sastri or its equivalent

Graduation (B.A/Sastri or its equivalent)

Post Graduation (M.A/Acharya or its equivalent)

M.Phil/

Visishtacharya

Siksha Sastri

(B.Ed.,)

Siksha Acharya (M.Ed.,)

Any other Degree(s) / Diploma(s)

NET

examination

(CSIR/UGC /ICAR)

Ph.D.*/

Vidyavaridhi*

Any other Qualification

* To be mentioned ‘Y’ in the remarks column if Ph.D. Degree is in accordance with the UGC (M inimu m sta ndards procedure for Award of M.Phil/Ph.D. Degree) Regulat ions, 2009 or 2016 otherwise ‘N’.

Specialization in Graduation Specialization in Post Graduation Title of Ph.D. and or D.Litt.

:

________________________________________

:

________________________________________

:

________________________________________

________________________________________

- :4 :-

19. Teaching Experience

:

(Enclose separate sheet if necessary)

S.No.

Organis ation

Period of Service

From

To

Scale of Pay

Designation Subjects taught

Total Years of Teaching Experience : __________________________

At Degree Level

: ___________________________

At PG Level

: ___________________________

Post Doctoral Research before appointment: From ____________To ____________

Name of the College/University/Research Institute:__________________________

20 (A) Research Experience

:

M.Ed./

S.

Name of Research

M.Phil./

No. Scholar guided/guiding Ph.D.

Topic of research

Ye ar

Submitted thesis / Under guidance

a. Number of M.Phil Research Students guided :

b. Number of Ph.D. Research students guided

:

__________________________ __________________________

- :5 :-

(B) Research Projects completed/under going

:

S.

Topic of Research

No.

Organisation

Duration Completed/ unde rgoing

21. Publications

:

(Separate sheet may be added if necessary)

a. Books (Authored/Edited):

S.

Name of the Book

No.

Publis her

ISBN No.

Year

Total Number of Book(s) published : __________________________

b. Research Papers :

Title of the Book

Name of the Author

- :6 :-

Name of the Journal

Pu blis her

ISSN No.

Volume No.

Page No .(s )

Year

Total Number of Research Paper(s) published in India : _________________ In abroad:_________________

22. Seminars / Workshops / Conferences Attended/Organised : (Separate Sheet may be added)

S. Name of the Seminar/

Period

No Workshop / Confe rence From To

Topic

Organization

- :7 :-

23. Refresher Course/Orientation Programme Attended

S.

Name of the Organisation

No

:

Duration

From

To

Attended as Resource Person/Participant

24. Membership of Academic Bodies

:

S.

Name of the Body

No.

Position held

25. Visiting of Foreign Countries : S. Name of the Country No.

Purpose of Visit

Duration

- : 8: -

26. Present Position

Post with details of organization

Date of Appointment
in the present post

:

Present Grade

Basic Pay

Total Emolume nts

Nature of Job

Date of next incre ment

27. Positions held before joining the present post :

Name of the Post

Name and address of employer

Appointment Date

Leaving Date

Grade

Nature of Job

Reasons for leaving the
post

28 (a) Total Job experience in years

: ______________

(b) Job experience in years as per requirement of the post

: ______________

(c) Whether M.Phil and/or Ph.D. completed through Regular/Part-time basis (if part-time basis then mention No. of years spent for the same clearly)

: _______________

29. Give details of any other work/achievement relevant to the post applied for:________________

- : 9: -
30. Conditions for acceptance, if offered the job:_________________________________________ 31. Time needed to join the service, if selected:___________________________________________ 32. Other particulars, if any: __________________________________________________________
33. Any other relevant information : (Attach Sheet if necessary)

34. References

:

1. ____________________________________________

____________________________________________

2. ____________________________________________ ____________________________________________

35. A brief note on account of eligibility : for the post (100 words)

(Signature of the applicant) Name of the applicant: _____________________________

- : 10: -

DECLARATION

I hereby declare that: (1) the entries made in this application form are true and correct to the best of my knowledge and belief. If any part of the information given is found to be false or incorrect, I shall forfeit the claim to the post and will be liable to the disciplinary action.

(2) I have not been convicted by a Court of Law for any offence.

(3) I have not indulged in any of the acts of misconduct such as participating in Gherao of any educational authority, whether academic or administrative, manhandling or abusing such authority or damaging any building or other property.

(4) I shall abide by the ordinance, statutes, rules and regulations that may be made by the Rashtriya Sanskrit Vidyapeetha, Tirupati.

Place: ___________________

Date: _____ / ______/ ______

(Signature of the applicant) Name of the applicant: _____________________________

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Application Form For Academic Position