BHASKARACHARYA COLLEGE OF APPLIED SCIENCES, (UNIVERSITY OF DELHI) SECTOR-2, DWARKA, NEW DELHI – 110075 Phone No.: 011-25087597, FAX No.: 011-25081015 Website: www.bcas.du.ac.in APPLICATION FOR THE POST OF ASSISTANT PROFESSOR (Only for Visually Handicapped) Demand Draft Details DD No. ___ ____ __ Department ________ ____ ___ Form No.: _ ____ Photo Date _ _____ _____ Bank ____ ____ ___ Name Father’s/Mother’s Name Date of Birth Age (As on Date of Advertisement) Category Nationality Gender Marital Status Postal Address Telephone/Mobile No. Email ID. Permanent Address Page 1 of 5 Points Claimed ………… Academic Qualifications Examinations Year of Passing Marks Percentage/ Grade Scale Main Subject/ Stream Board/ University College/ University/ Institution Points Graduation Post-Graduation M. Phil. Title of M. Phil: Ph.D./ Equivalent Degree Date of Registration Dept./University Board/University Date of submission Date of Award Points Exempted Points Title of Ph.D Whether qualified National Eligibility Test Conducted by UGC/CSIR/ any other agency approved by UGC NET JRF Subject Certificate No. Publication: Points Claimed ………… Research Paper/ Review of Article and books/ Conference Proceedings/ Book/ Chapter/ Edited Work/Translated published work etc. Title of the Book/ Publication (Author Publisher ISSN/ ISBN Refereed/ or Points Type Not Article/ Chapter/ Status) (City/ Research Paper etc. Author/ Country) Co-Author Note: Applicant may use separate sheet Page 2 of 5 Research Projects:Points Claimed ………… Title of the Project Nature of the Project Institution involved Duration Designation Remarks Points Other Details: Summary of Points (Out of 100): S. No. Criteria Maximum Points 1 Academic Qualification 55 2 Teaching Experience 20 3 Research Publication 25 Total Points 100 Points Obtained Note: Period of acquiring M.Phil. degree/residency period for pursuing Ph.D. degree/Part time Teaching/Guest lecturer/Contract position/Teaching Assistantship shall not be considered as Experience/Research Experience. [Each period of experience claimed mu st be supported by experience certificate issued by the employer]. Full Time Teaching Experience at recognized University/College/D epartment/Institution etc.: Points Claimed ………… S. No. Name of the University/ College/ Department/ Institution/ etc. Designation and Pay scale with Academic PB Nature of Appointment (Ad-hoc/ Temporary/ Permanent) Class Taught UnderPostGraduate Graduate Total Teaching Experience: Year ……… Month ……… Day ……… Page 3 of 5 Period From To Total Points: Points Present Employment details: Organization Name Position held Have you sought No Objection Certificate (NOC) from Present employment Institution Date of Appointment Present Status Yes/No Remarks Remarks Miscellaneous Information: Academic Awards/ Medals and distinctions Membership/Fellowship of Learned Bodies/Societies Literary, Cultural or other Activities (e.g. Attainment in sports etc.) in wh ich the Applicant is interested and distinction obtained Other Activities/Responsibilities (not covered above) Basic Computer Literary/Awareness Other details: Have you been punished debarred or punished for adopting unfair means in any examination by the Institution/College/Board/University? If so, Please specify: Have you at any time convicted by a court for any criminal offence? If so, Give Name of the Court, Case Number and offence: Were you at any time declared Medically unfit or asked to submit you resignation or discharged or dismissed? If Yes, Please furnish details: Page 4 of 5 Declaration: I hereby declare that information given by me in this application form is true to the best of my knowledge and belief in all respects. I understand that I shall be liable for furnishing wrong information in this application form. If any information is found to be incorrect, my candidature is liable to be cancelled and that I may be subject to legal/disciplinary proceedings. Place: ……………….. Signature of Candidate Date: ………………... [For the Candidates already employed] Forwarded with the remarks that the facts stated in the above application have been verified and found correct and this Institution/Organization has no objection to the candidature of the applicant being considered for the post applied for. Signature (Head of the Institution/Organization with seal) Designation ………………………… Address:……………………………. ……………………………………… ……………………………………… Page 5 of 5