Apllication Form for VH

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
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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
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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 ………
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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:
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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:…………………………….
………………………………………
………………………………………
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