Professional Documents
Culture Documents
Website: www.tripurauniv.in
______________________
______________________
Post Code :
Department ___________________________________________________________________________
______________________
Affix Passport
Size
Photograph
12. Academic qualification (10th standard Board Examinations onwards), Please attach self-attested
copies of Mark-sheet/ Certificates):
Sl.
Examination Passed
Division
Subjects
Year of
Board/University Distinction
No.
with % of
passing
achieved if
Marks
any
1.
2.
3.
4.
5.
6.
Ph.D.
D.Sc./D.Litt.
Yes / No
Yes / No
*Status of Institute /
University
Post Held
Pay Scale
Basic
Pay
Period of
Employment
Nature of
duties/ work
*Govt./Quasi Govt./Autonomous/Private
15. Whether qualified UGC NET/SET, if yes, please state the details:
Subject:
Registration No.:
Year of Passing:
16. Research experience excluding years spent as a teacher or doing M.Phil/Ph.D. (in years):
From
To
(i) ____________________________________________________________________
(ii) ___________________________________________________________________
20. Have you ever been dismissed from service? : Yes / No
(b)
(c)
(d)
(e)
(f)
(g)
(h)
(i)
(j)
10
11
Annexure-I
TRIPURA UNIVERSITY
(A Central University)
Self-assessment for the Performance Based Appraisal System (PBAS) for the post of
Professor & Associate Professor (to be filled by the applicant for direct recruitment)
3. Department
Telephone No:
E-mail:
8. Whether Staff College Orientation/ Refresher Course attended during the year:
9. Academic Staff College Orientation/ Refresher Course attended during the year:
Name of the Course/
Summer School
Place
Duration
Sponsoring Agency
Whether
First
Author:
Yes/ No
Number of
Co-Author(s)
Whether
Corresponding
Author:
Yes/ No
Name of the
Journal,
Vol., Year
& Pp (National /
International)
Impact
Factor as
on 2014
API score
claimed*
ISBN/ISSN
API score
claimed*
Whether
First Author:
Yes/ No
Whether
Corresponding
Author:
Yes/ No
Number of
Co-Author(s)
Name of the
Journal,
Vol., Year
& Pp (National /
International)
Whether
First
Author:
Yes/ No
Whether
Correspon
ding
Author:
Yes/ No
Number of
CoAuthor(s)
Name of the
programme
Organizer
& Venue
Date
ISBN/
ISSN, if
any
API score
claimed *
*Note: API score shall be calculated as per weightage prescribed in the UGC Regulations, 2010 and
as amended in 2013.
Number of Authors
Name of the
Publisher/Month
/Year
ISBN/ISSN
API score
claimed**
2. Subject books published by National level publishers/State and Central Govt. publications
with ISBN/ISSN number:
Title of the
Book
Number of Authors
Name of the
Publisher/Month
/Year
ISBN/ISSN
API score
claimed**
Number of Authors
Name of the
Publisher/Month
/Year
ISBN/ISSN
API score
claimed**
**Note: For a book by more than one author, the API score shall be distributed among the authors
equally.
Total of III. B (III. B1 + III. B2+ III. B3):
14
Title
Funding Agency/
Organization
Period
Grant Period /
Amount Mobilized
(Rs. Lakh)
API Score
claimed
Title
Funding
Agency/
Organization
Period
Grant Period/
Amount
Mobilized
(Rs. Lakh)
Whether
policy
document/
patent as
outcome
API Score
claimed
Degree Awarded
API Score
claimed
Number
Enrolled
Thesis submitted
M. Phil or equivalent
Ph.D. or equivalent
Total API score (III.D) :
Total of III. D :
Name of the
programme
Duration of the
programme
Organized by
Level: National/
International
API
claimed
score
15
Title of
Paper
presented
Title of
Conference/
Seminar etc.
with date
Organized by
Level:
College or University
/Regional/State/
National/International
API score
claimed
Title of
Lecture
Title of Conference/
Seminar etc. with
date
Organized by
Level:
National/
International
API
claimed
score
Note I The API score for papers 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)(3) and not under presentation III(C).
Note II
1. 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 teachers, 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.
2. The parameters listed in table of Category-III (Research and Academic contributions) shall have
following capping in relation to the total API score claimed by the candidates as amended in UGC
Regulations, 2013:
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Particulars
III (A)
III (B)
III (C)
III (D)
III (E)
Capping in relation
to total API Score
claimed
API Score on
verification for
IQAC Office
30%
25%
20%
10%
15%
100%
Declaration
I certify that the foregoing information is correct and complete to the best of my knowledge and
belief. If any of the information furnished by me is found to be incorrect or false at any point of
time, my candidature shall stand cancelled.
Place: _____________________________________
Date:
17
List of enclosures: (Please attach, self-attested copies of certificates, sanction orders, papers etc. wherever
necessary)
1
10
I certify that the information provided is correct as per records available with the university and / or
documents enclosed alongwith the duty filled PBAS proforma.
Place:
Date:
with designation
Signature of HOD/School
Chairperson/ Principal
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