ewY; 500@& :

:-- ek= ¼udn½ iathdj.k la- ------------------------------------

vtk@vttk gsrq ewY; 250@& :-
:- ek= ¼dk;kZy; iz;ksx ds fy;s@For office use only½

egf"kZ n;kuUn ljLorh fo'ofo|ky;] vtesj

MAHARSHI DAYANAND SARASWATI UNIVERSITY, AJMER.

'kSf{kd inksa dh fu;qfDr ds fy, vkosnu&i=

APPLICATION FORM FOR TEACHING POSTS

¼vH;kFkhZ }kjk Lo;a Hkjk tk;@To

tk;@ be filled in by the candidate in his/her own handwriting½½

I. vkosfnr in dk uke-------------------------------------------------------------------------------------------------------------------------------------------
uke ------------------------------------------------------------------------------------------------------------------------------------------
Name of the Post Applied for........................................................................ Photo with
Signature
II. foKkiu la- -------------------------------------------------------foKkiu
-------------------------------------------------------foKkiu dh frfFk-------------------------------------------------------------------
frfFk-------------------------------------------------------------------
Adv.No.......................................Adv. Date...................................................
III. foKkiu esa in dk Øekad-----------------------------------------------------------------------------------------------------------------------------------
Sl.No. in Advertisement of the post applied for...........................................
IV. vkosnu 'kqYd jkf'k :i;s --------------- jlhn la[;k -----------------------------------fnuka
-----------------------------------fnukad----------------------------------------
Application Fee Rs........... Receipt No.........................Dated.......................
________________________________________________________________________________
1. iwjk uke ¼Li"V 'kCnksa esa½ ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Name in full (In Block Letters)................................................................................................
________________________________________________________________________________

2. irk ¼Li"V 'kCnksa esa½ ¼i½½ i= O;ogkj ds fy,@For

fy,@ Communication (ii) LFkkbZ@Permanent
Address(In Block Letters) --------------------------------- ------------------------------
--------------------------------- ------------------------------
--------------------------------- ------------------------------
nwjHkk"k la[;k@Tel.No.If
;k@ any --------------------------------- ------------------------------
________________________________________________________________________________
3. vk;q dk fooj.k@ ¼i½½ tUe fnukad@Date
@ of Birth: ------------------------------

Particulars of Age (ii) vk;q¼ vkosnu izkfIr dh vafre frfFk dks ½

¼Age on last date of receipt ¼esfVªD;wys'ku vFkok led{k izek.k i= ds vuqlkj½
of Application½½ o"kZ@Year.......................ekg@ ekg@Months........................
ekg@
(As per Matriculation or
equivalent Certificate) (iii) tUe dk LFkkuLFkku---------------------------------
---------------------------------(iv)
--------------------------------- jkT; --------------------------------------------------------
--------------------------------------------------------

Place of Birth..........................State.........................................
________________________________________________________________________________
 2

4- firk@ifr dk uke -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Father's/Husband's Name .......................................................................................................

5- D;k vki vuqlwfpr tkfr@vuqlwfpr tutkfr@vU; fiNM+k oxZ@HkwriwoZ lSfud@'kkjhfjd :i ls fodykax oxZ ls
lacaf/kr gSa\¼;fn ^^gk¡^^ rks oxZ dk uke fy[ksa vkSj ftyk eftLVsªV@rglhynkj ;k lacaf/kr l{ke vf/kdkjh ls izkIr
izek.k i= layXu djsa½ gk¡@ugha
Do you belong to SC/ST/OBC/Ex. Service man/ PH category? (If "Yes" mention and attach
certificate from District Magistrate/Tehsildar or the concerned Competent Authority)
Yes/No

6. D;k vki bl le; ljdkj vFkok vU; laLFkku esa deZpkjh gSa\ ¼;fn ^^gk¡^^ rks crk,a fd vkidh fu;qfDr vLFkkbZ
vFkok LFkkbZ gSA vius fu;ksDrk dk iwjk irk fy[ksa½
Are you a Government Servant or servicing in any other Institution at present? (If so, State
whether your appointment is temporary or permanent with full address of your employer)

......................................................................................................................................................

.....................................................................................................................................................

7. D;k vki egf"kZ n;kuUn ljLorh fo'ofo|ky;] vtesj ds deZpkjh gS\ gk¡@ugha
Are you an employee of Maharshi Dayanand Saraswati University, Ajmer ? Yes/No

8- ;ksX;rk ,oa vuqHko dk C;kSjk / PARTICULARS OF QUALIFICATION AND EXPERIECNE

(vuqlayXu/Annexure) ;fn txg de gS rks vyx ls dkxt dk iz;ksx dj ldrs gSaA vkosnd viuh ;ksX;rk ,oa
vuqHkkx ds leFkZu esa izek.k&i= ,oa vuq'kalki=ksa dh vuqizekf.kr izfr;k¡ vo'; layXu djsa] ftuds u gksus ij
vkosnu&i= vLohd`r fd;k tk ldrk gSA
(If space is insufficient, a separate sheet can be used. Attested copies of certificate and
testimonials in support of the qualification and experience mentioned should invariably by
attached, failing which the application is liable for rejection)

9. vkosfnr in ls lacaf/kr vU; dksbZ tkudkjh/Any other information relevant to the post applied for

......................................................................................................................................................

......................................................................................................................................................

eSa ,rn~}kjk ?kks"k.kk djrk@djrh gwWa fd bl izi= esa nh xbZ izfof"V;k¡ vkSj izLrqr fd;k x;k vU; fooj.k¼;fn dksbZ
gks ½ esjh loksZRre tkudkjh vkSj fo'okl ds vuqlkj lgh ,oa lR; gS vkSj blesa dksbZ ckr xqIr ugha j[kh xbZ gSA
I hereby declare that the entries in this form and additional particulars(If any)furnished in
connection with the application are correct and true to the best of my knowledge & belief and
nothing has been concealed therein.

LFkku@Place ................................
fnukad@Date................................. vkosnd ds gLrk{kj@Signature
gLrk{kj@ of Applicant

layXu@Encl...................................

lwph layXu djsa ¼Enclose the list½

 3

vxzs"k.k@FORWARDING
k.k@
Jh -------------------------------------------------------------------------------------tks----------------------------------------------------------------------------------------------------------------------------esa
in----------------------------------------------------------------------------------- ij fnukad-------------------------------------------------------------ls vLFkkbZ@ifjoh{kk@laLFkkbZ :i ls
osrueku :i;s ---------------------------------------------------------------esa dk;Zjr gS vkSj dqy ekfld osru :i;s---------------------------izkIr dj jgs gSa] }kjk
izLrqr vkosnu i= bl mYys[k ds lkFk vxzsf"kr fd;k tkrk
gS fd vkosfnr in ij budk p;u gks tkrk gS rks fu;ekuqlkj bUgsa dk;ZeqDr dj fn;k tk;sxkA
The application form for the post of................................................................submitted by Shri
..............................................................who is working in .........................................................on the
post of ..................................................on temporary / probation / substantive basis in the payscale of
Rs.......................................... and is getting Rs......................as total monthly pay, is forwarded
herewith. In case he is selected on the post applied for, he will be relieved as per rules.

la0@No...................................
LFkku@Place............................. gLrk{kj@Signature..................................................
fnukad@Date............................ inuke e; lhy@Designation with seal...................
 4
(i) ;ksX;rk,¡@QUALIFICATIONS)

'kS{kf.kd@rduhd
kf.kd @rduhdh@fo'ks
@rduhd h@fo'ks"kKrk xzsM@Js.kh izkIr fd, x, mRrh.kZ fo'ofo|ky;@cksMZ dk uke@Name of University/ Board
ds lkFk mÙkh.k
mÙkh.kZ
.kZ dh xbZ Grade/ vad ksa dk djus dk
ijh{kk,¡@fo"k;¼mPprj ls Div. izfr'kr o"kZ@
fuEurj½ % of Year of
Educational/Technical/Pr Marks/ Passing
ofessional Exams.Passed Gragde
with specialization/ obtained
subject(higher to lower)

(ii) fo'ofo|ky;@jk"Vªh; Lrj ds laLFkku esa v/;kiu dk vuqHko@ Experience of postgraduate teaching in the
University/National level institutes :-

fo'ofo|ky;@jk"Vªh; Lrj ds laLFkku dk inuke/Designation

inuke vkosnu i= izkfIr dh vfUre frfFk rd vof/k Pay & Pay
uke Name of the Period on last date of receipt of scale
University/National level application
Institute frfFk / Date lsokdky/
kdky Length
ls /From rd /To o"kZ /Year ekg
/Month

vkosnd ds gLrk{kj@Signature of Applicant

 5

(iii). Performance Based Appraisal System ds vk/kkj ij Academic Performance Indicator (API) ds vftZr
vad

S.No. Nature of Activity No. of Allocation Undertaken Percentage

1. Lectures, seminars, tutorials, practicals, contact hours
undertaken taken as percentage of lectures allocated
2. Lectures or other teaching duties in excess of the UGC
norms
3. Preparation and Imparting of knowledge/instruction as per
curriculum; syllabus enrichment by providing additional
resources to students
4. Use of participatory and innovative teaching-learning
methodologies; updating of subject content, course
improvement etc.
5. Examination duties (Invigilation; question paper setting,
evaluation/assessment of answer scripts) as per allotment.
Total Sore
Minimum API Score Required

(iv). Research Papers published in

(a). Refereed Journals ..................

(b) Non-refereed but recognized and reputable Journals and ..................

periodicals, having ISBN/ISSN numbers.

(c). Conference proceedings as full papers, etc. (Abstracts not ..................

to be included).

(v). Research Publications (books, chapters in books, other than refereed journal articles)

(a). Text or Reference Books Published by International Publishers . ..................

with an established peer review system (Summery enclosed)

(b). Subject Books by national level publishers/State and Central Govt. ..................
Publications with ISBN/ISSN numbers (Summery enclosed)

(c). Chapters contributed to edited knowledge based volumes published ..................

by International Publishers (Details enclosed).

(d). Chapters in knowledge based volumes in Indian/National level ..................

publishers with ISBN/ISSN numbers and with numbers of
national and international directories (Details enclosed).

vkosnd ds gLrk{kj@Signature of Applicant

 6

(vi). Research Projects (Sponsored Projects carried out/ongoing)

(a). Major Projects amount mobilized with grants above 5.0 lakhs ..................
(Incase of Science faculty above 30.0 lakhs)

(b). Major Projects Amount mobilized with minimum of Rs. 3.00 ..................
lakhs up to Rs. 5.00 lakhs (Incase of Science faculty above
5.00 lakhs up to 30.0 lakhs)

(c) Minor Projects (Amount mobilized with grants above Rs.25,000 ..................
up to Rs. 3.00 lakh) (Incase of Science faculty above Rs. 50,000
upto 5.00 lakhs)

(vii). (a) Consultancy Projects carried out/ongoing

(Amount mobilized with minimum of Rs. 2.0 lakhs) ..................

(b). Completed projects Quality Evaluation ..................

Completed project report (Accepted for funding agency)

(c) Projects Outcome/Outputs ..................

Major Policy document of Govt. Bodies at Central and State level
(Incase of Science faculty Patent/Technology transfer/Product/Process)

(viii). Research Guidance

(a) M.Phil-Degree awarded only. ..................

(b) Ph.D.-(1) Degree awarded ..................

(2) Thesis submitted ..................

(ix). Training Courses and Conference/Seminar/Workshop Papers

Refresher courses Methodology workshops, Training, Teaching-Learning-
Evaluation Technology Programmes, Soft Skills development Programmes,
Faculty Development Programmes (Max: 30 points)

(a) Not less than two weeks duration .............

(b) One week duration ............

vkosnd ds gLrk{kj@Signature of Applicant

 7

(x). Papers in Conferences/Seminars/workshops etc.

Participation and Presentation of research papers
(oral/poster) in

(a). International conference ..................

(b). National ..................

(c). Regional/State level ..................

(d). Local-University/College level ..................

(xi). Invited lectures or presentations for conferences/symposia

(a). International (Enclosed Details) ..................

(b) National level (Enclosed Details) ..................

vkosnd ds gLrk{kj@Signature of Applicant