CONFIDENTIAL

INSTITUTE OF MANAGEMENT STUDIES,

DEHRADUN

ANNUAL CONFIDENTIAL REPORT OF FACULTY

MEMBERS
(Professors/ Asstt. Professors/ Sr. Lecturer/ Lecturer
Covering period (01/01/2010 to 31/12/2010)
PART-I Personal Data and Responsibilities.
(To be filled by the Registrar Office)
1. Name :
2. Date of :
Birth
3. Designation :
[Present]
4. Department :
[Mgmt. / IT / Mass
Comm.]
5. Date of :
Joining
6. Status & : (Confirmed / Probation/ Adhoc)
period of
probation [if
any]
7. Salary at the :
time of joining
8. Salary Scale :
& Grade
[Present]
9. Date of last :
promotion to
present grade
1 Increm Da Basic DP DA HRA CCA Allowan Total
0. ents te ces

1 Present : Basic DP DA HRA CCA Allowan Total

1 Salary ces

1 Leaves taken : Jan Fe Ma Ap Ma Ju Jul Au Se Oc No De Tot

during the year
2 . b. r. r. y n. . g. p. t. v. c. al
Earned
Leave
Casual Leave
Academic
Leave
Medical
leave
Vacation
Leave
Marriage
Leave
LWP
Total
1
 CONFIDENTIAL

1 Appreciation :
3 letters
received
during the
year from
Head of the
Institution/
Management
1 Disciplinary :
4. action /
warning
letters issued
against the
staff.
1 Summary of :
5. feedback
from
students.

Date: ____/____/____
(Signature)
Na
me

PART – II Personal Details and Self Appraisal

(To be filled by the reporting Faculty Member)

A. Personal Details
Permanent Address House Locality /
[Home Town] no. Street:
City District
State Pin Code
Contact numbers [Home Home Phone: Std Code: No.:
Town] Mobile:
Present Address [in House no.
Dehradun] Locality / Street:

Contact numbers [in Home Phone:

Dehradun] Mobile:

Email ID: IMS Email ID:

Personal Email ID:
Passport Details: Passport No.:
Date of Issue:
Date of expiry:
Place of issue:
EPF A/c No.
PF Nominee: Relationship:
PAN No.

FAMILY DATA:
Relation Name Age Educatio Occupation
n
Father
Mother
Husband/
2
 CONFIDENTIAL

Wife
Child 1
Child 2
Child 3

ACADEMIC QUALIFICATION (CLASS XTH ONWARDS)

Name of Year Full Time/
Name of Name of
S.N Course/ of Part Time / Specializati
Institute/ Universit Div. %
O Diploma/ Passi Correspond on/
College y
Degree ng ence Subjects
Cla
ss X
Cla
ss
XII

Gra
d.

Pos
t.
Gra
d.
M.
Phil
/Ph.
D.

Signature of the Faculty member __________________

PROFESSIONAL TRAINING (CERTIFICATE/ DIPLOMA/ DEGREE

PROGRAMS)
TRAINING SUBJECT/
S.N NATURE OF
DURATION PERIOD ORGANIZATI AREA OF
O TRAINING
ON TRAINING
1

2
3
4

UGC-CSIR NET CLEARED: YES / NO JUNE / DECEMBER

YEAR __________
GATE SCORE: PERCENTILE
(IF APPLICABLE)

CURRENT STATUS OF YOUR Ph. D. DEGREE [if not already Ph. D.]
Whether enrolled for Ph. D. or not Yes No

If Name of the University

Yes,
Name of the Supervisor
Date of Registration
Date of approval of
Synopsis
3
 CONFIDENTIAL

Likely date of submission

of Thesis

ACADEMIC/ INDUSTRIAL EXPERIENCE (in reverse order, including

experience of IMS, Dehradun)
Name of the Period Last Salary Drawn
Organizatio No. Specializat
Designa ion / Basi DP DA HR CC Other Tot
n & its
Fro of Functional
Location tion To c A A
Allowan
al
m year Area ces

[City] s
IMS,
Dehradun

Signature of the Faculty member __________________

B. Self-Appraisal (Please give specific details only)
1 Key items of the Duties & : 1.Core teaching (focus on practical
. Responsibilities of the approach) and special attention to weaker
post in order of student
importance. 2.Assisting student in IT –based
projects(MCA 5 & BSc-IT)
3.Delieveing aptitude skills interview
4.Internal project guide and
examiner(practical) and external paper
evaluator
5.Sports coordinator
6.Class coordinator
7.Commete members of sports and cultural
event
2 Academic & Professional : 1.
. Achievements during the
year, including Degree
obtained Research work,

4
 CONFIDENTIAL

Books/ Papers / Articles

published etc.

3 The Training programmes : Attended Microsoft virtual class for sql

. / Seminars/ Conferences/ Server 2008 and .net 2008 New Delhi(a
Workshops attended New technology)
during the reporting year.

4 The Training programmes : Attended 1.Seminar on global Recession

. / Seminars/ Conferences/ and Indian economy(seminor hall IMS)
Workshops conducted in 2. Guest lecture by Col
the Institution during the pharsi(Communication & leadership)
reporting year. 3.Co-ordinaling H>P Seminar .net
presentation for BCA/BSc-IT student/MCA

5 Brief resume of : Inculcate practical knowledge of the subject

. Innovative approach or by giving real world example from the
any special achievements industry to be always in touch with the
etc during the reported market(IT) and developing,role plays,PPT
period. ,creative exercise and tricks to face
interviews.

6 Your contribution to : 1.Started practical based knowledge to PG

. enhance the quality of & UG students using innovative and new
teaching and build up methods to enhance the quality of teaching
image of the organization and easy understanding of concept with the
and reflect sense of help of audio/video Aids and case studies.
belonging.

7 Responsibilities taken in : 1.Internal project guide for MCA-5 and

. the institution besides practical examiner in webtech and .net
teaching. 2.Maintaining discipline in the campus\
3.Motivate students to realize their potential
to increase managerial and technological
skill and ensure their all round
development.

8 Involvement in student : 1.Event Co-oridinator sports fest 2009 IMS

. activities (Cultural, (volley Ball)
Sports, Tours & 2.Group leader kavi samelan 2009
Excursions etc.). 3.Personal assistance to sports coordinator
and cultural coordinator.

Signature of the Faculty member __________________

5
 CONFIDENTIAL

9. Subjects taught at IMS, Dehradun [January 2010 to December

2010].
Even Semester [January to June Odd Semester [July to
2010] December 2010]
Class Subj Subj L T P Subj Subj L T P
ect ect ect ect
Code Code

10. Results [Academic Session 2009 – 2010]

a) Sessional result
S. Date of Subject Cod Appea Pas Pas Pass High Lowe Remarks
Session with est st
No. e red s s
al Test distinc mark mark
% tion s s
Odd Semester [July 2009 to December 2009]
1
2
3
4
5
6
Even Semester [January to June 2010]
1
2
3
4
5
6

Signature of the Faculty member

__________________

b) University examination result [without adding internal marks]

S. Date Subject Cod Appea Pas Pas Pass High Lowe Remarks
with est st
No. of e red s s
distinc mark mark
Univ. % tion s s
Exam.
Odd Semester [July 2009 to December 2009]
1
2
3
4
5
6
Even Semester [January to June 2010]
6
 CONFIDENTIAL

1
2
3
4
5
6

Any other suggestions/ remarks/ requests / future career plans may be

given in 50 words.

Date: ____/____/______ (Signature)

Faculty Name:
__________________

PART – III Assessment by HODs in Case of Sr. Lecturer /

Lecturer

1. Does the HOD agree with all that :

(a) is reported under part – II by the
faculty member? If not,
enumerate precisely the extent of
disagreement with reasons
thereof.

(b) General comments on the results :

achieved and the Quality of
Performance and Application of
Knowledge, Delegated Authority
and Conceptual and professional
skills on the job.

(c) Comment on the following :

attributes of the faculty member
in relation to his / her
performance.
(i) Academic competence

7
 CONFIDENTIAL

(ii) Classroom Organization &

Control
(iii)Feedback of the students
(iv) Punctuality &
absenteeism

2. Intelligence & Understanding :

3. Zeal, Diligence & Sense of :

responsibility

4. Punctuality in Attendance :

5. Honesty & Integrity :

6. Other observations (This space :

may be utilized for mentioning
specific points such as special
accomplishments during the
period and any other aspect not
covered in the proforma given
above which the Reporting Officer
considers worth mentioning)

7. How do you grade him/ her for

his/ her overall performance
during the period under report
assigning one of the following
appropriate grading?
a. Outstanding
b. Very good
c. Good
d. Average
e. Below Average

Date: ____/____/______ (Signature)

Name (in block letters):
_______________
Designation: ______________

PART – IV Review by the Dean

1. Length of Service under the :

Dean
2. Does the Dean agree with the :
remarks of the reporting
Faculty in Part II and remarks
8
 CONFIDENTIAL

of HOD in Part III? If not

indicate reasons for
disagreement.

3. Aptitude & potentials of the :

faculty member reported upon.

4. General Remarks :
(Strong & weak-points of the
faculty member reported upon
covering his/ her personality,
initiative, resourcefulness and
devotion to-duty etc).

5. Overall grading assigning any of :

the following grades based on
overall performance and
personally reflection during the
period under report.
a. Outstanding
b. Excellent
c. Very good
d. Good
e. Average
f. Below Average
6. Any other observations for the faculty member reported upon

Date: ____/____/______ (Signature of the

Dean)
Name:
___________________

9
 CONFIDENTIAL

PART – V Remarks by the Head of the Institution

(Director)
1. Length of Service under the :
reviewing Officer
2. Does the Reviewing Officer :
fully agree with the remarks of
the HOD in Part – III and
remarks of Dean in Part IV of
the proforma? If not indicate
reasons for disagreement.
3. Aptitude & potentials of the :
faculty member reported upon.

4. General Remarks :
(Strong & weak-points of the
faculty member reported upon
covering his/ her personality,
initiative, resourcefulness and
devotion to-duty etc as
assessed by Reviewing Officer).
5. Overall grading assigning any of the following grades based on overall
performance and personally reflection during the period under report.
a. Outstanding
b. Excellent
c. Very good
d. Good
e. Average
f. Below Average
6. Recommendation for
(i) Undergraduate / Post Graduate course
(ii) Department : Management / IT / Mass Communication
(iii) Course _________________________________
(iv) Specialization _______________________________

Date: ____/____/______ (Signature of the

Director)
Name:
___________________

10
 CONFIDENTIAL

On the basis of the observations of the Reviewing Officer, the Faculty is placed
in following Grade / Designation

Designation:
Status: Confirmed / Probation /
Ad hoc
Basic salary:
DP:
DA:
HRA:
CCA:
Other Allowances: 1
) (SECRETARY)
2 IMS SOCIETY
) Date: _________
EPF Employer’s
contribution:
Gross Salary

11