Annexure-I

Punjab Engineering College, Chandigarh

(Deemed to be University)

Application Proforma for Faculty Positions on 3-year Contractual Basis

(To be Typed by the candidate)

Reference No. …………………..

(for office use only)

Post Applied for:___________________________, Category

(UR/SC/OBC):____________ Paste Self-
attested Recent
Department: Passport size
_______________________________________________________________ Colored
Photograph
Notification Reference No. ________________________ Dated:
_____________________

GENERAL INFORMATION AND ACADEMIC BACKGROUND

Sr. Particulars Details
No.
1. Name (in Block Letters):
2. Father’s Name:
3. Date of Birth:
4. Gender: Male/Female
5. The category you belong to: UR/SC/OBC
6. (a). Whether GATE/NET/CEED/GPAT qualified:
(b). If yes, please provide details
7. Marital Status:
8. Area of specialization:
9. Current area of Research:
10. Address for Correspondence:

Telephone No.:
Mobile No.:
E-mail:

11. Academic Qualifications (Matric till Graduation):

Examinations Name of the Specialization Name of the Year of CGPA/

Degree Board/ Passing Percentage of
University Marks Obtained
Higher School/ Matric/
Secondary
Intermediate/ Sr.
Secondary
Graduation Degree

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 Post-Graduation Degree
Other examinations, if any

12. Research Degree(s):

Degree Title of research work Date of Degree Award Institute/University

Ph.D.

13. Present Employment Details:

Institute Designatio Essential Nature of Nature Pay- Date of Total
qualifications for the appointment of Scale Joining Duration
n
post at the time of (Regular/ Fixed Duties Y M D
appointment term/Temporar
y / Contractual)

14. Previous Employment Details: (in chronological order)

Institute Designation Essential Nature of Natur Pay- Date Total Reason
qualifications appointment e of Scale Duration of
for the post at (Regular/ Duties Fro to Y M D Leaving
the time of Fixed term/ m
appointment Temporary /
Contractual)

15. Total Work Experience (till date): ________Years ___________Months

16. Academic Achievements: (Add new row for any additional information)

(A) Published Research Papers

Sr. Title with Page Nos., Vol. Name of Whether SCIE/SSCI/ Impact *Score Claimed
No No. and Date of Journal AHCI/ ABDC factor, if by the applicant
Publication indexed journals any

1.

2.

3.

4.
(*for calculation of score, please see Table-III or IV (as applicable) given in the Brochure)

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(B) Publications (other than Research papers)

(i) Books Published as Single Author or Co-Author/ Editor of a Book:

Sr. Title of Book Type of Book Name of Whether Authorship: Score

No with & Authorship/ Publisher & peer Sole Author/Co Claimed by
page nos., Date e-Book ISSN/ISBN No. reviewed author/Editor the
of Publication applicant

1.

2.

3.

(ii) Book Chapters in Edited Book:

Sr. Title of Book Chapter Title of Publisher & Whether Authorship: Score
No with Edited ISSN/ISBN peer Sole Author/Co Claimed by
page nos., Date of Book No. reviewed author/Editor the applicant
publication

1.

2.

3.

(iii) Information related to Development of MOOCs/ E-Content/Development of New Curricula

and Courses

Sr. Details of Development of MOOCs/ E-Content/ Development of New Curricula Score Claimed
No. and Courses by the applicant

1.

2.

3.

(C) Research Guidance:

(i) Ph.D. Thesis Supervised:

Sr. Name of the Co-Supervisors, if Title of Degree Year of Score Claimed

No. Scholar any Thesis Awarding Degree by the applicant
University completed

1.

2.

3.

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 (ii) [Link]. Thesis Supervised:

Sr. Name of the Co- Title of Degree Year of Score Claimed

No. Scholar Supervisors, if Thesis Awarding Degree by the applicant
any University completed

1.

2.

3.

(D) Research Projects:

(i) Externally Funded Research Projects (Completed):

Sr. Title of Project Funding Agency Project Amount of Score Claimed
No. Duration Grant by the applicant
(Years) (In Lac)

1.

2.

(ii) Externally Funded Research Projects (Sanctioned and in Progress):

Sr. Title of Project Funding Project Amount of Score
No. Agency Duration Grant Claimed by
(Years) (In Lac) the applicant

1.

2.

(E) Consultancy Project (Completed and in Progress):

Sr. Title of Project Agency Amount mobilized with Score Claimed by the
No. (In Lac) applicant

1.

2.

(F) Details of Patent Granted:

Sr. Details of National/ Date of Filling Date of Grant Score Claimed by
No. Patent & International the applicant
Application
No.

1.

2.

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(G) Policy document (Submitted to an international body/organisation like WHO/ UNO/ UNESCO/
UNICEF etc. Central Govt. or State Govt.):

Sr. Details of Policy document (Submitted to an international International/ Score

No. body/organisation like WHO/ UNO/ UNESCO/ UNICEF etc. National/ State Claimed by
Central Govt. or State Govt.) level the
applicant

1.

2.

(H) Awards/ Fellowships:

Sr. Details of Awards/Fellowship National/ Score Claimed by the

No. International/ State applicant
Level

1.

2.

3.

(I) Details of Invited Lectures/Resource Person/ Paper presented in Seminars/Conferences/ full

papers in conference Proceedings

Sr. Invited Lectures/Resource Dates and other Level of Event Score

No. Person/ Paper presented in details of the (International (Abroad)/ Claimed by
Seminars/Conferences/ full Event International (within the
papers in conference country)/ National/ applicant
Proceedings State/University)

1.

2.

3.

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(J) Details of Three Referees:
 Referee 1:
Name _____________________ Post held/Designation_______________
Department___________________
Institute_______________________
Mob. No. ____________________ Email: ________________________

 Referee 2:
Name _____________________ Post held/Designation_______________
Department___________________
Institute_______________________
Mob. No. ____________________ Email: ________________________

 Referee 3:
Name _____________________ Post held/Designation_______________
Department___________________
Institute_______________________
Mob. No. ____________________ Email: ________________________

List of Enclosures:
1.
2.

I certify that the information provided is correct and nothing has been concealed therein.

Date:

Place:

Signature of the Applicant

Page 6 of 10
 Summary Sheet for Score Claimed by the applicant for the position of
Assistant Professor
Sr. No. Academic Record Score claimed Verified Score
by the (to be filled by
applicant the committee)
1. Graduation

2. Post-Graduation
3. [Link].
4. Ph.D
5. NET with JRF/GATE/ CEED/GPAT
NET
SLET/SET
6. Research Publications
(2 marks for each research publications published in
SCIE/SSCI/AHCI/ ABDC journals)
7. Teaching/ Post-Doctoral Experience (full-time only)
(2 marks for one year each)#
8. Awards
International/ National Level (Awards given by
International Organizations/ Government of India/
Government of India recognised National Level Bodies)
State-Level
(Award given by State Government)

Total Score

Signature of the applicant

Page 7 of 10
 Summary Sheet for Score Claimed by the applicant for the position of
Associate Professor/Professor
S. No. Academic/ Research Activity Score claimed by Verified
the applicant Score
(to be filled
by the
committee)
A
1. Research Papers in SCIE/SSCI/AHCI/ ABDC indexed
journals

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 2. Publications (other than Research papers)
(a) Books authored which are published by;
(i) International publishers
(ii) National Publishers
(iii) Chapter in Edited Book
(iv) Editor of Book by International Publisher
(v) Editor of Book by National Publisher
(b) Translation works in Indian and Foreign Languages by
qualified faculties
(i) Chapter or Research paper
(ii) Book
3. Creation of ICT mediated Teaching Learning pedagogy
and content and development of new and innovative
courses and curricula
(a) Development of Innovative pedagogy
(b) Design of new curricula and courses
(c) MOOCs
(i) Development of complete MOOCs in 4 quadrants (4 credit
course) (In case of MOOCs of lesser credits 05 marks/credit)
(ii) MOOCs (developed in 4 quadrant) per module/lecture
(iii) Content writer/subject matter expert for each module of
MOOCs (at least one quadrant)
(iv) Course Coordinator for MOOCs (4 credit course) (In case of
MOOCs of lesser credits 02 marks/ credit)
(d) E-Content
(i) Development of e-Content in 4 quadrants for a complete
course/e-book
(ii) e-Content (developed in 4 quadrants) per module
(iii) Contribution to development of e-content module in complete
course/paper/e-book (at least one quadrant)
(iv) Editor of e-content for complete course/ paper /e-book
4. (a) Research guidance
Ph.D.
P.G dissertation
(b) Research Projects Completed (externally funded only)
More than 10 lakhs
Less than 10 lakhs
(c) Research Projects Ongoing: (externally funded only)
More than 10 lakhs
Less than 10 lakhs
(d) Consultancy (minimum 5 lakhs per consultancy)
5. (a) Patents
International
National
(b) #Policy Document (Submitted to an International
body/organization like UNO/UNESCO/World
Bank/International Monetary Fund etc. or Central Government
or State Government)
International

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 National
State
(c) Awards/Fellowship
International/ National Level (Awards given by International
Organizations/ Government of India/ Government of India
recognised National Level Bodies)
State-Level
(Award given by State Government)
6. Invited lectures / Resource Person/ paper presentation in
Seminars/ Conferences/full paper in Conference
Proceedings (Paper presented in Seminars/Conferences and
also published as full paper in Conference Proceedings will
be counted only once)
International (Abroad)
International (within country)
National
State/University
#The combined research score from the categories of 5(b)-Policy
Document and 6-Invited lectures/Resource Person/Paper presentation
shall have an upper capping of thirty percent of the minimum required
academic/research score i.e. Professor: 36 points and Associate
Professor: 22 points.
Total Score

Signature of the applicant

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