App No.

Date:
Application Fee:

Rs. 300/- per application for SC/ST/PwD

Please do not write anything above this line

Draft No:
Bank Details:

Category:

Amount:
Application form for the Post of
Assistant Professor
In Department of
___________________________________________
Reasons to fill Printed (offline) form
I ____________________________am not able to apply online because I am a person
with disability. :

Signature of applicant

Please paste
recent passport
size photograph

General Details
Post Applied For: Assistant Professor
Name of Department: _____________________________________________

Personal Details
First Name: ______________________ Middle Name: ________________ Last Name:_________________
Parents/Spouse Name _________________________________________ Date of Birth_______________
Age (As on Today) _____Y_____M_____D Category (i) (Gen/SC/ST) _____________________________
(ii)PwD (VH)*:___________________
Nationality _____________________Gender _____________

Telephone No. ______________

Mob No. ______________________Email __________________________________________________

Postal Address

Permanent Address

_________________________________
_________________________________

__________________________________
__________________________________

_________________________________

__________________________________

_________________________________

__________________________________

_________________________________

__________________________________

_________________________________
*Note: PwD- Persons with Disability, VH (Visually Handicapped)

__________________________________

(Please add additional sheets if required, for teaching/research/publication section in the format as
in this form)

Academic Qualifications*
Examination

Year

Main Subject

Marks College Attended

(%)

University

Points

Bachelor`s
Degree
Master`s
Degree
M.Phil.

Note: Points to be calculated in accordance with screening/shortlisting guidelines available on

the College website as per Delhi University rules.
Degree

Year of Award

Thesis Title

Date Of
Registration

Date of submission

Points

Ph.D.

Other
Distinctions

Note: Points to be calculated in accordance with screening/shortlisting guidelines available on

the College website as per Delhi University rules.
Whether Qualified UGC/ CSIR ______________________
NET / NET-JRF
Whether exempted from NET: Yes/ No _______________

Certificate No.____________

I certify that I am exempted from NET in accordance with the provisions of UGC Regulations, 2010.
_______________________________________________________________________________________
* Attach self-attested copies of above mentioned degrees/certificates/testimonials.

Full-time Teaching Experience*

Name of University
/College/Institution

Designation
With Pay

Status
(Permanent/T
emporary/Adhoc)

Classes Course/S
Taught
ubject

From

To

Experience
(in Y-M)

* Attach self-attested copies of certificates from the competent authority of above mentioned
experience.

Note: Points to be calculated in accordance with screening/shortlisting guidelines available on

the College website as per Delhi University rules.

Research Experience*
Name of University
/College/Institution

Postheld/Designation
With pay

From

To

Experience

Points

* Attach self-attested copies of above mentioned research experience

Note: Points to be calculated in accordance with screening/shortlisting guidelines available on

the College website as per Delhi University rules.

Present Employment Details

Please indicate, whether you are currently employed: Yes/ No (if yes give details and attach self-attested
copy of the appointment letter)

Points

Organization Name _________________ Position Held______________ Date of Appointment _________

Status (Permanent/ Temporary/ Ad-hoc) _______________________________

Publications in Relevant Area Only*

Points to be calculated in accordance with screening/shortlisting guidelines available on the
College website as per Delhi University rules.
Research Papers / Review Articles / Conference Proceedings
Title with page nos. Publication Type Journal ISSN/ISBN Refereed or Not
No.

Sole/Co-Author

Points

* Attach the self-attested copies of the first page /cover page of above mentioned publications

Research Publications - Books, Chapters, Edited work, Articles etc.*

Title of the
Book(s)

Publication
Type

Sole/CoAuthor

Publisher (city /
country ) & Year
of Publication

Journal
ISSN/ISBN No.

Refereed or Not

Points

* Attach the self-attested copies of the first page /cover page of above mentioned publications

I certify that the points claimed on the basis of being the first, sole or corresponding author
is based on the convention adopted by the journal/other publications.

Research Projects
Title

Major/Minor

Period
(Months)

Total
Name of
Grant/Funding
Sponsoring/
received(Rs.) Funding Agency

* Attach the self-attested copies of sanctions letter of above mentioned projects

Outcome of the
Project

Points

Summary of Points (Out of 100)

S.No.

Criteria

Maximum Points

Academic Qualifications

47

Experience

20

Research Publications

33

Total points

100

Points Obtained

Note: Points to be calculated in accordance with screening/shortlisting guidelines available on

the College website as per Delhi University rules.

Miscellaneous Information
Computer Skills (e.g. word processing, spreadsheet, databases or any other specific software with
familiarity level of Basic/Intermediate/Advance)
ICT Usage

Skills

Specialized Packages/
Softwares

Familiarity

Honours and Awards (Please provide details in the box below)

Significant contributions not mentioned above (Please provide details in the box below)

Membership / Fellowship of Learned Bodies / Societies(Please provide details in the box

below)

Literary, Cultural or other activities (Please provide details in the box below)

Disclosure
Have you been debarred or punished for adopting unfair means in any Examination by the
Institution / Board or University? Yes / No

If yes, specify _____________________________________________________________

Have you at any time convicted by court for any criminal offence? Yes / No

If yes, specify _____________________________________________________________

Were you ever discharged or dismissed from any previous employment? Yes / No

If yes, specify ______________________________________________________________

Three Referees Familiar with your Academic Work

Full Name

Institutional
Affiliation

Designation

Institutional
Address

Mobile/Phone
No.

Email

No Objection Certificate
Please indicate if NOC is not available: Yes/ No
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.
Name of Head of Institution _______________________________
Designation_____________________

Signature & Seal of Head of Institution ______________________

Address ____________________________ Place________________ Date________________

Declaration
I declare that the statements made and documents enclosed with the application form are true to the
best of my knowledge and belief. 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.

Date:

Applicants Signature