Krishnauniversity: Machilipatnam, A.P

KRISHNAUNIVERSITY Affix Recent
MACHILIPATNAM, A.P. Photograph

RECRUITMENT OF TEACHING STAFF
Advertisement No.
Post Applied for:

(Professor /Associate Professor /
Assistant Professor)
Subject:
Details of Demand Draft: Amount D.D. No Date Name of the Bank
1. (a) Applicant’s Name:

(in full & in caps)
(b) Father’s Name:
(c) Mother’s Name:
2. Date of Birth & Age (in completed years): DB
Age: (Y/M)
3. Place of Birth Place: ______________________ District: ____________________
4. (a) Nationality __________ (b) Religion _________ (c) Gender: Male / Female
5. (a) Address for Communication (b) Permanent Address

_______________________________ ________________________________
_______________________________ ________________________________
________________________________ ________________________________
Pin Code ___________Phone____________ Pin Code_________ Phone___________
Mobile:_____________________________ e-mail ___________________________
6. Reservation Category, if any (put  mark), (enclose an attested copy of the Caste
Certificate issued by the competent authority).
SC ST BC- A BC- B BC- C BC -D PH /HH/VH OC Any
other
7. (a) Position held at present , If any:

(b) Whether the Post is Temporary or Permanent/ Aided/ Unaided and ratified by the
University
( c ) Pay scale : Whether UGC/State-RPS -2006 / Consolidated
Basic Pay DP DA HRA Other Allowances Total
(d) Date of Increment:

8. Academic Qualifications:
Course Subjects Year of % of College Name of the
Examination Division
Name Studied Passing Marks Studied Board/University
Postgraduate
Degree
Intermediate
Academic Distinction, if any (Prize, Medals, etc):
9. Whether Qualified in NET / SET / SLET: YES / No ________ Year of

passing
10. Research Qualifications:
Class
Subject / Year of University
Degree Title of the Thesis (if
Discipline Award
any)
M.Phil.
Ph.D.
Specific
Area of
Research
11. Post-Doctoral Experience, if any:
S. Awarding Emoluments Title of

Position Held From - To
No. Organization per month Project
Page 2 of 6
12. Details of Research Publications/Books:
(Enclose list of publications /books/research Articles in chronological order stating the
Citation Index & Impact Factor of the journal and enclose them to the application)
Publisher / Name Year / Total
of Journal with Number, Citation Index /
Published Accepted
ISBN/ISSN etc. Impact Factor
Number
Books,
Book chapters
Research
Publications
Other Publications
Total ----
13. Research Projects:
Title of the Project Duration Funding Agency Amount
14. Particulars of Research Guidance .

(a) Number of Scholars awarded / Working
Status M.Phil. Ph.D
Awarded
Working
(b ) Awards, Rewards, Fellowships, Patents, if any:

(i)
(ii)
(iii)
(iv)
15. Training courses attended and papers presented at Conferences / Seminars /

Workshops
(Proof to be enclosed wherever necessary)
(a) Refresher Courses/ Workshops:
Name/ Title Organized by Duration Year
Page 3 of 6
(b) Paper presented at Conferences/ Seminars:
Title of Organized by Title of the Paper Year
Conference/Seminar
(c) Invited talks delivered at Conferences/ Seminars:

Title of Organized by Title of the Talk Year
Conference/Seminar
15. Teaching Experience: *

Name of
Temporary/ Classes
the Scale of Period
Designation Permanent Taught
University Pay From – To
/ College
U.G. P.G.
* Teaching experience at the undergraduate level or postgraduate level in regular appointment with
scale of pay attached to the post alone will be considered as teaching experience. Experience put in
by candidates as Teaching Assistants/Associates Academic Consultants, Contract Lecturers, etc., on
consolidated payment will not be considered as teaching experience. Similarly teaching experience
put in by candidates as Jr. Lecturer, Lecturer in Polytechnic, School Teacher, etc., will not be
considered
16. Academic Performance Indicator (API) Score, based on Performance Based Appraisal System set
out in the UGC Regulations (30-06-2010) Appendix-III (pages 103 - 107). This score mandatory to
the cadres of Professor and Assocate Professor.
17. Administrative / other Experience (Contribution to Corporate Life)
Designation Name of the Temporary/ Scale of Nature of Period Length of

Institution/ Permanent Pay Assignment From To Service
Organization
18. Name and Address of the Present Employer:

(Has the application been routed through the
proper channel? Enclose a No Objection Certificate).
Page 4 of 6
19. Additional information, if any, the candidate
wishes to provide in support of his/her application:
20. Details of academic visits abroad, if any:
21. Name and addresses of two references

not related to the applicant
1.
2.
DECLARATION
I hereby declare that the statements made in this application are true to the best of my
knowledge and belief. If at any stage it is found that the particulars furnished by me is false
my candidature / application / appointment, if any, may be cancelled.
Place :
Date : SIGNATURE OF THE APPLICANT
For Government / University / College Staff, etc.

(Endorsement by the Principal / Head of the Institution)
FORWARDED to the Registrar, Krishna University, Machilipatnam:

The applicant holds a permanent / temporary post in this institution. His/ her character, as far
as is known to me, is good and his work is satisfactory. The facts stated in the above
application have been verified and found correct, as per the records with this institution. This
Institution / Organization has no objection to the candidature of the applicant being
considered for the position he/she has applied for.
Place:
SIGNATURE OF THE FORWARDING OFFICER
Date: (WITH SEAL & ADDRESS)
Page 5 of 6
CHECK LIST:
1. Proof of Date of Birth.
2. Caste Certificate issued by the Tahsildar / MRO.
3. Medical Certificate issued by a competent authority in case of candidates of PH / VH
category.
4. Attested copies of Educational Qualifications.
5. Attested copy of NET / SET / SLET qualification.
6. Attested copy of the Ph.D. certificate issued by the degree-awarding University to the
effect that the Ph.D. degree awarded to the candidate is in accordance with the minimum
standards and procedures as per UGC Regulations, 2009.
7. Proof of previous teaching & administrative experience.
8. No Objection Certificate, if the applicant is an employee and if the application is not
forwarded through the employer.
9. Testimonials, if any.
10. Demand Draft towards the Registration fee of Rs 500/- / US$ 20.00.
11. ‘Six’ copies of duly filled in Abstract (Proforma of Particulars).
12. List of Research Publications.
13. Three sets of research publications / papers presented at Conference / Seminars and
books.
14. API Score based on PBAS.
REGISTRAR
Page 6 of 6

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KRISHNAUNIVERSITY Affix Recent

MACHILIPATNAM, A.P. Photograph

Post Applied for:

Details of Demand Draft: Amount D.D. No Date Name of the Bank

1. (a) Applicant’s Name:

(b) Father’s Name:

(c) Mother’s Name:

2. Date of Birth & Age (in completed years): DB

3. Place of Birth Place: ______________________ District: ____________________

5. (a) Address for Communication (b) Permanent Address

7. (a) Position held at present , If any:

(d) Date of Increment:

9. Whether Qualified in NET / SET / SLET: YES / No ________ Year of

11. Post-Doctoral Experience, if any:

S. Awarding Emoluments Title of

13. Research Projects:

Title of the Project Duration Funding Agency Amount

14. Particulars of Research Guidance .

Status M.Phil. Ph.D

(b ) Awards, Rewards, Fellowships, Patents, if any:

15. Training courses attended and papers presented at Conferences / Seminars /

(c) Invited talks delivered at Conferences/ Seminars:

15. Teaching Experience: *

17. Administrative / other Experience (Contribution to Corporate Life)

Designation Name of the Temporary/ Scale of Nature of Period Length of

18. Name and Address of the Present Employer:

20. Details of academic visits abroad, if any:

21. Name and addresses of two references

For Government / University / College Staff, etc.

FORWARDED to the Registrar, Krishna University, Machilipatnam:

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3. Place of Birth Place: __ District: